Att 1(c) - Contractor Daily Production Report.doc
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- Indefinite Delivery Indefinite Quantity Roofing
- Solicitation number
- N62473-14-R-2201
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Attachment 1(c) - Contractor Daily Production Report
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CONTRACTOR PRODUCTION REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE:
CONTRACT NO:
TITLE AND LOCATION:
REPORT NO:
CONTRACTOR:
SUPERINTENDENT:
AM WEATHER:
PM WEATHER:
MAX TEMP.
MIN TEMP.
WORK PERFORMED TODAY
| WORK LOCATION AND DESCRIPTION |
| EMPLOYER |
| NUMBER |
| TRADE |
| HRS |
JOB
SAFETY
JOB SAFETY MEETING HELD THIS DATE? FORMCHECKBOX
YES FORMCHECKBOX
NO
(if YES attach copy of the meeting minutes)
TOTAL WORK
HOURS FROM THIS SIDE:
WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? FORMCHECKBOX
YES FORMCHECKBOX
NO
(if YES attach copy of completed OSHA report)
WAS TRENCHING/SCAFFOLD/HV ELECTRICAL/HIGH WORK DONE? FORMCHECKBOX
NO
(if YES attach statement or checklist showing inspection performed)
CUMULATIVE TOTAL OF WORK HRS FROM PREVIOUS REPORT:
WAS HAZARDOUS MATERIAL/WASTE RELEASED INTO THE ENVIRONMENT? FORMCHECKBOX
NO
(if YES attach description of incident and proposed action)
TOTAL WORK HOURS FROM START OF CONSTRUCTION:
| LIST SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED: |
| FORMCHECKBOX |
EQUIPMENT/MATERIAL RECEIVED TO BE INCORPORATED IN WORK
CONSTRUCTION AND PLANT EQUIPMENT ON WORK SITE TODAY (INCLUDE NUMBER OF HOURS USED TODAY):
REMARKS:
CONTRACTOR/SUPERINTENDENT DATE
CONTRACTOR QUALITY CONTROL REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE
| PHASE |
| (BLANK NOT APPLICABLE) |
| YES |
| NO |
| IDENTIFY SPECIFICATION SECTION, DEFINABLE FEATURE OF WORK, LOCATION AND LIST PERSONNEL PRESENT |
| PREPARATORY |
| PLANS AND SPECS HAVE BEEN REVIEWED |
| FORMCHECKBOX |
FORMCHECKBOX
| THE SUBMITTALS HAVE BEEN APPROVED |
| FORMCHECKBOX |
FORMCHECKBOX
| MATERIALS COMPLY WITH APPROVED SUBMITTALS |
| FORMCHECKBOX |
FORMCHECKBOX
| MATERIALS STORED PROPERLY |
| FORMCHECKBOX |
FORMCHECKBOX
| PRELIMINARY WORK WAS DONE CORRECTLY |
| FORMCHECKBOX |
FORMCHECKBOX
| TESTING PLAN HAS BEEN REVIEWED |
| FORMCHECKBOX |
FORMCHECKBOX
| WORK METHOD AND SCHEDULE DISCUSSED |
| FORMCHECKBOX |
FORMCHECKBOX
| JOB SAFETY/HAZARD ANALYSIS ADDRESSED |
| FORMCHECKBOX |
FORMCHECKBOX
| INITIAL |
| PRELIMINARY WORK WAS DONE CORRECTLY |
| FORMCHECKBOX |
FORMCHECKBOX
TESTING PERFORMED & WHO PERFORMED TEST
| SAMPLE HAS BEEN PREPARED/APPROVED |
| FORMCHECKBOX |
FORMCHECKBOX
| WORKMANSHIP IS SATISFACTORY |
| FORMCHECKBOX |
FORMCHECKBOX
| TEST RESULTS ARE ACCEPTABLE |
| FORMCHECKBOX |
FORMCHECKBOX
| WORK IS IN COMPLIANCE WITH THE CONTRACT |
| FORMCHECKBOX |
FORMCHECKBOX
| WORK COMPLIES WITH SAFETY REQUIREMENTS |
| FORMCHECKBOX |
FORMCHECKBOX
| FOLLOW-UP |
| WORK COMPLIES WITH CONTRACT AS APPROVED INITIAL PHASE |
| FORMCHECKBOX |
FORMCHECKBOX
TESTING PERFORMED & WHO PERFORMED TEST
| WORK COMPLIES WITH SAFETY REQUIREMENTS |
| FORMCHECKBOX |
FORMCHECKBOX
REWORK ITEMS IDENTIFIED TODAY (NOT CORRECTED BY CLOSE OF BUSINESS)
REWORK ITEMS CORRECTED TODAY (FROM REWORK ITEMS LIST)
REMARKS
On behalf of the contractor, I certify that this report is completed and correct and equipment and material used and work performed during this reporting _______________________________________ ________ period is in compliance with the contract drawings and specifications to the AUTHORIZED QC MANAGER AT SITE DATE best of my knowledge except as noted in this report.
| GOVERNMENT QUALITY ASSURANCE REPORT |
| DATE |
QUALITY ASSURANCE REPRESENTATIVES REMARKS AND/OR EXCEPTIONS TO THE REPORT
GOVERNMENT QUALITY ASSURANCE MANAGER DATE
NAVFAC 4296/1 (7/96) (BACK) SHEET 2 OF 2
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