80GSFC23B0006 - Attachment E - Contractors Daily Report Form.docx.pdf
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- Solicitation number
- 80GSFC23B0006
About this file
This document contains an attachment to an invitation for bid for repair work at Wallops Airfield in Virginia. The National Aeronautics and Space Administration Goddard Space Center is soliciting bids for repairs and maintenance at Wallops Airfield under contract number 80GSFC23B0006. The attachment provides a daily report form for contractors to document work performed, weather conditions, personnel on site, equipment used, test results, safety inspections, and instructions received. Contractors must use this form to record activities daily and submit the completed reports to the NASA inspector for verification and compliance review.
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Text version
ATTACHMENT E
CONTRACTORS DAILY REPORT FORM WI 452
WALLOPS AIRFIELD REPAIR PROJECT FCLP,
PHASE 10
NASA
WALLOPS FLIGHT FACILITY
WALLOPS ISLAND, VA
IFB 80GSFC23B0006
CONTRACT (TBD)
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)
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