Worker Interview - DSA

Worker Interview

General Information

Project Name: Westbury High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Radley Staffing

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/05/2017 12:00 AM

Christopher Parker

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Black

Male

8141

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/04/2017

10/04/2017

8.00

8.50

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Broom

Scraper

Shovel

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

0

0

1.00

0

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature