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

Leonel Barcenas

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

5705

Yes

Job Classification

Union Member?

Apprentice?

Period

Insulator-Building

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/12/2017

07/17/2017

10.00

14.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Knife

Staple Gun

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature