Worker Interview - DSA

Worker Interview

General Information

Project Name: Pilgrim Academy - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Saabs Construction Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

11/30/2017 08:47 AM

Raymundo Alvarez guevara

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Bricklayer Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/28/2017

11/29/2017

8.00

14.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Hand Tools

Knife

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

29.00

Other Work?

Other Training?

Experience

Certifications

0

None

3.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature