Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Steel Masters, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/16/2019 02:05 PM

Pedro Garza

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1905

No

Job Classification

Union Member?

Apprentice?

Period

Welder-Structural

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

12/01/2017

05/15/2019

10.00

25.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Welding machine

Welding torch

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

12.00

Welding license

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature