Contractor_Quality_Control_report__Dec_2011_.pdf

CONTRACTOR QUALITY CONTROL REPORT

Contract Number

Name of Project

Prime Contractor

Report Number

Date

Todays’ Weather

General Description

Temperature Range

Precipitation

Were there any delays in the work progress today? __________Yes __________No If “Yes”, explain‐

Describe any verbal instructions given by Government personnel (include name of person giving instructions)

Has anything developed which might lead to a change order or claim? _________Yes _________No If “Yes”, explain‐

Contractor / Subcontractors on Site

Name of Contractor Hours on Site

Area of Responsibility

Contractor Quality Control report (Dec2011).docx

Prime Contractor/subcontractor Workforce

Employer Trade No. Hours

Major Items of Equipment

Type/Capacity Contractor No. Oper.

Hours

Standby Hours

Repair Hours

Work performed this date (enter all activities started but not previously reported as completed)

Actual No. Actual Start

Actual Finish Date

Description of work performed this date and major deliveries today. Identify contractor performing the work

Off‐site Surveillance Activities, including actions taken:

Definable Features of Work – History:

Definable Features of work (list All) ‐‐‐‐‐‐‐‐‐‐‐‐Attach checklist for each Preparatory or Initial Phase Inspection held this date

Preparatory Inspection

Date

Initial Inspection

Unit Price Work Completed This Date:

CLIN Description Unit Contract Quality

Quantity Completed This Date

Total This

Deficiencies Noted or Corrected This Date:

Act. No. Description of Deficiency Noted Corrected

CQC Testing:

Act. No. Description – Include reference to contract specification Test Results Pass/Fail

The following Equipment Safety Checklists are attached to this report:

Were there any Lost Time Accidents this date? __________Yes __________No

If “Yes”, attach accident report

Safety Inspections: Identify results of all safety inspections and meetings this date. State what was checked and instructions given and corrective actions taken.

User Schooling Conducted:

Act. No. Description of Schooling and Names of Participants

Materials Received (note quantity of materials received, inspection results, and storage provided):

Other General Comments:

The following items are attached to this CQC Report:

CONTRACTOR CERTIFICATION

On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.

Contract Quality Control Manager_______________________________________________________

Signature___________________________________________________________________________

Date_______________________________________________________________________________