Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Fireproof Contractors

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/18/2019 11:24 AM

Carlos Alcoser

Gabriela Uribe

None

ethnicity

gender

ssn

badge

Hispanic

Male

6570

No

Job Classification

Union Member?

Apprentice?

Period

Insulator-Building

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/07/2019

10/17/2019

8.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Spray Gun

Ladder

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

16.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Boom lift. Forklift. Scissor lift.

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature