Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: Newcastle Masonry, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/16/2018 10:48 AM

Oscar. Jimenez

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

5526

No

Job Classification

Union Member?

Apprentice?

Period

Bricklayer/Stone Mason

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/16/2018

04/13/2018

8.00

24.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Level

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

25.00

Fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature