Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Precision Demolition, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/02/2019 02:59 PM

Mario Galvez

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

4521

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/22/2019

05/01/2019

10.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Drills

Shovel

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

48.00

Other Work?

Other Training?

Experience

Certifications

None

None

8.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature