Worker Interview - DSA

Worker Interview

General Information

Project Name: Washington High School - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: Southeast Drywall, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/11/2017 12:00 AM

Carlos Hernandez

Jorje Munoz

No Overtime pay

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Drywall-Tape & Float

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/24/2017

08/10/2017

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Spatula

Scaffold

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

48.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.50

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature