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:
*
Please Select
A American Custom Flooring
Acutron
Affiliated Construction
Aina Pest Control
Alcal
BCS
BEK
Bruce Matson
Bucher
DDL
Ferguson
Firetek
Geosolutions
Harris Rebar
IG Steel
IPD
Jayco
Koga Engineering
Northwest Tower Crane
OMG/CPG
Ohana Concrete
Otis Elevator
Pacific Aquascapes
PR Heavy
Wasa
W E Painting
PROJECT:
*
DATE:
*
/
Year
/
Month
Day
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:
*
Near Miss
Medical Only
Lost Time
Equipment Damage
First Aid
3rd Party
Modified
Property Damage
No Issues to note
TIME:
Hour Minutes
AM
PM
AM/PM Option
NORDIC PCL NOTIFIED?
Yes
No
WHO WAS INVOLVED?
WHAT OCCURRED?
DAILY INSPECTION SECTION
CONDUCTED BY:
TIME:
Hour Minutes
AM
PM
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:
*
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