Date
*
-
Month
-
Day
Year
Date for report being submitted. DOUBLE CHECK date & job #.
Job Number:
*
Look on Daily Schedule for Job #
Supervisor Name
*
Your FIRST and LAST name
Supervisor Email
*
Enter your email CORRECTLY for a receipt of your submission.
Project Sales Rep.
*
Al Lewis
Dan Bonner
David Blackwell
Jimmy Fasthoff
Jose Cruz
Mark Quirk
Zach Cato
Marshall McCoy
Other
Company/Location
*
Find on schedule
Job Task
*
Find on schedule
POC
*
Customer Representative
Number of Crew Members (Including Yourself)
*
JSA/JHA Completed & Signed?
Yes
No
Job Completed for the Day?
*
Yes
No
Total Project Completed?
*
Yes
No
Is job still ongoing?
*
Yes
No
Est. Date of Project Completion
-
Month
-
Day
Year
Date
Daily Time
Please enter times for all crew members
Configurable list
*
Is there anyone on your crew that you were unable to select on the dropdown list? If so, please enter their name and In/Out Time.
This will usually be a recently hired associate
Did anyone forget to clock in?
Please Select
Yes
No
Who forgot to clock in?
Supervisor Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Supervisor Break Time
Hour Minutes
Total Hours (With Break Subtraction)
Associate #2 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #2 Break Time
Hour Minutes
Associate #2 Total Hours
Associate #3 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #3 Break Time
Hour Minutes
#3 Total Hours
Associate #4 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #4 Break Time
Hour Minutes
#4 Total Hours
Associate #5 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #5 Break Time
Hour Minutes
#5 Total Hours
Associate #6 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #6 Break Time
Hour Minutes
#6 Total Hours
Associate #7 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #7 Break Time
Hour Minutes
#7 Total Hours
Associate #8 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #8 Break Time
Hour Minutes
#8 Total Hours
Associate #9 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #9 Break Time
Hour Minutes
#9 Total Hours
Associate #10 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #10 Break Time
Hour Minutes
#10 Total Hours
Associate #11 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #11 Break Time
Hour Minutes
#11 Total Hours
Associate #12 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #12 Break Time
Hour Minutes
#12 Total Hours
Associate #13 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #13 Break Time
Hour Minutes
#13 Total Hours
Associate #14 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #14 Break Time
Hour Minutes
#14 Total Hours
Associate #15 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #15 Break Time
Hour Minutes
#15 Total Hours
Associate #16 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #16 Break Time
Hour Minutes
#16 Total Hours
Associate #17 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #17 Break Time
Hour Minutes
#17 Total Hours
Associate #18 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #18 Break Time
Hour Minutes
#18 Total Hours
Associate #19 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #19 Break Time
Hour Minutes
#19 Total Hours
Associate #20 Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Associate #20 Break Time
Hour Minutes
#20 Total Hours
Notes on project:
*
What did you do today?
Purchases/Receipts/Materials/Equipment Usage
Material Used and amount
If none, type N/A
Rental Equipment used and hours used:
If none, type N/A
Was Vacuum Truck used on job?
Yes
No
Number of days Vacuum Truck was on job?
Was there any waste generated for this job?
Yes
No
How much waste was generated?
Where was waste disposed/dumped?
Purchases made (select ALL that apply)
*
Fuel
Food
Other
N/A
Amount of fuel purchased?
Amount of other purchases?
Food, tools, etc
Take Photo of receipts or upload photos below.
Upload Pictures of Receipts here
Browse Files
Drag and drop files here
Choose a file
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of
Supervisor Signature
How will the POC be signing? (If POC is present, then have them sign on tablet. If they have left, choose DocuSign and enter their email below.)
Docusign (Email)
Sign on tablet
Customer Signature
Enter CUSTOMER POC email address below
How to send for customer DocuSign: If customer is notified of report being sent to him for DocuSign, enter their email here & Brett will send to them within 12 hours. If you prefer this, skip the next question.
example@example.com
Signature
Note to Supervisors: If job report is not submitting after trying docusign, go back and select "sign on tablet" then click submit
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