Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: South Coast Industries, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/19/2017 12:00 AM

Bernardo Aragon

Yolanda Gaines

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Insulator-Piping

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/23/2017

07/18/2017

10.00

18.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Knife

Ladder

Safety glasses

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

Safety daily

13.00

Boom-lift. Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature