Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Gonzales Commercial Electric

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/06/2018 12:50 PM

Hector Paz

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Electrician

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/01/2019

08/04/2018

8.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Tape Measure

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

45.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Forklift, electrician

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature