Attachment 10 - FMD 42 - Daily Report.pdf

PDF 105 KB Posted

Attached to
Running Track Resurface & Parking Lot Enlargement
Solicitation number
70LGLY22BSSB00001
Issued by

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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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