Worker Interview - DSA

Worker Interview

General Information

Project Name: Washington High School - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: PFP Abatement Group

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/21/2018 01:05 PM

Jose Gonzalez

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

3482

No

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/13/2018

09/20/2018

6.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Heavy Loaders

Heavy Loaders

Heavy Loaders

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

33.00

Other Work?

Other Training?

Experience

Certifications

None

None

28.00

Loader

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature