Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Young & Sons Drywall LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/21/2017 12:00 AM

Danilo Chinchilla

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4559

No

Job Classification

Union Member?

Apprentice?

Period

Drywall Hanger

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/20/2017

08/18/2017

8.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Clamps

Cable Slings

Channel Locks

No

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

No

None

18.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature