Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Summers Drywall Services

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/23/2018 10:35 AM

Julio uribe

Victor Bowen

Pwi, no OT pay

ethnicity

gender

ssn

badge

Hispanic

Male

1767

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Semi Skilled/Helper

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/07/2018

07/20/2018

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Screw Gun

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

45.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

Scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature