Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Master Refrigeration & Alignment LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/22/2018 01:48 PM

Cipriano villanueva

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

8107

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Installer/Mechanic

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/18/2017

01/19/2018

8.00

28.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

30.00

Other Work?

Other Training?

Experience

Certifications

None

Noe

15.00

Hvac

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature