Worker Interview - DSA

Worker Interview

General Information

Project Name: Westbury High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Southeast Drywall, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/20/2017 12:00 AM

Arturo Jimenez

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&220

No

Job Classification

Union Member?

Apprentice?

Period

Drywall Hanger

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/14/2017

07/19/2017

10.00

13.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Drills

Level

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

50.00

Other Work?

Other Training?

Experience

Certifications

O

0

2.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature