Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Padock southwest

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/11/2019 10:42 AM

Josse jose

Shameika Mendes

None

ethnicity

gender

ssn

badge

Hispanic

Female

3494

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/01/2018

04/10/2019

8.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Saw Saw

Drills

Hammer

Rolling hammer

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

Plumbing , operator

None

35.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature