Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: AECO Interior Contractors

Interview Detail

Date

Worker Name

Auditor Name

Remarks

03/22/2019 10:34 AM

David Vale

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

8120

No

Job Classification

Union Member?

Apprentice?

Period

Ceiling Tile Installer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/21/2019

03/21/2019

8.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Tape Measure

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

25.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature