01 00 00-A.doc
DOC document 75 KB Posted
- Attached to
- Repair Launch Facility Surface Drainage Federal contract opportunity
- Solicitation number
- FA4626-11-R-0014
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Attach 1 - Specs
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| TOC.doc | DOC document | |
| Atch 2 - Submittal Sch - 11R0014.xls | XLS spreadsheet | |
| 01 36 00-A4.doc | DOC document | |
| 01 36 00-A2.doc | DOC document | |
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Text version
LF SURFACE DRAINAGE
FA4626-11-P-0009
QUALITY CONTROL REPORT TO INSPECTOR
Date: ____________
CONTRACT NO.
FA4626-
TITLE AND LOCATION
MALMSTROM AFB MT
REPORT NO.
CONTRACTOR (Prime or Subcontractor)
NAME OF SUPERINTENDENT OR QC REP
| WEATHER |
| TEMPERATURE |
WEATHER EFFECTS
PRIME CONTRACTORS/SUBCONTRACTOR WORKFORCE
(If space provide below is inadequate, use additional sheets
| NUMBER |
| TRADE |
| HOURS |
| EMPLOYER |
| ACTIVITY/TASK PERFORMED |
| COMP |
| NON |
COMP
TOTAL WORK HOURS ON JOB SITE THIS DATE______
CUMULATIVE TOTAL OF WORK HOURS FROM PREVIOUS REPORT_______
TOTAL WORK HOURS FROM START OF CONSTRUCTION
KTR INITIALS CERTIFY INSPECTION OF ACTIVITY INITIALS
WERE THERE ANY LOST TIME ACCIDENTS THIS DATE?
( YES ( NO
IF YES, A COPY OF THE COMPLETED OSHA REPORT IS REQUIRED
CONSTRUCTION AND PLANT EQUIPMENT LEFT ON JOB SITE UNTIL USE IS COMPLETED
| DESCRIPTION |
| DATE FIRST ON JOB (FIRST TIME ONLY) |
| HOURS WORKED THIS DATE |
| HOURS IDLED |
| DATE OF FINAL |
REMOVAL FROM JOB SITE
CONSTRUCTION AND PLANT EQUIPMENT NOT LEFT ON JOB SITE PERMANENTLY
(This will include pickup trucks and mobile mounted items, such as compressor, that are also used for transportation to and from the job)
| DESCRIPTION |
| HOURS WORKED |
| HOURS IDLED |
| SPEC PARA AND/OR DRAWING NO. |
| LOCATION AND DESCRIPTION OF DEFICIENCIES |
(Materials, Equipment, Safety, and/or Workmanship) ACTION TAKEN OR TO BE TAKEN
REFERENCE
| DEFICIENCIES CORRECTED THIS DATE |
| REPORT NO. |
| COMPLIANCE NOTICE NO. |
| INSPECTION AND/OR TESTING PERFORMED TODAY-FOLLOW WITH REPORT |
| LOCATION AND/OR ELEMENT OF WORK |
| REMARKS |
RESULTS OF INSPECTION/TESTING
| SPEC PARA/ DRAWING NO. |
| EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB (Description, Sizes, Quantity) |
| SUBMITTAL NO. OR CERTIFICATION |
| DATE APPROVED |
REMARKS:
(Document Total QC Hours for this Day, Directions Received from Government, and Compliance Notices, Etc)
Quality Control Rep Date
CONSTRUCTION REPRESENTATIVES REMARKS AND/OR EXCEPTIONS TO THIS REPORT
Construction Representative Date
Section 01 00 00-A Page 1
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