Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: BLTI

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/08/2019 01:38 PM

Marciano ramirez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4437

No

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/25/2019

05/07/2019

9.00

22.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Snips

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

44.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature