Worker Interview

General Information

Project Name: Eastwood Academy - HISD

Prime Contractor: Patriot Contracting, LLC

Subcontrctor: R&R

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/09/2018 11:47 AM

Brandon Mock

Lionel Blackwell

He has not gotten paid for last week, supposed to get paid weekly no check, he works for R&R concrete. Please check into please..

ethnicity

gender

ssn

badge

Black

Male

1206

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/06/2018

14.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

30.00

Other Work?

Other Training?

Experience

Certifications

None

0.00

Aware of Postings?

Threatened?

Yes

Signatures

Employee Signature

Auditor Signature

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