Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/25/2019 02:05 PM

Odeb Sanchez

Jorje Munoz

Name is Oved

ethnicity

gender

ssn

badge

Hispanic

Male

8145

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

Yes

2

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/01/2019

04/24/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Grinder

Bandsaw

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.50

Scissor lift, confined space

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature