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 Randy Brunnemann Barry Vyvlecka Ernest Gibson Lee Herbst Tony Stock Tom Smith Matt Schuman

  • Brian Cox
  • Randy Brunnemann
  • Barry Vyvlecka
  • Ernest Gibson
  • Lee Herbst
  • Tony Stock
  • Tom Smith
  • Matt Schuman

• Superintendent

  Select Robert Klinksiek Dennis Pape Dennis Verbeek Pat Steele Jason Ruhnke Chester Carrauthers Jerry Summers John Luis Marty Johnson Ervin Breiten

  • Robert Klinksiek
  • Dennis Pape
  • Dennis Verbeek
  • Pat Steele
  • Jason Ruhnke
  • Chester Carrauthers
  • Jerry Summers
  • John Luis
  • Marty Johnson
  • Ervin Breiten

• Field Engineers

• Work Performed?

• Carpenters

• Work Performed?

• Laborers

• Work Performed?

• Others

• Work Performed?

• Temps

• Work Performed?

Subcontractors on Job:

• Site Subcontractors on job

Sub

• Sub name

  Select T Mech River City Triple R Electrical Keystone Marek Bros. Baker Triangle Campbell Painting Flach Masonry Texas Fifth Wall Allegiance Flooring

  • T Mech
  • River City
  • Triple R Electrical
  • Keystone
  • Marek Bros.
  • Baker Triangle
  • Campbell Painting
  • Flach Masonry
  • Texas Fifth Wall
  • Allegiance Flooring

• Manpower

• Work Performed?

• Building Subcontractors on job

Sub

• Select T Mech River City Triple R Electrical Keystone Marek Bros. Baker Triangle Campbell Painting Flach Masonry Texas Fifth Wall Allegiance Flooring

  • T Mech
  • River City
  • Triple R Electrical
  • Keystone
  • Marek Bros.
  • Baker Triangle
  • Campbell Painting
  • Flach Masonry
  • Texas Fifth Wall
  • Allegiance Flooring

• 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 T Mech River City Triple R Electrical Keystone Marek Bros. Baker Triangle Campbell Painting Flach Masonry Texas Fifth Wall Allegiance Flooring

  • T Mech
  • River City
  • Triple R Electrical
  • Keystone
  • Marek Bros.
  • Baker Triangle
  • Campbell Painting
  • Flach Masonry
  • Texas Fifth Wall
  • Allegiance Flooring

• 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