Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Karsten Interior Services, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/29/2018 11:04 AM

Juan villarreal

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

4357

Yes

Job Classification

Union Member?

Apprentice?

Period

Ceiling Tile Installer

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

09/16/2017

01/26/2018

8.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Knife

Saw Saw

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

15.00

Boom scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature