Worker Interview - DSA

Worker Interview

General Information

Project Name: Washington High School - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: CLS Technology, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/13/2018 11:00 AM

Rodolfo Ramirez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&742

No

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/12/2018

04/12/2018

9.00

18.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Level

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

15.00

Scissor alarm

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature