Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Karsten Interior Services, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/03/2019 01:53 PM

Jose campos

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4824

Yes

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/26/2019

10/02/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Knife

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

24.00

Other Work?

Other Training?

Experience

Certifications

None

None

7.00

Fork scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature