Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Grant Sheetmetal

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/08/2018 01:40 PM

Jose Espinoza

Jorje Munoz

Didn’t want to state Pay rate

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/04/2018

02/07/2018

8.00

0.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

Nonr

None

5.00

Forklift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature