Worker Interview - DSA

Worker Interview

General Information

Project Name: Pilgrim Academy - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Express Drywall and Services

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/02/2018 01:55 PM

Jose Velasquez

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

4451

No

Job Classification

Union Member?

Apprentice?

Period

Drywall-Tape & Float

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/15/2018

02/01/2018

10.00

25.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Drills

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

10.00

Other Work?

Other Training?

Experience

Certifications

None

None

34.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature