Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Gonzales Commercial Electric

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/23/2017 12:00 AM

Robert Granad

Lionel Blackwell

O

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&736

Yes

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

1

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/01/2017

08/22/2017

4.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Pipe Bender

Tape Measure

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

0

0

4.00

Scissor lift,backhoe

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature