Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Bateman Plumbing Co.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/03/2019 11:41 AM

Dennis A. Zuniga

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

3531

No

Job Classification

Union Member?

Apprentice?

Period

Plumber Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/15/2019

05/02/2019

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Power Tools

Channel Locks

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

49.00

Other Work?

Other Training?

Experience

Certifications

None

None

2.00

Scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature