Worker Interview - DSA

Worker Interview

General Information

Project Name: Milby High School - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: EDH Plumbing Contractors

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/17/2019 01:15 PM

Manuel Romero

Gabriela Uribe

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&CHAR(048)&88

No

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/01/2019

10/16/2019

8.00

28.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Blueprints

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

None

None

23.00

Journeyman.

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature