Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Merit Professional Coatings

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/02/2019 01:34 PM

Jose Apreza

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

7057

No

Job Classification

Union Member?

Apprentice?

Period

Painter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/02/2019

04/02/2019

0.00

16.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Saturday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Paint brush

Roller

Ladder

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

12.00

None

Aware of Postings?

Threatened?

No

Yes

Signatures

Employee Signature

Auditor Signature