Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Correct Electric

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/15/2017 12:00 AM

Christopher vanderzyden

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

3

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/15/2017

08/14/2017

8.00

19.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Power Tools

Blueprints

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Fork

Aware of Postings?

Threatened?

Yes

Yes

Signatures

Employee Signature

Auditor Signature