Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Network Cabling Services, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/08/2018 10:37 AM

Casey Jobes

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

6964

No

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/06/2018

06/08/2018

8.00

25.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Snips

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

40.00

Lift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature