Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Set Floors

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/04/2018 02:50 PM

Gabriel ramirez

Victor Bowen

PW issue

ethnicity

gender

ssn

badge

Hispanic

Male

4638

Yes

Job Classification

Union Member?

Apprentice?

Period

Tile Setter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/04/2017

01/03/2017

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Scraper

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

24.00

Other Work?

Other Training?

Experience

Certifications

None

None

18.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature