Att_10_FMD_42.pdf
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- 70LGLY18RSSB00002
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FMD 42 - Daily Report
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FTC-FMD-42 (12/09) 1 of 2
CONTRACT NO. TITLE AND LOCATION DATE
REPORT NO.
CONTRACTOR (Prime or Subcontractor) NAME OF SUPERINTENDENT OR FOREMAN
WEATHER - A.M. TEMPERATURE - A.M.
WEATHER - P.M. TEMPERATURE - P.M.
EMPLOYER
SPEC.PARA.
AND / OR
DRAWING NO.
EQUIPMENT / MATERIAL RECEIVED TODAY
TO BE INCORPORATED IN JOB
(Description, Sizes, Quantity)
SUBMITTAL NO. OR
CERTIFICATION
DATE
APPROV
WERE THERE ANY LOST TIME ACCIDENTS THIS DATE?
REMARKS
RESULTS OF INSPECTION
TESTING
LOCATION AND / OR
ELEMENT OF WORK
TOTAL WORK HOURS FROM
START OF CONSTRUCTION
TOTAL WORK HOURS
ON JOB SITE THIS
DATE
CUMULATIVE TOTAL
OF HOURS FROM
PREVIOUS REPORT
HOURS
INSPECTION AND / OR TESTING
PERFORMED TODAY - - FOLLOW
WITH REPORT
DAILY REPORT TO INSPECTOR
LOCATION AND DESCRIPTION OF WORK
PERFORMED(Use additional sheets if required)
PRIME CONTRACTOR / SUBCONTRACTOR WORKFORCE
NUMBER TRADE
YES NO
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