Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Ashford Glass & Mirror

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/19/2017 12:00 AM

Jose Omar Lara

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4281

Yes

Job Classification

Union Member?

Apprentice?

Period

Glaziers

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/11/2017

07/14/2017

8.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Caulker

Drills

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

Boom scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature