Worker Interview - DSA

Worker Interview

General Information

Project Name: Eastwood Academy - HISD

Prime Contractor: Patriot Contracting, LLC

Subcontrctor: Architectural metal crafts

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/19/2018 01:37 PM

Wesley Danley

Lionel Blackwell

None

ethnicity

gender

ssn

badge

White

Male

2004

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-General

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/18/2018

07/18/2018

5.00

22.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Grinder

Hammer

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

6.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature