Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Online Air Balancing

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/20/2018 10:55 AM

Daniel Deleon

Victor Bowen

Biweekly pay

ethnicity

gender

ssn

badge

White

Male

9370

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Service Technician

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/16/2018

09/19/2018

5.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

20.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Tad balancing

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature