Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/25/2019 02:42 PM

Jonathan Noval

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1690

Yes

Job Classification

Union Member?

Apprentice?

Period

Welder-Pipe

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/14/2019

01/24/2019

8.00

35.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Bandsaw

Welding machine

Welding torch

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

10.00

6G Welding Certificate

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature