Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Northstar Demolition and Remediation, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/07/2017 12:00 AM

Jaime Garcia

Yolanda Gaines

Supervisor asbestos, gets salary as pay

ethnicity

gender

ssn

badge

Hispanic

Male

7040

Yes

Job Classification

Union Member?

Apprentice?

Period

Asbestos Worker

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/05/2017

07/06/2017

8.00

0.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Heavy Loaders

Boom Lift

Scraper

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

Safety daily

28.00

Heavy equipment certs

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature