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

08/18/2017 12:00 AM

John Bush

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Black

Male

3132

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/01/2017

08/17/2017

8.00

10.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Channel Locks

Broom

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

0

0

5.00

0

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature