Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Hondor Sitework and Utilities, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/24/2018 04:41 PM

Martin Sandoval

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Semi Skilled/Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/29/2017

01/23/2018

10.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Shovel

Shovel

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

25.00

Other Work?

Other Training?

Experience

Certifications

None

none

3.00

none

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature