Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Letsos Company

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/13/2017 10:45 AM

Fernando Lopez

Yolanda Gaines

Interview re-entered

ethnicity

gender

ssn

badge

Hispanic

Male

6065

Yes

Job Classification

Union Member?

Apprentice?

Period

Plumber

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/07/2017

07/12/2017

8.00

34.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Cutting Torch

Wrench

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

16.00

Other Work?

Other Training?

Experience

Certifications

None

Safety daily

10.00

Plumbing, boom, scissor certs

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature