Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Memco, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/10/2017 12:00 AM

Robert McDaniel

Victor Bowen

None

ethnicity

gender

ssn

badge

Black

Male

9965

Yes

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Semi Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/20/2017

08/09/2017

8.00

10.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Broom

Hand Tools

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

No

None

2.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature