Worker Interview - DSA

Worker Interview

General Information

Project Name: Lee High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Fielder's Choice, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/17/2018 01:39 PM

Hilario garcia

Victor Bowen

Worker didn’t know his rate

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/16/2018

07/16/2018

10.00

0.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Knife

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

19.00

Heavy equipment

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature