Worker Interview - DSA

Worker Interview

General Information

Project Name: Worthing High School (Phase II) - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: Metal Specialties

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/17/2018 01:37 PM

Fred hamilton

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

8158

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Roofing

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/07/2018

04/16/2018

43.00

12.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Channel Locks

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

43.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

None

Aware of Postings?

Threatened?

No

Yes

Signatures

Employee Signature

Auditor Signature