Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Hondor Sitework and Utilities, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/30/2019 01:35 PM

Juan baltzar

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4982

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/28/2019

01/28/2019

8.00

12.00

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

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Compact roller

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature