19. Contractor Production Report (QC Report) (8 pages) - EXAMPLE.pdf
PDF 2 MB Posted
- Attached to
- Simplified Acquisition of Base Engineer Requirements (SABER) IDIQ at Seymour Johnson AFB, Goldsboro, NC.
- Solicitation number
- FA480922B0001
About this file
This document contains a contractor production report template and related quality control documents for a federal construction contract. The report templates require entry of contract details, weather data, work hours and descriptions, safety inspections, materials received, construction equipment used, and remarks. Related documents include preparatory and initial phase checklists, a rework items list, and a testing plan and log. The templates appear to be for documenting work progress and quality control for indefinite delivery/indefinite quantity construction contracts awarded by the Air Force Civil Engineer Center.
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CONTRACTOR PRODUCTION REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE Enter Date (DD/MMM/YY)
CONTRACT NO
Enter Cnt# Here
TITLE AND LOCATION
Enter Title and Location of Construction Contract Here REPORT NO Enter Report # Here
CONTRACTOR
Enter The Contractor's Company Name Here
SUPERINTENDENT
Enter Superintendent's Name Here
AM WEATHER
Enter AM Weather Data Here
PM WEATHER
Enter PM Weather Data Here
MAX TEMP (F)
Enter Max Temp Here
MIN TEMP (F)
Enter Min Temp Here
WORK PERFORMED TODAY
Schedule
Activity No. WORK LOCATION AND DESCRIPTION EMPLOYER NUMBER TRADE HRS
JOB
SAFETY
WAS A JOB SAFETY MEETING HELD THIS DATE?
(If YES attach copy of the meeting minutes) YES NO
WERE THERE ANY LOST TIME ACCIDENTS THIS DATE?
(If YES attach copy of completed OSHA report) YES NO
TOTAL WORK HOURS ON JOB
SITE,
THIS DATE, INCL CON'T SHEETS
CUMULATIVE TOTAL OF WORK
HOURS FROM PREVIOUS
REPORT
WAS CRANE/MANLIFT/TRENCHING/SCAFFOLD/HV ELEC/HIGH WORK/ HAZMAT WORK DONE?
(If YES attach statement or checklist showing inspection performed.) YES NO
WAS HAZARDOUS MATERIAL/WASTE RELEASED INTO THE ENVIRONMENT? YES NO
(If YES attach description of incident and proposed action.)
TOTAL WORK HOURS FROM
START OF CONSTRUCTION
Activity No. LIST SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED SAFETY REQUIREMENTS HAVE BEEN MET.
EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB (INDICATE SCHEDULE ACTIVITY NUMBER)
Activity No. Submittal # Description of Equipment/Material Received
CONSTRUCTION AND PLANT EQUIPMENT ON JOB SITE TODAY. INDICATE HOURS USED AND SCHEDULE ACTIVITY NUMBER.
Activity No. Owner Description of Construction Equipment Used Today (incl Make and Model) Hours Used
Activity No. REMARKS
CONTRACTOR/SUPERINTENDENT DATE
FA480922B0001
Attachment 19
Current as of 24-May-2022
CONTRACTOR QUALITY CONTROL REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE Enter (DD/MMM/YY) REPORT Enter Rpt # Here
NO
PHASE CONTRACT NO Enter Cnt# Here CONTRACT TITLE Enter Title and Location of Construction Contract Here
PR
EP
A R
AT
O
R Y
WAS PREPARATORY PHASE WORK PREFORMED TODAY? YES NO
IF YES, FILL OUT AND ATTACH SUPPLEMENTAL PREPARATORY PHASE CHECKLIST.
Activity No. Definable Feature of Work Index #
IN
IT
IA
L
WAS INITIAL PHASE WORK PREFORMED TODAY? YES NO
IF YES, FILL OUT AND ATTACH SUPPLEMENTAL INITIAL PHASE CHECKLIST.
Activity No. Definable Feature of Work Index #
FO
LL
O W
-U P
WORK COMPLIES WITH CONTRACT AS APPROVED DURING INITIAL PHASE? YES NO
WORK COMPLIES WITH SAFETY REQUIREMENTS? YES NO
Schedule Activity No.
Description of Work, Testing Performed & By Whom, Definable Feature of Work, Specification Section, Location and List of Personnel Present
REWORK ITEMS IDENTIFIED TODAY (NOT CORRECTED BY CLOSE OF BUSINESS) REWORK ITEMS CORRECTED TODAY (FROM REWORK ITEMS LIST)
Activity No. Description Schedule Activity No. Description
REMARKS (Also Explain Any Follow-Up Phase Checklist Item From Above That Was Answered "NO"), Manuf. Rep On-Site, etc.
On behalf of the contractor, I certify that this report is complete and correct and equipment and material used and work performed during this reporting period is in compliance with the contract drawings and specifications to the best of my knowledge except as noted in this report. AUTHORIZED QC MANAGER AT SITE DATE
GOVERNMENT QUALITY ASSURANCE REPORT DATE
QUALITY ASSURANCE REPRESENTATIVE'S REMARKS AND/OR EXCEPTIONS TO THE REPORT
GOVERNMENT QUALITY ASSURANCE MANAGER DATE
INITIAL PHASE CHECKLIST SPEC SECTION DATE
Enter Spec Section # Here Enter Date (DD/MMM/YY)
CONTRACT NO DEFINABLE FEATURE OF WORK SCHEDULE ACT NO. INDEX #
Enter Cnt# Here Enter DFOW Here Enter Sched Act ID Here Enter Index# Here
GOVERNMENT REP NOTIFIED HOURS IN ADVANCE: YES NO
NAME POSITION COMPANY/GOVERNMENT
IDENTIFIY FULL COMPLIANCE WITH PROCEDURES IDENTIFIED AT PREPARATORY. COORDINATE PLANS, SPECIFICATIONS, AND SUBMITTALS.
COMMENTS:
ENSURE PRELIMINARY WORK IS COMPLETE AND CORRECT. IF NOT, WHAT ACTION IS TAKEN?
ESTABLISH LEVEL OF WORKMANSHIP.
WHERE IS WORK
LOCATED?
IS SAMPLE PANEL REQUIRED? YES NO
WILL THE INIITAL WORK BE CONSIDERED AS A SAMPLE? YES NO
(IF YES, MAINTAIN IN PRESENT CONDITION AS LONG AS POSSIBLE AND DESCRIBE LOCATION OF
SAMPLE)
RESOLVE ANY DIFFERENCES.
COMMENTS:
REVIEW JOB CONDITIONS USING EM 385-1-1 AND JOB HAZARD ANALYSIS
COMMENTS:
OTHER ITEMS OR REMARKS
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QC MANAGER DATE
FA480922B0001
Attachment 19
Instructions for Using Report Forms in MS-Word
In the Report Header, fields that have instructional text such as “Enter Title and Location of Construction Contract Here” prompt the user to enter the information in a specific location, governed by the field. Single mouse click anywhere in the field and the field will darken. Entry of text/data at this point will delete the instructional text in the field and will be replaced with entered text/data.
All check boxes are all defaulted as unchecked (i.e.; ). To check the box (i.e.; ), double click the box and the “Check Box Form Field Options” box will appear. In the “Default value” section of the box, click in the Radio Button for “Checked”, then click on the “OK” button and the box will be checked.
The “Hour” fields where intentionally not programmed to total. If the Contractor deleted the formula in a field within the range that was to be totaled, the total would be wrong.
With the ability to [unlimitedly] expand the Contractor Production Report and Contractor Quality Control Representative Report, their Continuation Sheets are obsolete.
In the footer of each form are data fields for the Sheet number and the total number of sheets in the report (Sheet 1 of 2). The first number will generate itself when pages of the report are added. But MS-Word will not automatically update the second number. To update the NumPages field, click the field or the field results and then press F9. You can also click Options in the Tools menu, click the Print tab, and then select the Update fields check box.
PREPARATORY PHASE CHECKLIST SPEC SECTION DATE
(CONTINUED ON SECOND PAGE) Enter Spec Section # Here Enter Date (DD/MMM/YY)
CONTRACT NO DEFINABLE FEATURE OF WORK SCHEDULE ACT NO. INDEX #
Enter Cnt# Here Enter DFOW Here Enter Sched Act ID Here Enter Index# Here
GOVERNMENT REP HOURS IN ADVANCE: NOTIFIED
NAME POSITION COMPANY/GOVERNMENT
REVIEW SUBMITTALS AND/OR SUBMITTAL REGISTER. HAVE ALL SUBMITTALS BEEN APPROVED? YES NO
IF NO, WHAT ITEMS HAVE NOT BEEN SUBMITTED?
ARE ALL MATERIALS ON HAND? YES NO
IF NO, WHAT ITEMS ARE
MISSING?
CHECK APPROVED SUBMITTALS AGAINST DELIVERED MATERIAL. (THIS SHOULD BE DONE AS MATERIAL ARRIVES.)
COMMENTS:
ARE MATERIALS STORED PROPERLY? YES NO
IF NO, WHAT ACTION IS TAKEN?
REVIEW EACH PARAGRAPH OF SPECIFICATIONS.
DISCUSS PROCEDURE FOR ACCOMPLISHING THE
WORK.
CLARIFY ANY DIFFERENCES.
ENSURE PRELIMINARY WORK IS CORRECT AND PERMITS ARE ON FILE.
IF NOT, WHAT ACTION IS TAKEN?
YES
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FA480922B0001
Attachment 19
TE
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IN
G
IDENTIFY TEST TO BE PERFORMED, FREQUENCY, AND BY
WHOM.
WHEN REQUIRED?
WHERE REQUIRED?
REVIEW TESTING PLAN.
HAS TEST FACILITIES BEEN
APPROVED?
SA
FE
TY
ACTIVITY HAZARD ANALYSIS APPROVED?
REVIEW APPLICABLE PORTION OF EM 385-1-1.
YES NO
M
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C O
M M
EN
TS
NAVY/ROICC COMMENTS DURING MEETING.
TH
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EM
S O
R R
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A
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OTHER ITEMS OR REMARKS:
QC MANAGER DATE
Attachment 19
REWORK ITEMS LIST
Contract No. and Title: Enter Contract # and Title Here
Contractor: Enter Contractor's Company Name Here
NUMBER
DATE
IDENTIFIED
DESCRIPTION
CONTRACT
REQUIREMENT
(Spec. Section and Par. No., Drawing No.
and Detail No., etc.)
ACTION TAKEN
BY QC MANAGER
RESOLUTION
DATE
COMPLETED
TESTING PLAN AND LOG
CONTRACT NUMBER
Enter Contract # Here
PROJECT TITLE AND LOCATION
Enter Contract Title and Location Here
CONTRACTOR
Enter Contractor's Company Name Here
SPECIFICATION
SECTION
AND
PARAGRAPH
NUMBER
ITEM
OF
WORK TEST REQUIRED
ACCREDITED/
APPROVED
LAB
SAMPLED BY TESTED BY
LOCATION
OF TEST
DATE
COMPLETED
DATE
FORWARDED
TO
CONTR. OFF. REMARKS YES NO
ON
SITE
OFF
SITE
FA480922B0001
Attachment 19
| PREPARATORY PHASE CHECKLIST |
| TESTING PLAN AND LOG |
File details come from the government source that posted it. Updated .