HomeMy WebLinkAboutGS Inspection Form 7-27-23n
Contractor Name:
Number:
Ins p ecto r: Y.•_
Day of the Week:`
Resident Engineer:
Date: =7I�
Weather: -Ij Work performed: - , -� y
Iterns of work affected by weather
No Affect
Affected
Descriptions and/or commenTs
1
2
3
4
Accidents/IncidentsNo
Yes
If yes, a separate report dated is attached:
Details -
Contractor.and Personnel
No.
Hours Worked
Names
Prime/Super/Foreman
10
Sub/Foreman
Operator
DOy ``
Operator
Jessz
Operator
Laborer
J .,
Laborer
1 ,FaAyvio3
UM
Laborer
Laborerm..
P
Equipment -Active
No.
Hours Worked
Descriptions
Wftfk
2
3
l
4
,
5
6
. 6t
Inspector Signatu
Resident Engineer Signature