Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Gonzales Commercial Electric

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/14/2019 02:40 PM

Walter Gonzales

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&702

Yes

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/01/2018

05/13/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Wrench

Channel Locks

Saw Saw

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

38.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature