Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Karsten Interior Services, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/11/2017 12:00 AM

Milton Fuentes Gonzalez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&606

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Unskilled

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/29/2017

07/10/2017

8.00

12.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Monday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Broom

Knife

Tape Measure

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

30.00

Other Work?

Other Training?

Experience

Certifications

1.00

No

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature