Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/16/2017 12:00 AM

Austin Althouse

Victor Bowen

Preop apprentice no pwi

ethnicity

gender

ssn

badge

White

Male

2571

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/11/2017

10/13/2017

8.00

16.37

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Bandsaw

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

No

40.00

Other Work?

Other Training?

Experience

Certifications

0

0

0.00

0

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature