Worker Interview - DSA

Worker Interview

General Information

Project Name: Westbury High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Smith-Mobley, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/10/2019 11:34 AM

Anthony Smith

Lionel Blackwell

Paid salary

ethnicity

gender

ssn

badge

Black

Male

4835

No

Job Classification

Union Member?

Apprentice?

Period

Carpenter-Trim & Finish

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/10/2019

07/10/2019

3.00

0.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Level

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature