CONTRACTOR PRODUCTION & QC REPORT
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
DATE:
*
-
Month
-
Day
Year
Date
REPORT NO:
CONTRACTOR:
*
SUPERINTENDENT:
AM WEATHER:
PM WEATHER:
MAX TEMP (F):
MIN TEMP (F):
WORK PERFORMED TODAY
*
Rows
SCHEDULE ACTIVITY NO:
WORK LOCATION & DETAILED DESCRIPTION:
1
2
3
4
5
6
MATERIALS INSTALLED:
*
QC CHECKS PERFORMED/CORRECTIVE ACTIONS TAKEN:
*
HOURS BREAKDOWN:
*
Rows
# OF TRADE PERSONNEL:
TOTAL HOURS WORKED:
TRADE DESIGNATION:
1
2
3
4
5
6
TOTAL HOURS WORKED TODAY:
*
CUMULATIVE HOURS FROM PREVIOUS REPORT:
*
TOTAL HOURS WORKED FROM START OF PROJECT:
*
WAS A JOB SAFETY MEETING HELD THIS DATE?
Y
N
WERE THERE ANY LOST TIME ACCIDENTS THIS DAY (If YES, attach copy of OSHA report)
Y
N
WAS CRANE/MANLIFT/TRENCHING/SCAFFOLDING/HV ELEC/HIGH WORK/ HAZMAT WORK DONE? (If YES, attach statement showing inspection)
Y
N
WAS HAZARDOUS MATERIAL/WASTE RELEASED INTO THE ENVIRONMENT? (If YES, attach description of incident and proposed action.)
Y
N
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LIST SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED:
*
SAFETY REQUIREMENTS MET?
Yes
No
DESCRIPTION OF EQUIPMENT/MATERIAL RECEIVED:
INSPECTION COMPLETED?
Yes
No
CONSTRUCTION AND PLANT EQUIPMENT ON JOB SITE TODAY. INDICATE HOURS USED.
Rows
MAKE:
MODEL:
SERIAL NUMBER:
HOURS USED:
1
2
3
4
5
6
ADDITIONAL REMARKS:
CONTRACTOR/SUPERINTENDENT SIGNATURE
*
DATE
*
-
Month
-
Day
Year
Date
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