CTR078010_Daily_Work___Traffic_Control_Activity_Report.pdf

137 KB Posted

Attached to
Master Agreement AZ|CTR078010
Contract number
CTR078010
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a Daily Work & Traffic Control Activity Report template for two statewide on-call service contracts with the Arizona Department of Transportation (ADOT). The form is designed for tracking daily activities related to "On-call Milling & Asphalt Replacement Services" and "On-call Hydrovac Services" across the state. The document provides a standardized reporting mechanism for contractors to document labor, equipment, line items used, traffic control activities, and project details.

The report template is structured to capture comprehensive project information including contract number, district, route, work type, labor hours, equipment usage, and specific traffic control metrics. It includes sections for recording employee details, vehicle and equipment deployment, traffic control devices used, and time-based work parameters. The form allows for detailed documentation of traffic control requirements, closure types, flagger information, and specific traffic control devices deployed. At the bottom, there are signature lines for the contractor and ADOT project manager, ensuring accountability and verification of the daily work activities.

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Other files

File Type Posted
CTR078010_COI_2026-04-01.pdf PDF
CTR078010_Task_Assignment_Milling___Asphalt_Services.pdf PDF
CTR078010_Bituminous_Price_Adjustment_FY_2026.pdf PDF
CTR078010_Contract_Documents.pdf PDF
CTR078010_Ordering_Guidlines_for_Contracts_with_Not_to_Exceed_Pricing.pdf PDF

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Exhibit

DAILY WORK & TRAFFIC CONTROL ACTIVITY REPORT

On-call Milling & Asphalt Replacement Services, Statewide

Date: Contract No.: CTR Prime Contractor:

District: Unit Name & No.: Subcontractor:

Route: Direction: Lane(s):

Beginning M.P.: Ending M.P.: Wind Direction:

Velocity: Visibility: Weather:

Type of Work:

LABOR

Employee/Traffic Control Worker Name Job Title/Activity Phone/Badge or Certification No.

Company/Agency (if applicable) Arrived Departed Hours Worked

EQUIPMENT

Description/Traffic Control Vehicle Year Make/Model Vehicle No. (if applicable) No. Used Hours Each Total Hours

Pilot Truck*

Law Enforcement Vehicle*

TL3-Truck Mounted Attenuator w/ Driver*

Trailer Mounted Arrow Panel*

Changeable Message Board*

Crash Attenuator Truck*

LINE ITEMS USED

Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure Quantity

ADOT: Contact SMCS to request report revisions.

Exhibit

DAILY WORK & TRAFFIC CONTROL ACTIVITY REPORT

On-call Hydrovac Services, Statewide

TRAFFIC CONTROL ACTIVITY

Type of Closure: Arrow Boards Required?

Est. Duration of Traffic Control Requirement: Hours Days

Time Traffic Control Began: Time Traffic Control Ended:

Traffic Control Plan/MUTCD#/Traffic Application#:

Type of Flagger:

Traffic Control Device No. Used Traffic Control Device No. Used

Variable Message Board Vertical Panel

Barricade (Type II) Barricade (Type III)

Traffic Cones Traffic Sign Stand

Portable Sign Stand (High Level Flag Tree) Portable Sign Stand (Spring Type)

Warning Light (Type A, Flashing) Warning Light (Type B, Flashing)

Warning Light (Type C, Steady Burn) Traffic Sign Panel (10 sq.ft. or less)

Traffic Sign Panel (10 sq.ft. or more)

Describe Below Any Delays in Excess of Fifteen (15) Minutes, Unusual Activity, or Comments:

Contractor's Signature Phone/Email Date

ADOT Project Manager Signature Phone/Email Date

Date: Route: Beginning M.P.: Ending M.P.:Contract Number: CTR

ADOT: Contact SMCS to request report revisions.

1:
2:
5:
Direction:
Ending MP 2:
Pilot Truck:
Law Enforcement Vehicle:
TL3Truck Mounted Attenuator w Driver:
Trailer Mounted Arrow Panel:
Changeable Message Board:
Crash Attenuator Truck:
Crash Attenuator TruckRow1:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7_2:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7_3:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7_4:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7_5:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow7_6:
Crash Attenuator TruckRow2:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8_2:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8_3:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8_4:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8_5:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow8_6:
Crash Attenuator TruckRow3:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9_2:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9_3:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9_4:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9_5:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow9_6:
Crash Attenuator TruckRow4:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10_2:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10_3:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10_4:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10_5:
EQUIPMENT DescriptionTraffic Control Vehicle Year MakeModel Vehicle No if applicable No Used Hours Each Total HoursRow10_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow1_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow2_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow3_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow4_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow5_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow6_6:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7_2:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7_3:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7_4:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7_5:
LINE ITEMS USED Line Item Description Unit of Measure Quantity Line Item Description Unit of Measure QuantityRow7_6:
TRAFFIC CONTROL ACTIVITY:
undefined:
Days:
1_2:
2_2:
Time Traffic Control Ended:
No Used 1:
No Used 2:
No Used 3:
No Used 4:
No Used 5:
No Used 6:
No Used 7:
No Used 1_2:
No Used 2_2:
No Used 3_2:
Portable Sign Stand Spring Type:
Warning Light Type B Flashing 1:
Warning Light Type B Flashing 2:
Traffic Sign Panel 10 sqft or less 1:
Traffic Sign Panel 10 sqft or less 2:
Traffic Sign Panel 10 sqft or less 3:
Traffic Sign Panel 10 sqft or less 4:
Traffic Sign Panel 10 sqft or less 5:
Traffic Sign Panel 10 sqft or less 6:
Describe Below Any Delays in Excess of Fifteen 15 Minutes Unusual Activity or Comments:
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Dropdown22: [Select]
Maintenance TSMO1: [Select]
Dropdown33: [Select]
Dropdown61: [Select]
Dropdown51: [Select]
Dropdown71: [Select]
Dropdown1: [Select]
Dropdown18: [Select]
Traffic Sign Panel 10 sqft or less 121:
Traffic Sign Panel 10 sqft or less 141:
Traffic Sign Panel 10 sqft or less 161:
Traffic Sign Panel 10 sqft or less 181:
Traffic Sign Panel 10 sqft or less 1201:
No Used 71:
No Used 721:
No Used 731:
No Used 741:
No Used 751:
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Date14_af_date:
Date15_af_date:
Date1_af_date:
3:
4:
Ending MP 1:
Text2:

File details come from the government source that posted it. Updated .