Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Comfort Systems, USA, SC.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/02/2017 12:00 AM

Juan Gutierrez

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

8026

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/01/2017

08/01/2017

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Tape Measure

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

Yes

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

12.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature