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

07/21/2017 12:00 AM

Ira Kinard

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

6065

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Installer/Mechanic

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/07/2017

07/20/2017

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Monday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Bandsaw

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

30.00

Other Work?

Other Training?

Experience

Certifications

None

No

6.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature