Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Jimerson Underground, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/29/2017 12:00 AM

Jorge Aguimaga

Victor Bowen

biweekly pay

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/26/2017

06/28/2017

8.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Dozer

Excavator

Backhoe

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

No

9.00

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature