Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: MLN Company

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/09/2019 01:00 PM

Israel Bernal

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

2346

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter-Foreman

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/23/2019

10/08/2019

8.00

35.80

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Channel Locks

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

None

None

18.00

Scissor hvac

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature