Worker Interview - DSA

Worker Interview

General Information

Project Name: Jordan High School - HISD

Prime Contractor: Cadence McShane Construction

Subcontrctor: S Thomas Construction LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/19/2018 09:59 AM

Beto Penaloza

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&927

Yes

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Light Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/01/2018

07/18/2018

10.00

14.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Tape Measure

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

48.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature