Worker Interview - DSA

Worker Interview

General Information

Project Name: YWCPA - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Harrrison Alarm Service

Interview Detail

Date

Worker Name

Auditor Name

Remarks

01/29/2018 02:56 PM

Ross Holloway

Victor Bowen

None

ethnicity

gender

ssn

badge

Black

Male

3852

Yes

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

08/01/2017

01/26/2018

8.00

18.75

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Drills

Power Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

49.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature