DATE

NAKILAT
NSRY / NSCF

DAILY REPORT Work Finish Time:

Date: REPORT NUMBER: M/C CODE: DAY:

Work Start Time:

Job Details: Location:

Weather Report:

Temperature: High Low o o

WORK FORCE

No. of Men

No. of Hours

* Was work delayed for any reason?

.

If yes, describe

* Was stoppage ordered in writing?

If so, by whom?

* Were verbal instructions received:

If yes, describe

Other:
* Has letter confirming verbal instructions been written? No. of No. of Hours * Have you given any Subcontractor special written or verbal instructions? If so, describe

(SUBCONTRACTOR)

Men

* Were any change orders received or implemented today? If yes, describe change order,

* Was WORK delayed because of lack of: Materials Information Interference Other Trades Subcontractors Other Reasons * If so, describe

Tests/Inspections

* Was any Subcontractor scheduled to start or material due to arrive which did not appear? If so, describe

* Were you required to do Extra Work? Was it authorized? Should it be backcharged? Visitors-Names Representing If so, describe

* Vendor Rental Equipment on Site

* Was tool box talk held today? Topics:

* Were there any lost time accidents recorded today?

Describe day's activities giving quantities, location of work, trades involved, etc.

Remarks:

Name Signature

Name Signature