Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Phoenix Millwork, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/19/2019 10:59 AM

Miguel Reyes

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

8075

No

Job Classification

Union Member?

Apprentice?

Period

Mill Wright

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/17/2019

06/18/2019

10.00

23.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Tape Measure

Drills

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

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature