Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Jarrar & Company Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/07/2018 11:27 AM

Miguel Renovato

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1522

No

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/15/2018

11/06/2018

11.50

16.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Level

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

55.00

Other Work?

Other Training?

Experience

Certifications

None

None

16.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature