Worker Interview - DSA

Worker Interview

General Information

Project Name: Garden Oaks Montessori - HISD

Prime Contractor: B3Ci (JV BETWEEN BALFOUR BEATTY & 3Ci CONSTRUCTION)

Subcontrctor: Comfort Systems, USA, SC.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/21/2017 12:00 AM

Jonathan Worley

Yolanda Gaines

None

ethnicity

gender

ssn

badge

White

Male

6846

Yes

Job Classification

Union Member?

Apprentice?

Period

Plumber

No

Yes

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/20/2017

07/20/2017

8.00

19.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Ladder

Hand Tools

Hard hat

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

Safety daily

14.00

Plumbing

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature