Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Way plumbers

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/29/2017 12:00 AM

Kenneth Valentin

Lionel Blackwell

O

ethnicity

gender

ssn

badge

Other

Male

=CHAR(048)&750

Yes

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/01/2017

06/28/2017

8.00

34.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Tape Measure

Level

O

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

O

O

10.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature