Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/05/2018 02:58 PM

Charlie gibbs

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

8107

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/20/2018

02/02/2018

8.00

34.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Pipe Cutter

Power Tools

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

35.00

Scissor boom fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature