Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Fireproof Contractors

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/29/2017 12:00 AM

Juan Santiago

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

4474

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/15/2017

06/28/2017

8.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Scraper

Shovel

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

2.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature