Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/25/2018 02:20 PM

Carlos Lawrence Rivera Jr

Victor Bowen

None

ethnicity

gender

ssn

badge

Hispanic

Male

3294

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/10/2018

04/24/2018

8.00

26.50

Pay Type

Pay Day

deductions

OSHA

Paycheck

Wednesday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Channel Locks

Level

Hand Tools

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

Scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature