Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Jarrar & Company Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

03/01/2019 11:39 AM

Carlos Herrera

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

8670

No

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/01/2018

02/28/2019

8.00

24.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Backhoe

Drills

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

50.00

Other Work?

Other Training?

Experience

Certifications

None

Daily safety meeting

16.00

Trench and excavation

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature