Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Letsos Company

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/16/2018 02:42 PM

Steven Randal cordier

Victor Bowen

Fourth year apprentice

ethnicity

gender

ssn

badge

White

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Plumber Helper

Yes

Yes

4

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/02/2018

04/13/2018

8.00

27.75

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Cutting Torch

Channel Locks

Tape Measure

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

6.00

Load scissor excavator

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature