Worker Interview - DSA

Worker Interview

General Information

Project Name: Dowling Middle School (Lawson) - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Way Engineering, LTD

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/12/2018 02:26 PM

Steve Gile

Lionel Blackwell

None

ethnicity

gender

ssn

badge

White

Male

7785

Yes

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

Yes

2

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/12/2018

04/11/2018

10.00

20.85

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Hammer

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

56.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature