SOW Attach 2_Contractor Production Report Form.doc
DOC document 63 KB Posted
- Attached to
- Bldg 77H Split System HP-3 Replacement, NSWCPD Federal contract opportunity
- Solicitation number
- N6449821Q0195
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N64498-21-Q-0195 Amendment 0001.pdf | ||
| SOW Attach 4_Mobile Equipment Check List.pdf | ||
| SOW Attach 6_NSWCPD ENTRY SCREENING ASSESSMENT 26 APR 2021 Rev 10.pdf | ||
| SOW Attach 9_Sketch 1 -- Bldg 77H Split System HP-3.pdf | ||
| Attach 10_ Construction Cost Breakdown.xlsx | XLSX spreadsheet | |
| N64498-21-Q-0195.pdf | ||
| SOW Attach 5_AHA Form.docx | DOCX document | |
| SOW Attach 7_Photographs - B-77H Split System HP-3 Replacement.docx | DOCX document | |
| SOW Attach 1_SiteMap PNBC.pdf | ||
| SOW Attach 3_Contractor Lift Plan Form.pdf | ||
| SOW Attach 8_Instrumentation Drawings - Split HP-3 DDC Schematic.pdf |
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Text version
CONTRACTOR PRODUCTION REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE
| CONTRACT NO |
| TITLE AND LOCATION |
REPORT NO
Building 77H Split System #3 Replacement
CONTRACTOR
SUPERINTENDENT
AM WEATHER
PM WEATHER
| MAX TEMP (F) |
| MIN TEMP (F) |
WORK PERFORMED TODAY
Schedule
Activity No.
| WORK LOCATION AND DESCRIPTION |
| EMPLOYER |
| NUMBER |
| TRADE |
| HRS |
JOB
SAFETY
WAS A JOB SAFETY MEETING HELD THIS DATE?
FORMCHECKBOX
YES
FORMCHECKBOX
NO
TOTAL WORK HOURS ON JOB SITE,
THIS DATE, INCL CON'T SHEETS
WERE THERE ANY LOST TIME ACCIDENTS THIS DATE?
(If YES attach copy of completed OSHA report)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
CUMULATIVE TOTAL OF WORK
HOURS FROM PREVIOUS REPORT
WAS CRANE/MANLIFT/TRENCHING/SCAFFOLD/HV ELEC/HIGH WORK/ HAZMAT WORK DONE?
(If YES attach statement or checklist showing inspection performed.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
TOTAL WORK HOURS FROM
START OF CONSTRUCTION
WAS HAZARDOUS MATERIAL/WASTE RELEASED INTO THE ENVIRONMENT?
(If YES attach description of incident and proposed action.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
Schedule
Activity No.
| LIST SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED |
| FORMCHECKBOX |
SAFETY REQUIREMENTS HAVE BEEN MET.
EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB (INDICATE SCHEDULE ACTIVITY NUMBER)
Schedule
Activity No.
| Submittal # |
| Description of Equipment/Material Received |
CONSTRUCTION AND PLANT EQUIPMENT ON JOB SITE TODAY. INDICATE HOURS USED AND SCHEDULE ACTIVITY NUMBER.
Schedule
Activity No.
| Owner |
| Description of Construction Equipment Used Today (incl Make and Model) |
| Hours Used |
Schedule
Activity No.
REMARKS
| CONTRACTOR/SUPERINTENDENT |
| DATE |
SOW ATTACHMENT 2
SHEET 1 OF 1
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