Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Master Refrigeration & Alignment LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/07/2017 12:00 AM

Jacob knapp

Victor Bowen

0

ethnicity

gender

ssn

badge

White

Male

4262

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Trainee/Helper

No

Unkown

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/15/2017

11/06/2017

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Knife

Tape Measure

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

0

0

1.00

0

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature