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 Soto

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1969

No

Job Classification

Union Member?

Apprentice?

Period

Drywall Hanger

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/07/2018

02/01/2018

10.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

46.00

Other Work?

Other Training?

Experience

Certifications

None

None

10.00

None

Aware of Postings?

Threatened?

No Response

No

Signatures

Employee Signature

Auditor Signature