Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Western State Fire Protection

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/24/2018 02:22 PM

Austin coffen

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

4250

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/24/2018

01/24/2018

0.00

18.86

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Level

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

Scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature