Worker Interview - DSA

Worker Interview

General Information

Project Name: Jordan High School - HISD

Prime Contractor: Cadence McShane Construction

Subcontrctor: Applied Finish Systems

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/15/2018 09:31 AM

Luis Rodriguez

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

7585

No

Job Classification

Union Member?

Apprentice?

Period

Ceiling Tile Installer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/13/2018

08/14/2018

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Drills

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

16.00

Heavy equipment

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature