Worker Interview - DSA

Worker Interview

General Information

Project Name: Washington High School - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: EVYS Electric, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/27/2019 02:18 PM

Lucia Prado

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

7851

No

Job Classification

Union Member?

Apprentice?

Period

Electrician

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/25/2019

09/26/2019

8.00

32.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Knife

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

14.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature