Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Choate USA

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/30/2019 01:57 PM

Camilo Soto Dominguez

Victor Bowen

No OT pay

ethnicity

gender

ssn

badge

Hispanic

Male

3350

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Semi Skilled

No

No Response

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/14/2019

07/29/2019

10.00

13.54

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Shovel

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

58.00

Other Work?

Other Training?

Experience

Certifications

None

None

15.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature