DAILY REPORT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Jobsite Weather Conditions

• Temperature (F)

• Weather Conditions

  Select windy clear partly cloudy cloudy ice fog muddy rain

  • windy
  • clear
  • partly cloudy
  • cloudy
  • ice
  • fog
  • muddy
  • rain

• Lost Time?

  YES

  NO

Koontz McCombs Employees:

• Project Managers

  Select Brian Cox Tom Smith

  • Brian Cox
  • Tom Smith

• Superintendent

  Select Joe D Clepper Dennis Pape

  • Joe D Clepper
  • Dennis Pape

• Field Engineers

• Work Performed?

• Carpenters

• Work Performed?

• Laborers

• Work Performed?

• Others

• Work Performed?

• Temps

• Work Performed?

Subcontractors on Job:

Ranger

• Manpower

• Work Performed?

• Building Subcontractors on job

Sub

• Sub name

  Select Ranger CCI

  • Ranger
  • CCI

• Manpower

• Work Performed?

Materials / Equipment Delivered

• Delivery:

Delivery

• Material / Equipment Delivered?

Visitors

• Who visited the job today?

Visitor

• Visitor?

• Purpose of visit?

Subs Notified

• Subcontractor

Sub

• Sub name

  Select Ranger CCI

  • Ranger
  • CCI

• Purpose of notification

  Select Start Date Behind Schedule

  • Start Date
  • Behind Schedule

• Comments?

Safety

• Any incidents to report?

Incident

• Describe the incident

• How could it have been avoided?

• OSHA Inspection?

  YES

  NO

• Notes

• Photographs

  Media

Observations / Comments

• Comment:

Comment

• Comment

• Photographs

  Media

• Superintendent

  Sign