Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Advocate Solutions

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/12/2018 11:10 AM

Andy chhy

Victor Bowen

None

ethnicity

gender

ssn

badge

Asian

Male

=CHAR(048)&103

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Service Technician

No Response

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/20/2018

09/11/2018

10.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Hand Tools

Pipe Bender

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

2.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature