Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Unify Energy Solutions

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/23/2018 11:19 AM

Edward Puerta

Lionel Blackwell

Pays bi-monthly

ethnicity

gender

ssn

badge

Hispanic

Male

3823

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Installer/Mechanic

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/01/2018

04/23/2018

4.00

30.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Monday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Channel Locks

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

18.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature