Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Empire Acero

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/19/2017 12:00 AM

Jose M Mendoza

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Hispanic

Male

3111

Yes

Job Classification

Union Member?

Apprentice?

Period

Welder-Pipe

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2017

07/18/2017

8.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Welding torch

Snips

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

0

0

23.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature