Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: F.W. Walton, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/02/2018 11:12 AM

Benito Aguilar

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

2792

No

Job Classification

Union Member?

Apprentice?

Period

Roofer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/01/2018

11/01/2018

11.50

27.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Saw Saw

Screw Gun

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

Yes

53.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Boomlift and scissor lift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature