Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Bateman Plumbing Co.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/24/2019 11:11 AM

Dallas Appman

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

8853

No

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/03/2018

01/18/2019

8.00

30.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Roller

Channel Locks

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

39.00

Other Work?

Other Training?

Experience

Certifications

None

None

12.00

Earth equipment

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature