ALPHA IWP Daily Work Report

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

JOB SITE INFORMATION

• Job Name:

• Job Number:

• General Contractor:

• Superintendent:

• Foreman:

• Number of Men

• Select date

  Date

SAFETY

• JHA

• Safety Topic

• Topic:

• Add picture of topic with signatures:

  Media

• Stretch & Flex

EQUIPMENT INSPECTION

• Harness

• Lineyard

• Yoyo

• Ladder

• Boom lift

• Scissor lift

SCOPE OF WORK

• Waterproofing

• Acoustical Caulking

• Firestoping

• Insulation

• Fireproofing

MATERIAL USED

• Materials:

AREA OF WORK

• Area, Level, Building, etc:

• Add pictures of the area:

  Media

ACTIVITIES PERFORMED DURING THE VISIT

• Activity Description #1:

• Quality

  Select Good Poor Bad

  • Good
  • Poor
  • Bad

• Add Pictures:

  Media

• Activity Description #2:

• Quality

  Select Good Poor Bad

  • Good
  • Poor
  • Bad

• Add Pictures:

  Media

• Activity Description #3:

• Quality

  Good

  Poor

  Bad

• Add Pictures:

  Media

• IS THERE SOMETHING THAT AFFECTS THE PRODUCTION

  Yes

  No

  N/A

• Describe if the answer is YES:

• Add pictures:

  Media

NEEDS (material, equipment, tools, personnel, etc)

• Enlist needs:

FINAL COMMENTS

• Additional Comments:

• Add Pictures:

  Media

• NAME:

• SIGNATURE:

  Sign