Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Grant Sheetmetal

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/28/2017 12:00 AM

Jaime Villegas

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&941

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/01/2017

07/27/2017

6.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Saturday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Saw Saw

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

scissor lift

17.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature