Supervisor Site Diary version 2

• Document No.

• Job Number

• Client

• Site adress
  Address

• Conducted on

  Date

• Prepared by

• signature

  Sign

• Pacific Formwork site diary must be completed each day by the site supervisor.

• Date

  Date

• Has the programme been affected?

  Yes

  No

  N/A

• Description

• Days Affected?

Site

• Carpenters on site

• Labourers on site

• General Site Activities

• Delays and reasons

• Visitors on site?

  Yes

  No

  N/A

• Company / Organisation

Company

• Company

• Name

• Reason For Visit

• Deliveries to site?

  Yes

  No

  N/A

• Supplier / Company

Delivery

• Name

• Delivered

• Other Information

  Yes

  No

  N/A

• Description

• Sketches

  Drawing

Reports & Information

• Was a prestart conducted?

  Yes

  No

  N/A

• Company Details

Company

• Company

• Name

• Position

  Director

  Employee

  Sub Contractor

  Consultant

• Were ITPs conducted?

  Yes

  No

  N/A

• Add ITP

• Any RFI's issued?

  Yes

  No

  N/A

• RFI Details

RFI

• RFI

• Other

  Yes

  No

  N/A

EOT

• Any EOT's requested

  Yes

  No

  N/A

• EOT Details

EOT

• EOT

• Construction Works Affected?

Variation

• Any Variation Request

  Yes

  No

  N/A

• Variation Requests

Variation

• Requested By?

• Variation Details

Safety & Environment

• Any injuries, incidents or near misses? Provide details.

  Yes

  No

  N/A

• Description

• Any Safety or Environmental instructions issued to workers? Provide details

  Yes

  No

  N/A

• Description

• Where any community complaints made? Provide details.

  Yes

  No

  N/A

• Description

Site Photos

• Add any relevant photos. Maximum 5

  Media

• Completed by

  Sign