Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: SLM Construction Services, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/29/2017 12:00 AM

Javier gonzalez

Victor Bowen

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Metal Building Assembler

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/07/2017

06/28/2017

9.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Cutting Torch

Grinder

Hammer

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

45.00

Other Work?

Other Training?

Experience

Certifications

10.00

No

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature