Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Foster Fence Ltd

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/21/2019 02:27 PM

Jose Cruz martinez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

3249

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Unskilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/18/2019

02/20/2019

10.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hammer

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

2.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature