Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: FGH Insulation Co

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/23/2018 10:36 AM

Davis Grein

Austin Jonas

None

ethnicity

gender

ssn

badge

White

Male

5424

No

Job Classification

Union Member?

Apprentice?

Period

Insulator-Building

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/21/2018

07/21/2018

8.00

22.95

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Knife

Pipe Cutter

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

8.00

Other Work?

Other Training?

Experience

Certifications

None

None

26.00

Heavy equipment

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature