Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Letsos Company

Interview Detail

Date

Worker Name

Auditor Name

Remarks

03/01/2019 01:56 PM

Derek Conway

Jorje Munoz

None

ethnicity

gender

ssn

badge

White

Male

3971

No

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/01/2017

02/28/2019

8.00

35.60

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Wrench

Level

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

13.00

Plumbing license

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature