HomeMy WebLinkAboutGS Inspection Form 8-3-23Contractor Name:
Number:
Weather:
Accidents/incidents
Details
Contractor and Personnel
Equipment -Active
u oAft
;UBILIC WORKS PROJECT INSPECTION FORM
Inspector: �V►'L `�
Day of the Week:
Work performed:
Resident
Engineer:
Addi Tonal Comments:
Inspector Signatur Resident Engineer Signature
2
3
0
Items of work affecfed by weather
Details
Inspector:J/
Day of the Week:
Work performed:
No Affect I Affected
Resident Engineer:'"
Date:
Descriptions and/or Comments
If yes, a separa e report dated is attached.
®ntract®r and ecsnnel
No.
Hours Worked
Names
Prime/Super/Foreman
Sub/Foreman
Operator
Operator
Operator
Laborer
Laborer
x ;
Laborer
Laborer
®. p
Equipment -Active
No.
Hours Worked
Descriptions
1
{
2
P
4
5
6
naalnooai commeof::
i�FlS"�ee�a rrW,�i�1 LAli NO
MIFMI MEAN am
vm,�-��.
Inspector Signature
Resident Engineer Signature
a
1of1