AC - Extra Work Report

• Complete this document ONLY when extra work is performed. A daily ticket should still be completed for any contract work performed. It is acceptable to omit the specifics of extra work from you daily ticket, as long as you reference this document and state on your daily report that extra work was performed.

• Job ID:

• Brief description of the Extra Work activity:

• Jobsite Location:
  Address

• Name of Client/Contractor:

• Extra Work Performance Date:

  Date

• Extra Work activity complete?

  Yes

  No

  N/A

• Percent of Extra Work complete for this activity:

• Report Prepared By:

Site Conditions

• Today's Weather and Job Site Conditions:

• Today's High Temperature:

• Today's Low Temperature:

• 
  https://www.wunderground.com/history/

Labor

• Was any contract work performed while onsite today?

  Yes

  No

  N/A

• What time did you arrive on site?

  Date

• What time did you leave the site?

  Date

• Travel time to jobsite (ONE WAY ONLY):

• 
  https://www.google.com/maps/dir/3708+Conquest+Drive,+Garner,+NC//@35.7297731,-78.6102056,13z/data=!3m1!4b1!4m8!4m7!1m5!1m1!1s0x89ac5e0f9a068737:0x323c2789565d8572!2m2!1d-78.5751862!2d35.7297782!1m0

• What time did you begin EXTRA WORK?

  Date

• What time did finish EXTRA WORK?

  Date

• List ONLY the employees who were performing EXTRA WORK today, along with their time spent on EXTRA WORK (do NOT include travel time). Place an "(S)" before the Superintendents name(s):

Equipment

• How many Crew Trucks were onsite today?

• Do we have any equipment onsite?

  Yes

  No

  N/A

• List ALL equipment onsite that is owned by Advance Concrete. Also, if the equipment was used for EXTRA WORK, then list what it was used for and the number of hours it was used on this day:

• List ALL equipment that you currently have on rent at the jobsite, including vendor names and PO numbers. Also, if the equipment was used for EXTRA WORK, then list what it was used for and the number of hours it was used for on this day:

• Include a picture(s) of the rental agreement ticket(s) from today

  Media

Materials

• Were any Advance Concrete stock OR purchased materials used for the EXTRA WORK today?

  Yes

  No

  N/A

• List all permanent materials used for EXTRA WORK on this job today and what the material was used for. Include PO numbers and vendor names of materials purchased:

• Include pick ticket picture(s) of any materials purchased today (if applicable):

  Media

Production

• Give a full and detailed description of today's EXTRA WORK, including a detailed description of where the extra work took place:

• Take pictures of the EXTRA WORK performed and take pictures of your highlighted drawings showing where the EXTRA WORK was performed:

  Media

Signatures

• Advance Concrete Superintendent name & signature:

  Sign

• Customer/Client name & signature, verifying that the work described above AND that the number of crew members and their hours spent on the work listed above is accurate:

  Sign