ASRC Builders, LLC

ASRC BUILDERS - DAILY REPORT

• WORK LOCATION

• DOCUMENT NO.

• ABL PROJECT NUMBER

• TODAYS DATE:

  Date

• PREPARED BY

• WEATHER

  Select Sunny Cloudy Rainy Overcast Cold Snow Hail Calm wind Light wind Moderate wind Windy Gale winds

  • Sunny
  • Cloudy
  • Rainy
  • Overcast
  • Cold
  • Snow
  • Hail
  • Calm wind
  • Light wind
  • Moderate wind
  • Windy
  • Gale winds

• TEMP LOW

• TEMP HIGH

• PRECIP AMOUNT

ABL ACTIVITIES

• WORK PERFORMED BY ABL

• EMPLOYEES ON SITE

• Rick Anderson

• Ed Hartman

• Dmitriy Gayvoronskiy

• Josh Sawyer

• Michealla Terrell

• SITE PHOTOS

  Media

• FACTORS THAT CAUSED DELAY

  YES

  NO

  N/A

• WERE THERE ANY CHANGE ORDER ITEMS TODAY

  YES

  NO

  N/A

• ANY ENVIRONMENTAL OR SAFETY CONCERNS

  YES

  NO

  N/A

EQUIPMENT ON SITE

• Chevy 2500HD Crew Cab Pickup

• RENTAL: Genie S-65 Telescopic Boom Lift

• RENTAL: Genie 8400 Telehandler Forklift

• Other:

• EQUIPMENT COMMENTS

  YES

  NO

  N/A

SUBCONTRACTOR

• DAILY ACTIVITIES

• NUMBER OF EMPLOYEES

• WERE THERE ANY CHANGE ITEMS TODAY

  YES

  NO

  N/A

SUBCONTRACTOR

• DAILY ACTIVITIES

• NUMBER OF EMPLOYEES

• WERE THERE ANY CHANGE ITEMS TODAY

  YES

  NO

  N/A

SAFETY INFORMATION

• SAFETY MEETING CONDUCTED PRIOR TO STARTING?

  YES

  NO

  N/A

• ANY RECORDABLE OR NEAR MISS INCIDENTS?

  YES

  NO

  N/A

• TOOLS AND EQUIPMENT IN COOD CONDITION?

  YES

  NO

  N/A

• HAZARDOUS MATERIALS STORED PROPERLY?

  YES

  NO

  N/A

• NEW ABL EMPLOYEES RECEIVED SAFETY ORIENTATION/TRAINING?

  YES

  NO

  N/A

• NEW SUBCONTRACTORS RECEIVED SAFETY ORIENTATION?

  YES

  NO

  N/A

• PPE BEING IMPLEMENTED WITH ABL, SUBS AND VISITORS AT THE SITE?

  YES

  NO

  N/A

• APPROVED FALL PROTECTION PLAN IN PLACE?

  YES

  NO

  N/A

• QUALIFIED OPERATORS WITH CURRENT CERTS?

  YES

  NO

  N/A

• ACCESS TO SANITARY FACILITIES?

  YES

  NO

  N/A

LIST OF VISITORS TO THE SITE

• ANY VISITORS TO THE SITE

  YES

  NO

  N/A

• OWNER/ENGINEER PERSONNEL ON SITE?

  YES

  NO

  N/A

• INSPECTIONS PERFORMED

  YES

  NO

  N/A