Title Page

  • Conducted on

  • Prepared by

  • Location

General information

  • Contract/Project Title

  • State Group Job Number

  • Work Area Within Project Location

  • Shift

  • Hours Worked (From-To)

  • Start Time

  • End Time

  • Weather Report

Safety

  • Are there any incidents/events today?

  • If there was an incident/event, please explain.

  • Hours, manpower, and resources spent on deviation.

Work and progress for the day

  • Detailed description of the work performed today.

Record the number of employees and hours worked for each craft

Number of employees per craft

  • Electrician

  • Pipe fitter

  • Millwright

  • Iron worker

  • Laborer

  • Carpenter

  • Civil

Hours worked per craft

  • Electrician

  • Pipe fitter

  • Millwright

  • Iron worker

  • Laborer

  • Carpenter

  • Civil

Contractual issues

  • Issues/concerns

  • Remarks by contractor (delays, interruptions, deviations, etc.)

Hours related to extra work

  • Work done

  • Hours

  • Contractor employee signature

  • Contractor employee title

  • Date Signed

  • Client comments and concerns

  • Client representative signature

  • Client representative title

  • Date signed

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.