Worker Interview - DSA

Worker Interview

General Information

Project Name: Jordan High School - HISD

Prime Contractor: Cadence McShane Construction

Subcontrctor: D & H Masonry, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/25/2018 02:14 PM

Agapito Ayala

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

3029

No

Job Classification

Union Member?

Apprentice?

Period

Bricklayer/Stone Mason

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/01/2017

01/24/2018

8.00

27.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Trowel

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

35.00

Skytrak

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature