Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: R2 Insulation, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

08/15/2019 10:53 AM

Alvaro Posada

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

5938

No

Job Classification

Union Member?

Apprentice?

Period

Insulator-Piping

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/15/2019

08/14/2019

8.00

19.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Knife

Ladder

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

None

None

22.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature