Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Commercial Flooring, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/09/2018 11:29 AM

Kevin Galdamez

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Floor Layer/Finisher

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/09/2018

02/09/2018

0.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Saturday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Level

Drills

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

6.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature