Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Pyrotex Systems

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/19/2018 12:06 PM

Christopher Cameron

Victor Bowen

Pwi

ethnicity

gender

ssn

badge

White

Male

1219

No

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/19/2018

09/19/2018

0.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

14.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature