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

10/31/2019 02:53 PM

Cody smith

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

5850

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/24/2019

10/30/2019

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Saw Saw

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

16.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

Lift fall fire

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature