Title Page

  • Institution:

  • Project:

  • Conducted by:

  • Conducted on:

  • Report No.

Site Information

CONTRACTOR INFORMATION

  • [Contractor]

WEATHER

  • Current Conditions

  • Precipitation Amount (inches)

  • Low Temperature (°F)

  • High Temperature (°F)

Manpower / Delays

MANPOWER

    Trade
  • Trade Manpower Count

PROJECT DELAYS

  • Are any Schedule Activities NOT being performed today?

  • Delayed Activity

  • Delay
  • Description of Activity

  • Reason for Delay

Work Activities

SUB-PROJECT 01 - CHS Specialty Clinic

  • Is work ongoing?

  • If No, what is current Status of Work?

  • Why is this Sub-Project On Hold?

  • Description of Activity

  • SP1 Activity
  • Activity Category

  • Description of Activity

  • Upload Media

SUB-PROJECT 02 - Standby ER

  • Is work ongoing?

  • If No, what is current Status of Work?

  • Why is this Sub-Project On Hold?

  • Description of Activity

  • SP2 Activity
  • Activity Category

  • Description of Activity

  • Upload Media

SUB-PROJECT 05 - B-Wing Renovation

  • Is work ongoing?

  • If No, what is current Status of Work?

  • Why is this Sub-Project On Hold?

  • Description of Activity

  • SP5 Activity
  • Activity Category

  • Description of Activity

  • Upload Media

SUB-PROJECT 06 - X-Wing Renovation

  • Is work ongoing?

  • If No, what is current Status of Work?

  • Why is this Sub-Project On Hold?

  • Description of Activity

  • SP6 Activity
  • Activity Category

  • Description of Activity

  • Upload Media

SUB-PROJECT 08 - Infrastructure Upgrades

  • Is work ongoing?

  • If No, what is current Status of Work?

  • Why is this Sub-Project On Hold?

  • Description of Activity

  • SP8 Activity
  • Activity Category

  • Description of Activity

  • Upload Media

Status of Work

FIELD CHANGES

  • Are there any field changes?

  • Sub-Project

  • Description

  • Activity Photos

POTENTIAL CHANGE ORDER (PCO) WORK

  • Has any PCO work occurred today?

  • PCO Work

  • Account Item
  • PCO No.

  • Sub-Project

  • Activity Description

  • Contractor

  • Personnel

  • Start Time

  • Stop Time

  • Activity Photos

  • Refer to Force Account records for more detail.

INSPECTOR OF RECORD (IOR) CONCERNS

  • Any IOR concerns identified?

  • Concerns Log

  • Concern
  • Deficiency Notice No.

  • Sub-Project

  • Work Category

  • Description

  • Photographs

SPECIAL INSPECTIONS

  • Were any Special Inspections performed?

  • Special Inspections Log

  • Special Inspection
  • Sub-Project

  • Inspection Type

  • Who performed the inspection?

  • Add media

Safety & Site Visitors

SAFETY

  • Any potential safety issues identified?

  • Safety Issue Log

  • Safety Issue
  • Description:

SITE VISITORS

  • Any visitors on site today?

  • Visitors Log

  • Site Visitor
  • Visitor Company

  • Number of Visitors

  • Name(s) of Visitors

  • Purpose/Description of Visit

Completion

  • Date & Time

  • Add signature

  • Has this report been revised?

  • Reason for revisions:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.