Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Winco Masonry

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/07/2017 12:00 AM

Filmo Deras

Yolanda Gaines

NONE

ethnicity

gender

ssn

badge

Hispanic

Male

2954

Yes

Job Classification

Union Member?

Apprentice?

Period

Bricklayer/Stone Mason

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/06/2017

07/06/2017

8.00

25.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Trowel

Drills

Saw Saw

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

Safety daily

14.00

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature