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 02:06 PM

Samuel Soto zepeda

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

1046

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/15/2019

07/15/2019

10.00

13.44

Pay Type

Pay Day

deductions

OSHA

Cash

Tuesday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Shovel

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

58.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Bobcat

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature