SKMES DAILY REPORT

• Job Number and Job Name

DAILY REPORT

• Report date

  Date

• Todays weather

  Select Sunny Clouds some sun Clouds no sun Windy Rain/Raining Flooding Snowing Snow/ice on surfaces Below 0 10's 20's 30's 40's 50's 60's 70's 80's 90's 100+

  • Sunny
  • Clouds some sun
  • Clouds no sun
  • Windy
  • Rain/Raining
  • Flooding
  • Snowing
  • Snow/ice on surfaces
  • Below 0
  • 10's
  • 20's
  • 30's
  • 40's
  • 50's
  • 60's
  • 70's
  • 80's
  • 90's
  • 100+

WORK PERFORMED BY SKMES EMPLOYEES TODAY

MANPOWER ON SITE TODAY

• Plumbers

• Sheet Metal

• Service Techician

• Other Trades (Name and Count)

COST EVENTS

• Any deals, decisions, agreements,compromises, or extra work with owners, GC's, Subs, or PM?

  Yes

  No

• Did we do extra work, even as a favor, that you feel should not be required under the contract or scope?

  Yes

  No

• Is anyone or anything delaying us?

  Yes

  No

• Did we perform extra work for SKMES subcontractors, or material supplier that you feel should be back charged?

  Yes

  No

• Was your operations halted due to the presence of asbestos, or any other hazardous material/condition?

  Yes

  No

• Document here any work disruptions

• Other - Explain here.

SUBCONTRACTORS

• Name of subs and where were they working and what did they accomplish?

Subcontractors On site Today

CHANGE ORDERS

• Were there any change orders today?

Change Order Request

• Requested additional work detail:

• By signing here, you are giving SKMES permission to proceed with the above detailed additional work and understand that a formal change order submittal is forth coming.

  Sign

TEST AUTHORIZATION CERTIFICATE

• Add for any systems tested. You can add multiple systems by tapping the "+" symbol

System

• System

• Equipment

• Name Plate Date

• Limit of Test

• Test Pressure

• Number of hours held

• Type of Test

  Air - Do not exceed 10 psi

  Air - To 10 psi, then Hydro

  Hydro

  Nitrogen

• CONDITIONS
  
  The above noted piece of equipment and/or piping system with the limits described above has been tested to the required pressure and duration and has been accepted by the undersigned.

• Add signature

  Sign

• Representative of:

EXCAVATIONS

• Are there any excavations on site?

  Yes

  No

  N/A

• Employees protected from cave-ins loose rock/soil that could roll into the excavation

  Safe

  At Risk

  N/A

• Spoils, materials and equipment set back at least 2 feet from edge of excavation

  Safe

  At Risk

  N/A

• Engineering designs for sheeting &/or manufacturers data on trench box available on site

  Yes

  No

  N/A

• Adequate signs and barricades provided

  Safe

  At Risk

  N/A

• Toolbox talk/GWP meeting conducted with employees prior to entering excavation.

  Yes

  No

  N/A

• "One Call" has marked underground utilities.

  Yes

  No

  N/A

• Overhead lines, located noted and reviewed by Operator

  Yes

  No

  N/A

• Utility locations reviewed with operator and precautions taken to ensure contact does not occur.

  Yes

  No

  N/A

• Utilities crossing excavation supported and protected from falling materials

  Yes

  No

  N/A

• Underground installations protected, supported or removed when excavations is open.

  Yes

  No

  N/A

• Precautions taken to protect employees from water accumulation.

  Yes

  No

  N/A

• Surface water or runoff diverted/controlled to prevent accumulation in the excavation.

  Yes

  No

  N/A

• Inspection made after every rainstorm or other hazard increasing occurrence.

  Yes

  No

  N/A

• Are excavations tested for oxygen deficiency, combustible, or other contaminants

  Yes

  No

  N/A

• When necessary, ventilation used in atmospheres that are oxygen rich/deficient and/or contains hazardous substance.

  Yes

  No

  N/A

• Emergency equipment available where hazardous atmosphere could or do exist

  Yes

  No

  N/A

• Safety harness or lifeline needed?

  Yes

  No

  N/A

• Exit (i.e. Ladder, sloped wall) no further than 25 feet from ANY employee

  Yes

  No

  N/A

• Ladders extend 3 feet above edge of trench

  Yes

  No

  N/A

PHOTOS

• Take photos, as needed, here to document any of the above responses

  Media

SIGNATURES

• Were there any injuries, incidents or near misses today?

Incident

• Who

• What

• Where

• When

• How

• Did SKMES, and its Subcontractors clean up and or properly store all equipment or debris generated by our work operation. Document cleanliness by taking photos here.

  Yes

  No

• Foreman

  Sign

• WHEN COMPLETED, SEND THIS REPORT TO YOUR PROJECT MANAGER.