HomeMy WebLinkAboutGS Inspection Form 8-24-23Contractor Name: j ��� 9' °� UI
Number:�Oz
Weather:�j(� VM ((4%16
2
3
Inspector:
Day of the Week:
Work performed:
[terns of work affecfied
by weather No Affect Affected
Accidents/Inciden#s �No Yes
Details
Prime/Super/Foreman
Sub/Foreman
Operator
Operator
Operator
Laborer
no TOOM
Laborer
Laborer
Euirrlen e ctiv No. Hours Worked
2
3
n
5
Resi
dent Engineer:
r
Date: � , kA402's
Descriptions and/or Comments
ff yes, a separate reporfi dated is attached.
Names
Descriptions
Inspector Signature
Resident Engineer Signature
1of1