Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Grant Sheetmetal

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/19/2018 11:44 AM

Steve p robinson

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

9584

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/16/2018

09/17/2018

8.00

22.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hammer

Snips

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

37.00

Scissor ladder boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature