Worker Interview - DSA

Worker Interview

General Information

Project Name: Madison High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Nets of Texas

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/06/2019 12:01 PM

Lorenzo Garcia

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&505

No

Job Classification

Union Member?

Apprentice?

Period

Playground Equip Installer/Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/06/2019

11/06/2019

9.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Hand Tools

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

0.00

Fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature