Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Brace

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/18/2018 12:43 PM

Steven Maldonado

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

3349

No

Job Classification

Union Member?

Apprentice?

Period

Metal Building Assembler

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/16/2018

09/17/2018

8.00

14.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hand Tools

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

7.00

Fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature