Worker Interview - DSA

Worker Interview

General Information

Project Name: Pilgrim Academy - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: PGM Construction, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/04/2018 02:33 PM

Robert lane

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

=CHAR(048)&577

No

Job Classification

Union Member?

Apprentice?

Period

Glaziers

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/02/2018

04/03/2018

9.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Tape Measure

0

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

No ne

1.50

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature