6630194 - Contractor 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:
CONTRACTOR NAME:*
PROJECT*
DAILY CONSTRUCTION ACTIVITIES
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
TYPE OF INCIDENT*

Near MissMedical OnlyLost TimeEquipment DamageFirst AidModified3rd PartyProperty DamageNo Issues to note
Time
Nordic PCL notified:

YesNo
Who was involved
What occurred
DAILY INSPECTION
CONDUCTED BY
TIME
AREA/SCOPE OF WORK
TRADE/SUB CONTRACTORS IN AREA DURING INSPECTION
1.
2.
3.
4.
5.
6.
HAZARDS IDENTIFIED
CORRECTIVE ACTIONS
CORRECTED BY
PRINT NAME*
Signature*
Should be Empty:

CONTRACTOR DAILY STATISICS AND INSPECTION REPORT