Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Empire Steel Erectors LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

03/21/2019 12:36 PM

Jimmy Boutwell

Lionel Blackwell

None

ethnicity

gender

ssn

badge

White

Male

2767

Yes

Job Classification

Union Member?

Apprentice?

Period

Ironworker

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/01/2019

03/20/2019

8.00

33.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Hammer

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

36.50

Other Work?

Other Training?

Experience

Certifications

None

None

33.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature