Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Strategic HVAC & Insulation, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/19/2017 12:00 AM

Jose Guzman

Victor Bowen

0

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No Response

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/15/2017

10/18/2017

8.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Hand Tools

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

48.00

Other Work?

Other Training?

Experience

Certifications

0

0

20.00

Man, boom, scissor lift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature