Worker Interview - DSA

Worker Interview

General Information

Project Name: Sam Houston High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Texas Scenic Company, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/25/2018 01:15 PM

Obdull Wesson

Victor Bowen

None

ethnicity

gender

ssn

badge

Black

Male

4320

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/21/2018

10/24/2018

8.00

18.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Power Tools

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

35.00

Other Work?

Other Training?

Experience

Certifications

None

None

16.00

Scissor fork load

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature