Worker Interview - DSA

Worker Interview

General Information

Project Name: Lee High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Aluminum Techniques, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/11/2018 11:55 AM

Jose Longoria

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&693

No

Job Classification

Union Member?

Apprentice?

Period

Metal Building Assembler

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/07/2018

09/10/2018

8.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Boom Lift

Drills

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

28.00

Boom lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature