Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Oxford Builders Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/03/2019 11:28 AM

Kevin Noel arauz

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

2633

No

Job Classification

Union Member?

Apprentice?

Period

Carpenter-Form

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/22/2019

05/02/2019

8.00

16.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Knife

Hammer

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

Non

5.00

Hilti boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature