Attachment_3,_Samples_of_Forms_and_Reports,_18-B-0004,_FtRiley_Latrines.pdf

Attachment 3

Samples of Records, Reports, and Forms

The Contractor shall develop, prepare, maintain, and submit the records, reports, and forms below.

Daily Quality Control Report

DAILY QUALITY CONTROL REPORT

(Contractor’s Name and Address)

Contract No: W911RX- Date: Report No:

Description and Location of Work:

Weather: ; Temperature: Min Max ; Precip: Inches Type Contractor/Subcontractors: (Areas of responsibility and labor count for each.)

a.

b.

c.

d.

e.

f.

Equipment Data: (Indicate Items of construction equipment, other than hand tools, at the job site, and whether or not used.)

Work Performed Today: Estimated % Complete

Results of Surveillance: (Include satisfactory work inspected, deficiencies found, corrective actions taken, and when corrective actions are completed and reinspected.)

Material Inspected: (Include any material arrived on site, also material incorporated in the construction.)

DAILY QUALITY CONTROL REPORT - Page 2

(Contractor’s Name and Address)

Tests Required, Performed and Results:

Instructions Received or Given: (Include any instructions received from, or given to, Government representatives or other Government contractors.)

Remarks: (Include any item not addressed in other sections, problems with plans or specifications, any disputes.)

Safety: (Note all unsafe conditions, equipment, personnel, surroundings and corrective actions, also safety meetings.)

Correspondence:

Documents on Work Site yes no Submittal Date Date Approved

Plans Number Sent Received yes no Specifications

Manufacturer’s Installation Instructions Shop Drawings

Permits Other:

Signature of Quality Control Inspector _____________________________________________________

Signature of Quality Control Manager _____________________________________________________