Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Jimerson Underground, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/31/2018 11:13 AM

Jaime Anaga

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

9975

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/10/2018

07/30/2018

10.00

18.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Pipe Cutter

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

58.00

Other Work?

Other Training?

Experience

Certifications

None

None

22.00

Pipe Fitter

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature