80GSFC20B0002 Attachment D.pdf

ATTACHMENT D

80GSFC20B0002

NATIONAL AERONAUTICS AND SPACE ADMINISTRATION

GODDARD SPACE FLIGHT CENTER

WALLOPS FLIGHT FACILITY

WALLOPS ISLAND, VA 23337

CONTRACTORS DAILY REPORT

FORM WI 452

FOR

Wallops Airfield Repair Project, FCLP Phase 7

LOCATED

AT

NASA GSFC/WALLOPS FLIGHT FACILITY

WALLOPS ISLAND, VIRGINIA

NASA WI-452

DAILY CONSTRUCTION REPORT

Contract No. ___________ Date: ______________ Report No. ____________

Description and Location of Work: ________________________________________________

Weather: (Clear) (P. Cloudy) (Cloudy) Temperature ______ Min: ______ Max: _______ Rainfall: __________ inches.

Contractor/Subcontractors and Area of Responsibility with Labor Count for Each:

a. __________________________________ d. __________________________________

b. __________________________________ e. __________________________________

c. __________________________________ f. __________________________________

Equipment Data: (Indicate items of construction equipment, other than hand tools, at the job site, and whether or not used.)

1. Work Performed Today: (Indicate location and description or work performed. Refer to work performed by prime and/or subcontractors by letter in Table above.)

NASA WI-452

2. Result of Surveillance: (Include satisfactory work completed, or deficiencies with action to be taken.)

3. Test Required by Plans and/or Specifications Performed and Results of Tests:

4. Verbal Instruction Received: (List any instructions given by Government personnel on construction deficiencies, retesting required, etc., with action to be taken.)

5. Remarks: (Cover any conflicts in plans, specifications, or instructions on any delay to the job attributable to weather conditions.)

6. Results of Safety Inspections: (Include safety violations and corrective actions taken.)

CONTRACTOR’S VERIFICATION: The above report is complete and correct and all material and equipment used and work performed during this reporting period are in compliance with the contract plans and specifications except as noted above.

(Contractor’s Approved Authorized Representative)

(NASA Inspector)