HomeMy WebLinkAboutGS Inspection Form 7-13-23Contractor Name: ��� ,�,.�.� Inspector: pit Engineer:(,/Ik
Number: 4 Day of the Week:, Date:
Weather: Work performed:St
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Items of work affected by weather No Affect Affected Descriptions and/or Comments
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2
3
4
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Acclidents/lIncidents jNo Yes if yes, a separate report dated is attached.
Details
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No.
Hours Worked
Names
Prime/Super/Foreman
Sub/Foreman
Operator
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Operator
Operator
Laborer
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Laborer
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Laborer
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Laborer
Equipment - Active
No.
Hours Worked
Descriptions
2Awe
3
4
5
6
Inspector Signa
Resident Engineer Signature