Title Page
-
Site conducted
-
Date and Time
-
Supervisor
-
Pit
-
Bench
-
Shot
-
Grade Block (optional)
- Digging Concerns
Issues
-
Type of Issue
- Toe
- Hard Digging
- China Wall
- Oversize
- Wall Conformance
- Other
-
Other-Details
-
Type of Equipment
- Digger
- Shovel
- Loader
- Dozer
- Grader
- Other
-
Other-Equipment
-
Asset ID
-
Photo
-
Comments
-
Start Time of Issue
-
End Time of Issue
-
Duration (Hrs)
Sign Off
-
Supervisor Signature
-
Send to Superintendent for approval.
-
Superintendent Signature