Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contractor Quality Report Form

  • Date:

  • Contract No. FA8903-08-D-8772-0031

  • Title and Location: IMFH Phase 11, Kadena Air Base, Okinawa, Japan

  • Report No.

  • Contractor: Oneida Total Integrated Enterprises (OTIE)

  • AM Weather:

  • PM Weather:

  • TCCOR

  • Lightening Warning

Activity Report

  • Contractor: OBAYASHI Corporation

  • Sub Sequence

  • Exterior showing building number / kitchen showing location of sink / misc

  • Sub Sequence

  • Exterior showing building number / kitchen showing location of sink / misc

  • Sub Sequence

  • Exterior showing building number / kitchen showing location of sink / misc

  • Sub Sequence

  • Exterior showing building number / kitchen showing location of sink / misc

  • Contractors Site superintendent

  • Contractors SSHO

  • Utility Outage scheduled today?

  • Subcontractors on site

Todays Work

  • Was Trenching/Scaffold/Electric/High Work done?

  • List Safety actions taken today/Safety Inspections conducted

  • Were Safety Requirements met?

  • Equipment Material received today to be incorporated in job

  • Equipment on site today, include number of hours used today

  • Verbal Instructions Received: (List any instructions given by the Government personnel on construction deficiencies, retesting required, etc. with action to be taken)

  • Test Required by plans and/or specifications performed and results of tests

  • List the total number samples collected for the day

  • List the total number samples tested for the day

  • List the total amount of solid waste removed for the day

  • List the total amount of iquid waste removed for the day

Transportation/Disposal Information

  • Quantity

  • ID No.

  • Material

  • Manifest No.

  • Disposal Location

Last Remarks

  • List all Safety Violations observed and corrective actions taken

  • Submittal Actions

  • Remarks

  • Signature

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