Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Winco Masonry

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/25/2019 11:23 AM

Roman Silva montoya

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1815

Yes

Job Classification

Union Member?

Apprentice?

Period

Bricklayer/Stone Mason

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/25/2019

01/25/2019

8.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Scaffold

Hand Tools

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Heavy equipment scaffold

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature