Worker Interview - DSA

Worker Interview

General Information

Project Name: Worthing High School (Phase II) - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: Marton Roofing Industries, Ltd.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/08/2017 12:00 AM

Moises aguino

Victor Bowen

0

ethnicity

gender

ssn

badge

Hispanic

Male

7984

No

Job Classification

Union Member?

Apprentice?

Period

Roofer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/08/2017

11/08/2017

0.00

25.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Clamps

Drills

Hammer

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

0

0

18.00

Fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature