Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Young & Sons Drywall LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

12/12/2017 11:12 AM

Ruben A Murillo

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

5918

No

Job Classification

Union Member?

Apprentice?

Period

Drywall Hanger

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/28/2017

12/11/2017

10.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Level

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

56.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature