Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Radley Staffing

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/21/2018 10:35 AM

John Wilson

Lionel Blackwell

Workers has to walk a half block to use rest room

ethnicity

gender

ssn

badge

Black

Male

8656

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/20/2018

08/20/2018

8.00

10.35

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Shovel

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

None

Aware of Postings?

Threatened?

Yes

Yes

Signatures

Employee Signature

Auditor Signature