Worker Interview - DSA

Worker Interview

General Information

Project Name: Westbury High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: TX Lonestar Mechanical

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/20/2017 12:00 AM

Edward Llanos

Jorje Munoz

PWR Issue, no OT pay

ethnicity

gender

ssn

badge

Hispanic

Male

1821

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/15/2017

07/19/2017

10.00

12.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Tape Measure

Spatula

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

68.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature