Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: McCorvey Sheet Metal Works, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/01/2018 11:27 AM

Jose Martinez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

9096

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/05/2018

07/31/2018

8.00

29.60

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Bandsaw

Screw Gun

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

24.00

Other Work?

Other Training?

Experience

Certifications

None

None

28.00

Scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature