Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Meredith Environmental, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/09/2019 11:22 AM

Francisco Rodriguez

Lionel Blackwell

He said his name was Francisco Rodriguez, signed Jose Francisco

ethnicity

gender

ssn

badge

Hispanic

Male

8944

Job Classification

Union Member?

Apprentice?

Period

Asbestos Worker

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/01/2018

01/08/2019

10.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Knife

Tape Measure

Clamps

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

50.00

Other Work?

Other Training?

Experience

Certifications

None

1.00

None

Aware of Postings?

Threatened?

Yes

Signatures

Employee Signature

Auditor Signature

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