Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Alarm Systems of Texas

Interview Detail

Date

Worker Name

Auditor Name

Remarks

12/15/2017 11:46 AM

Gilbert Arce

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

8822

Yes

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/15/2017

12/14/2017

8.00

30.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Screwdriver

Tape Measure

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

10.00

Other Work?

Other Training?

Experience

Certifications

None

None

8.00

Scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature