Daily Report Template.pdf

PDF 141 KB Posted May 22, 2020

Attached to: Add to the Building Automations HVAC System which is Automated Logic In accordance with the Statement of work.
Solicitation number: 246-20-Q-0060
Issued by: Department of Health and Human Services Indian Health Service

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Class A: No interruptions of any kind From weather conditions.

Class B: Weather occurred during this shift that caused a complete stoppage of all work.

Class C: Weather occurred during this shift that caused a partial stoppage of all work.

Class D: Weather overhead excellent or TEMPERATURE:

suitable during shift work completely stopped due to results of previous weather.

Class E: Weather overhead excellent MPH MPH or suitable during shift but Work partially stopped due PRECIPITATION:

to pervious adverse weather.

Other: Explain, see remarks. Inches:

sdfd

405-951-CONTRACTOR’S DAILY REPORT3744ont

REPORT NO. DATE:

Project Name / Contract Number

DWEATHER CLASSIFICATION: STATISTICS

Total working days to date:

Total calendar days to date:

Contract start date:

Project duration (days):

Contract completion date:

Class:

Inch

MPH:

WINDS:

Max: Min:

1. CONTRACTOR / SUBS & AREA OF RESPONSIBILITY & HEADCOUNT:

COMPANY

AREA OF

RESPONSIBILITY

NO.

WORKERS

SSMANHOURS

SUPERV SKILLED

UNSKILLED

122112114

Subtotals >

Total Hours > Total Number of Workers >

WEATHER TODAY:

Dhenthorn Typewritten Text

4CONTRACTOR’S DAILY REPORT (Continued) REPORT NO. cC744ont

42. WORK PERFORMED TODAY:

3. TYPE AND RESULTS OF INSPECTION:

P PREPARATORY INSPECTIONS

INITIAL INSPECTIONS

4CONTRACTOR’S DAILY REPORT (Continued) REPORT NO. cC744ont

FOLLOW UP INSPECTIONS

Section Observations

4. TEST REQUIRED BY PLANS AND/OR SPECIFICATIONS PERFORMED AND RESULTS OF TESTS:

CONTRACTOR’S DAILY REPORT (Continued) REPORT NO.

5. SPEC PAPA

OR DWG NO.

EQUIPMENT AND MATERIAL

REC’D AT JOBSITE THIS DAY

COMMENTS

6. VERBAL INSTRUCTION RECEIVED:

7. REMARKS: (Cover any conflicts in plans, specifications or instructions; acceptability of incoming Materials; off-site surveillance activities; progress of work, delays, cause and extend thereof: days of no work with reasons for same).

8. SAFETY: (Include any infractions of approved safety plan, safety manual or instructions from Government personnel) Specify corrective action taken.

9. UPCOMING WORK: (Indicate next major phase of work anticipated and approximate date of Preparatory inspection meeting to cover this work)

MECHANIZED EQUIPMENT ON SITE:

Contractor Description Equipment No. Idle In Use

CONTRACTOR’S CERTIFICATION: I certify that the above report is complete and that all material and equipment used, work performed and tests conducted during this reporting period were in strict compliance with the contract plans and specifications except as noted above.

Contractors Authorized Representative

SSMANHOURS

Project Name Contract NumberRow1:

MPH:

Inch: 0

COMPANYRow2:

AREA OF RESPONSIBILITYRow2:

NO WORKERSRow2:

SUPERVRow2:

UNSKILLEDRow2:

COMPANYRow3:

AREA OF RESPONSIBILITYRow3:

NO WORKERSRow3:

SUPERVRow3:

UNSKILLEDRow3:

COMPANYRow4:

AREA OF RESPONSIBILITYRow4:

NO WORKERSRow4:

SUPERVRow4:

UNSKILLEDRow4:

COMPANYRow5:

AREA OF RESPONSIBILITYRow5:

NO WORKERSRow5:

SUPERVRow5:

UNSKILLEDRow5:

COMPANYRow6:

AREA OF RESPONSIBILITYRow6:

NO WORKERSRow6:

SUPERVRow6:

UNSKILLEDRow6:

COMPANYRow7:

NO WORKERSRow7:

SUPERVRow7:

UNSKILLEDRow7:

COMPANYRow8:

NO WORKERSRow8:

UNSKILLEDRow8:

COMPANYRow9:

NO WORKERSRow9:

UNSKILLEDRow9:

COMPANYRow10:

NO WORKERSRow10:

UNSKILLEDRow10:

COMPANYRow11:

NO WORKERSRow11:

UNSKILLEDRow11:

COMPANYRow12:

NO WORKERSRow12:

UNSKILLEDRow12:

COMPANYRow13:

NO WORKERSRow13:

UNSKILLEDRow13:

COMPANYRow14:

NO WORKERSRow14:

UNSKILLEDRow14:

COMPANYRow15:

NO WORKERSRow15:

UNSKILLEDRow15:

COMPANYRow16:

NO WORKERSRow16:

UNSKILLEDRow16:

COMPANYRow17:

Total Number of Workers: 0

3 TYPE AND RESULTS OF INSPECTION:

PREPARATORY INSPECTIONSRow1:

PREPARATORY INSPECTIONSRow2:

INITIAL INSPECTIONSRow1:

INITIAL INSPECTIONSRow2:

INITIAL INSPECTIONSRow3:

Section ObservationsRow1:

Section ObservationsRow2:

Section ObservationsRow2_2:

Section ObservationsRow3:

Section ObservationsRow4:

Section ObservationsRow4_2:

Section ObservationsRow5:

Section ObservationsRow5_2:

Section ObservationsRow6:

Section ObservationsRow6_2:

Section ObservationsRow7:

Section ObservationsRow7_2:

Section ObservationsRow8:

Section ObservationsRow8_2:

Section ObservationsRow9:

Section ObservationsRow9_2:

Section ObservationsRow10:

Section ObservationsRow10_2:

Section ObservationsRow11:

Section ObservationsRow11_2:

Section ObservationsRow12:

Section ObservationsRow12_2:

Section ObservationsRow13:

Section ObservationsRow13_2:

Section ObservationsRow14:

Section ObservationsRow14_2:

Section ObservationsRow15:

Section ObservationsRow15_2:

Section ObservationsRow16:

Section ObservationsRow16_2:

Section ObservationsRow17:

Section ObservationsRow17_2:

Section ObservationsRow18:

Section ObservationsRow18_2:

Section ObservationsRow19:

Section ObservationsRow19_2:

Section ObservationsRow20:

Section ObservationsRow20_2:

Section ObservationsRow21:

Section ObservationsRow21_2:

Section ObservationsRow22:

Section ObservationsRow22_2:

Section ObservationsRow23:

Section ObservationsRow23_2:

Section ObservationsRow24:

Section ObservationsRow24_2:

Section ObservationsRow25:

Section ObservationsRow25_2:

Section ObservationsRow26:

Section ObservationsRow26_2:

4 TEST REQUIRED BY PLANS ANDOR SPECIFICATIONS PERFORMED AND RESULTS OF TESTSRow1:

4 TEST REQUIRED BY PLANS ANDOR SPECIFICATIONS PERFORMED AND RESULTS OF TESTSRow2:

4 TEST REQUIRED BY PLANS ANDOR SPECIFICATIONS PERFORMED AND RESULTS OF TESTSRow3:

4 TEST REQUIRED BY PLANS ANDOR SPECIFICATIONS PERFORMED AND RESULTS OF TESTSRow4:

5 SPEC PAPA OR DWG NORow1:

EQUIPMENT AND MATERIAL RECD AT JOBSITE THIS DAYRow1:

COMMENTSRow1:

CONTRACTORS DAILY REPORT Continued REPORT NORow2:

5 SPEC PAPA OR DWG NORow2:

EQUIPMENT AND MATERIAL RECD AT JOBSITE THIS DAYRow2:

COMMENTSRow2:

CONTRACTORS DAILY REPORT Continued REPORT NORow3:

5 SPEC PAPA OR DWG NORow3:

EQUIPMENT AND MATERIAL RECD AT JOBSITE THIS DAYRow3:

COMMENTSRow3:

CONTRACTORS DAILY REPORT Continued REPORT NORow4:

5 SPEC PAPA OR DWG NORow4:

EQUIPMENT AND MATERIAL RECD AT JOBSITE THIS DAYRow4:

COMMENTSRow4:

CONTRACTORS DAILY REPORT Continued REPORT NORow5:

6 VERBAL INSTRUCTION RECEIVEDRow1:

6 VERBAL INSTRUCTION RECEIVEDRow2:

6 VERBAL INSTRUCTION RECEIVEDRow3:

6 VERBAL INSTRUCTION RECEIVEDRow4:

7 REMARKS Cover any conflicts in plans specifications or instructions acceptability of incoming Materials offsite surveillance activities progress of work delays cause and extend thereof days of no work with reasons for sameRow1:

8 SAFETY Include any infractions of approved safety plan safety manual or instructions from Government personnel Specify corrective action takenRow1:

8 SAFETY Include any infractions of approved safety plan safety manual or instructions from Government personnel Specify corrective action takenRow2:

8 SAFETY Include any infractions of approved safety plan safety manual or instructions from Government personnel Specify corrective action takenRow3:

8 SAFETY Include any infractions of approved safety plan safety manual or instructions from Government personnel Specify corrective action takenRow4:

9 UPCOMING WORK Indicate next major phase of work anticipated and approximate date of Preparatory inspection meeting to cover this workRow1:

9 UPCOMING WORK Indicate next major phase of work anticipated and approximate date of Preparatory inspection meeting to cover this workRow2:

9 UPCOMING WORK Indicate next major phase of work anticipated and approximate date of Preparatory inspection meeting to cover this workRow3:

ContractorRow1:

DescriptionRow1:

Equipment NoRow1:

IdleRow1:

In UseRow1:

ContractorRow2:

DescriptionRow2:

Equipment NoRow2:

IdleRow2:

In UseRow2:

ContractorRow3:

DescriptionRow3:

Equipment NoRow3:

IdleRow3:

In UseRow3:

Total calendar days to date Contract start date Project duration days Contract completion date:

Total calendar days to date:

Contract Start date:

Project Duration (days):

Contract completion date::

Max:

Min:

Headcount:

AREA OF RESPONSIBILITYRow7:

AREA OF RESPONSIBILITYRow8:

Skilled Row 1:

SUPERVRow8:

42 WORK PERFORMED TODAYRow1:

42 WORK PERFORMED TODAYRow1_2:

Report No:

Section ObservationsRow1_2:

Section ObservationsRow3_2:

DATE:

SUB1: 0

SUB2: 0

SUB3: 0

SUPERVRow9:

SUPERVRow10:

SUPERVRow11:

SUPERVRow12:

SUPERVRow13:

SUPERVRow14:

SUPERVRow15:

sk2:

sk3:

sk4:

sk5:

sk6:

sk7:

sk8:

sk9:

sk10:

sk11:

sk12:

sk13:

sk14:

sk15:

Total Hours: 0

aa:

bb:

cc:

dd:

ee:

ff:

gg:

hh:

ii:

jj:

kk:

ll:

mm:

nn:

oo:

pp:

qq:

ss:

tt:

uu:

vv:

ww:

aaa:

bbb:

ccc:

ddd:

eee:

fff:

ggg:

hhh:

iii:

jjj:

klk:

lll:

mmm:

nnn:

ooo:

ppp:

sss:

qqq:

ttt:

uuu:

vvv:

COMPANYRow1:

AREA OF RESPONSIBILITYRow1:

NO WORKERSRow1:

SUPERVRow1:

UNSKILLEDRow1:

CR1:

AR1:

NW1:

SV1:

SK01:

USK01:

Class: [A]

File details come from the government source that posted it. Updated May 22, 2020.