Worker Interview - DSA

Worker Interview

General Information

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

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Choate USA

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/19/2018 02:00 PM

Diego yanes

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Semi Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/14/2018

09/14/2018

10.00

12.94

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Knife

Shovel

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

26.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature