Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Insulation Contractors Supply

Interview Detail

Date

Worker Name

Auditor Name

Remarks

12/11/2017 11:24 AM

Joshua Solis

Victor Bowen

PWI Issue

ethnicity

gender

ssn

badge

Hispanic

Male

3126

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Installer/Mechanic

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/02/2017

12/01/2017

8.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Drills

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

0

0

2.00

Scissor

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature