Worker Interview - DSA

Worker Interview

General Information

Project Name: Scarborough High School - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Choate USA

Interview Detail

Date

Worker Name

Auditor Name

Remarks

03/07/2018 02:58 PM

Ever iraheta

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer-Semi Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/07/2018

03/07/2018

10.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hand Tools

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

10.00

Mini bobcat

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature