SOW Attach 3_Contractor Production Report Form.doc

DOC document 63 KB Posted

Attached to
Bldg 1000 Lab Server Rooms Cooling Units Federal contract opportunity
Solicitation number
N6449821R4037
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document contains a contractor production report template and details of a federal contract opportunity with the Naval Surface Warfare Center, Philadelphia Division. The production report form requires contractors to provide daily reports on work performed, safety inspections, staffing levels, materials received and used, and remarks.

The federal contract opportunity involves removing existing temporary cooling units and installing new Computer Room Air Conditioning units in three server rooms at Building 1000. The contractor must use an authorized Automated Logic installer and complete the work within 120 days of the notice to proceed during normal duty hours from 0700 to 1600, Monday through Friday. The Naval Sea Systems Command is the contracting agency.

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Text version

CONTRACTOR PRODUCTION REPORT

(ATTACH ADDITIONAL SHEETS IF NECESSARY)

DATE

CONTRACT NO
TITLE AND LOCATION

REPORT NO

Building 1000 – Air Handlers AS-5 and 6 Repairs

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 3

SHEET 1 OF 1

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