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 02:32 PM

Alan tejada

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

6210

No

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

1

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/26/2019

09/26/2019

8.00

15.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Screwdriver

Snips

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature