Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Joslin Construction

Interview Detail

Date

Worker Name

Auditor Name

Remarks

12/12/2017 02:50 PM

Jose Marquez

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

1176

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/01/2017

12/11/2017

10.00

12.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Hammer

Test Lamps

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

20.00

Other Work?

Other Training?

Experience

Certifications

0

None

4.00

None

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature