Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Phoenix Millwork, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/15/2019 02:03 PM

Ivan Arteaga

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

9187

No

Job Classification

Union Member?

Apprentice?

Period

Drywall Hanger

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/06/2019

05/14/2019

8.00

18.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Screwdriver

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

27.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Boomlift and scissor lift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature