Worker Interview - DSA

Worker Interview

General Information

Project Name: Madison High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Destin Drywall & Paint, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/04/2018 03:36 PM

Jose Hernandez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

2320

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Semi Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/10/2018

08/31/2018

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Tape Measure

Snips

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

0

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature