Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Craftsman At Request

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/16/2017 12:00 AM

Freddy Arista

Jorje Munoz

No OT Pay

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Carpenter-Trim & Finish

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/25/2017

10/13/2017

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Saw Saw

Drills

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

52.00

Other Work?

Other Training?

Experience

Certifications

Concrete

None

1.50

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature