Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Prism Electric, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/07/2017 12:00 AM

Miguel Aleman

Victor Bowen

ethnicity

gender

ssn

badge

Hispanic

Male

7819

No

Job Classification

Union Member?

Apprentice?

Period

Electrician Helper

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/04/2017

07/06/2017

10.00

12.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Tape Measure

Hammer

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

No

0

3.00

No

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature