0206500_CP_11_07_en_A3.1
DAILY CONTRACT INSPECTION REPORT
1. CONTRACT NUMBER
3. ABBREVIATED CONTRACT NAME
4. NAME OF CONTRACTOR (COMPANY NAME)
CENTENNIAL CONTRACTORS ENTERPRISES, INC.
2. SPECIFICATION NUMBER 5. NOTICE TO PROCEED DATE
7. WEATHER AND TEMPERATURE AM
PM
N/A
6. ACTUAL DATE STARTED
N/A
8a. CONTRACTOR DESCRIBE WORK BEING PERFORMED (INCLUDE LOCATION OF WORK)
Company
Equipment Data
Owned/Rented
8b. NUMBER OF WORKERS ON JOB
# Workers
Trade
Hours Used
Total Hrs
Hours Standby
Work Performed
0.0 0.0 0.0
HRS THIS DATE PREVIOUS HRS TOTAL HOURS
8c. NAME OF CONTRACTOR'S REPRESENTATIVE
9. CONTRACTOR INSTRUCTIONS GIVEN / RECEIVED (i.e. materials received, off site activities, Three Phase meetings, inspections, etc.)
10. CONTRACTOR DESCRIBE DIFFICULTIES ENCOUNTERED (INCLUDE DELAYS, DESCRIBE WORK NOT PERFORMED IN ACCORDANCE WITH SPECIFICATIONS, CORRECTIVE ACTIONS, ETC.)
11. GOVERNMENT REPRESENTATIVE COMMENTS
12. SAFETY OBSERVATIONS
Contractor Verification: The above report is complete and correct. All material, equipment used, and work performed during this reporting period are in compliance with the contract documents except as noted above. 13. CONTRACT COMPLETION DATE
14. PERCENT COMPLETE
15. QUALITY CONTROL SIGNATURE AND DATE
16. QUALITY ASSURANCE SIGNATURE AND DATE
17. CONTRACTING ADMINISTRATOR'S SIGNATURE AND DATE
18. DATE OF REPORT(S)
19. REPORT SERIAL NUMBER
