Worker Interview - DSA

Worker Interview

General Information

Project Name: Scarborough High School - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Absolute Plastering

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/10/2017 12:00 AM

Juan Gonzalez

Lionel Blackwell

0

ethnicity

gender

ssn

badge

Hispanic

Male

6998

No

Job Classification

Union Member?

Apprentice?

Period

Plasterer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/16/2017

11/09/2017

10.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Trowel

Drills

Paint brush

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

30.00

Other Work?

Other Training?

Experience

Certifications

0

0

30.00

Scissor lift boom lift.

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature