HomeMy WebLinkAboutGS Inspection Form 7-28-23Contractor Name:
Number:
Weafiher:
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Inspector: jt0i
Day of the Week: I
Resident
Items of work affected by weather
No Affect
Affected
Descriptions and/or Comments
1
2
3
4
Accidents/Incidents
INo
Yes
If yes, a separate report dated is attached.
Details
Contractor and Personnel
No.
Hours Worked
Names
Prime/Super/Foreman
Sub/Foreman
OperatorCq
Operator
F j t
Operator
Laborerot
Laborer
Fw+C44iiV06
Laborer,
Sj 41Z4 : _ O
Laborer
fill
Equipment - Active
No.
Hours Worked
Descriptions
2
NO ZYLo
3
4
PUCK&
5
6
F .r
i.
< � 1
Y . e
Inspector Signa
C:
Resident Engineer Signature
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