Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Trans Systems

Interview Detail

Date

Worker Name

Auditor Name

Remarks

12/11/2018 11:45 AM

Jeffery r minks

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

=CHAR(048)&717

No

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Light Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/13/2018

12/05/2018

5.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hand Tools

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

5.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature