Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Commercial Mechanical, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

10/19/2017 12:00 AM

Dario Gonzales

Jorje Munoz

0

ethnicity

gender

ssn

badge

Hispanic

Male

7069

Yes

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/03/2017

10/18/2017

8.00

22.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Tape Measure

Plyers

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

52.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Scissor lift, harness, ladders

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature