Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Tri-Star Glass

Interview Detail

Date

Worker Name

Auditor Name

Remarks

09/29/2017 12:00 AM

Nathan Birmingham

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Hispanic

Male

7795

Yes

Job Classification

Union Member?

Apprentice?

Period

Glaziers

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2017

09/28/2017

7.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Tape Measure

Knife

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

66.00

Other Work?

Other Training?

Experience

Certifications

0

0

15.00

Scissor boom

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature