Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Trans Texas Tennis, LTD

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/15/2019 11:37 AM

Eliazar Martinez

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Carpenter-Form

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/06/2019

05/14/2019

9.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Trowel

Level

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

30.00

Other Work?

Other Training?

Experience

Certifications

Concrete and labor

None

20.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature