Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Commercial Mechanical, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/08/2017 12:00 AM

Ricardo Luna

Yolanda Gaines

PWI

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2017

08/07/2017

10.00

15.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Cutting Torch

Hammer

Bandsaw

Hard hat

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

45.00

Other Work?

Other Training?

Experience

Certifications

None

Safety daily

5.00

Scissor/fork

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature