Appendix_A,_Daily_Contractor_QC_Report.pdf

DAILY CONTRACTOR QUALITY CONTROL REPORT

CONTRACTOR’S

NAME (ADDRESS)

DAILY CONSTRUCTION QUALITY CONTROL

REPORT

DATE:_ REPORT NO.

Contract No.:

Description & Location of Work:

Weather (Clear) (P. Cloudy) (Cloudy): Temperature:_ Min:_ Max:

Rainfall_ Inch

Contractor/Subcontractors & Area of Responsibility:_ a.

b.

c.

d.

e.

f.

g.

1. Work Performed Today: (Indicate location and description of work performed. Refer to work performed by prime and/or subcontractors by letter in table above.)

2. Results of Surveillance: (Include satisfactory work completed, or deficiencies with action to be taken. It is necessary to indicate the level of inspection; preparatory, initial, or follow-up for each item of work covered herein. In addition a signed narrative description of each preparatory inspection must be attached to this report.)

3. Tests Required by Plans and/or Specifications Performed & Results of Tests:

4. Verbal Instructions Received: (List any instructions given by Government personnel on construction deficiencies, retesting required, etc., with action to be taken.

5. Remarks: (Cover any conflicts in Plans, Specifications, or Instructions.)

INSPECTOR

CONTRACTOR’S VERIFICATION: The above report is complete and correct and all material and equipment used and work performed during this reporting period are in compliance with the contract plans and specifications except as noted above.

CONTRACTOR’S AUTHORIZED RESENTATIVE