Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Dominion Controls

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/21/2018 11:00 AM

Julio W Godino

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1105

No

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/05/2018

02/20/2018

10.00

22.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature