Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Grant Sheetmetal

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/23/2019 02:03 PM

Martin Gomez

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

3074

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/01/2019

07/22/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Screw Gun

Drills

Snips

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

17.00

Scissor lift and ladder

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature