Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Marek Brothers

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/25/2019 11:19 AM

Arturo Delgado Chavez

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Ceiling Tile Installer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

12/01/2018

04/24/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Saw Saw

Hammer

Laser

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Scissor lift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature