Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Milam & Co. Painting, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/16/2019 02:25 PM

Carlos Antonio arevalo

Victor Bowen

Paid by Welcomer Construction, owner Alex cazares, in personal check

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Job Classification

Union Member?

Apprentice?

Period

Painter

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/02/2019

05/15/2019

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

40.00

Other Work?

Other Training?

Experience

Certifications

None

7.00

None

Aware of Postings?

Threatened?

Signatures

Employee Signature

Auditor Signature

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