Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Payless Insulation

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/24/2018 11:25 AM

JorgeF.Estrada

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

7648

No

Job Classification

Union Member?

Apprentice?

Period

Insulator-Building

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2028

07/23/2028

10.00

23.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Screwdriver

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

50.00

Other Work?

Other Training?

Experience

Certifications

None

None

23.00

Scissor lift,forklift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature