Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Duty Construction, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/26/2018 11:45 AM

Kenneth chappel

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/15/2018

09/25/2018

10.00

0.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Dozer

Backhoe

Excavator

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

52.00

Heavy equipment

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature