Worker Interview - DSA

Worker Interview

General Information

Project Name: Pilgrim Academy - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Baez Electrical

Interview Detail

Date

Worker Name

Auditor Name

Remarks

02/23/2018 10:24 AM

Rolando Zuniga

Jorje Munoz

No OT Pay

ethnicity

gender

ssn

badge

Hispanic

Male

7678

No

Job Classification

Union Member?

Apprentice?

Period

Electrician

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

12/01/2017

02/22/2018

10.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Bandsaw

Tape Measure

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

52.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Forklift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature