Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Transystems

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/18/2018 10:59 AM

Raul Castillo

Victor Bowen

Biweekly pay

ethnicity

gender

ssn

badge

Hispanic

Male

9767

No

Job Classification

Union Member?

Apprentice?

Period

Asbestos Worker

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

12/28/2017

07/02/2018

10.00

25.67

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hand Tools

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

50.00

Other Work?

Other Training?

Experience

Certifications

None

None

23.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature