6601071_Ka Haku_Subcontractor Daily Report

CONTRACTOR DAILY STATISICS AND INSPECTION REPORT
It is the responsibility of the Contractor to submit this Daily Report by 9:00am the following work day. Failure to submit Daily Reports in a timely manner may result in delayed progress payment(s
CONTRACTOR NAME:
PROJECT:
DATE:

YearMonthDay
Date
DAILY CONSTRUCTION ACTIVITIES:
TOTAL # OF WORKERS ONSITE:
TOTAL NUMBER HOURS WORKED:
TIER SUB/TRADE COMPANY NAME:
TOTAL # OF WORKERS ONSITE FOR TIER SUB/TRADE COMPANY:
TOTAL NUMBER HOURS WORKED FOR TIER SUB/TRADE COMPANY:
INCIDENT REPORTING SECTION
TYPE OF INCIDENT:
TIME:

Hour Minutes

AM/PM Option
NORDIC PCL NOTIFIED?
WHO WAS INVOLVED?
WHAT OCCURRED?
DAILY INSPECTION SECTION
CONDUCTED BY:
TIME:

Hour Minutes

AM/PM Option
AREA/SCOPE OF WORK:
TRADE/SUB CONTRACTORS IN AREA DURING INSPECTION:
1.
2.
3.
HAZARDS IDENTIFIED:
CORRECTIVE ACTION:
CORRECTED BY:
PRINT YOUR NAME:
SIGNATURE:
Should be Empty:

INCIDENT REPORTING SECTION