Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: TAS Commercial Concrete Construction, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/27/2017 12:00 AM

Ramiro Ruiz

Jorje Munoz

0

ethnicity

gender

ssn

badge

Hispanic

Male

8657

No

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/01/2017

09/26/2017

10.00

19.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Backhoe

Heavy Loaders

Forklift

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

46.00

Other Work?

Other Training?

Experience

Certifications

None

None

18.00

Operator license

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature