Worker Interview - DSA

Worker Interview

General Information

Project Name: Austin High School - HISD

Prime Contractor: Pepper-Lawson Construction

Subcontrctor: Webber Commercial Construction, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/30/2019 02:22 PM

Michael Patrick

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Black

Male

7079

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/29/2019

10/29/2019

8.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Hammer

Saw Saw

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

44.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Scissor lift,forklift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature