Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Kilgore Industries

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/15/2019 02:10 PM

Ramiro Fuentes

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

5638

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter-Foreman

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/13/2019

05/14/2019

10.00

29.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Power Tools

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

25.00

Scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature