Form: XD-01-Rev 0

DAILY INSPECTORS REPORT/CHECKLIST

PROJECT ID PROJECT NAME

SP18.MVIPACTL.Vt-0357 MAGDUGO-DUMANJUG 230KV HVAC TRANSMISSION LINE
LOCATION/SITE TOWER TYPE FOUNDATION TYPE
DATE Time in Time Out

ACTIVITIES Y/N WI ACCOM./REMARKS

(Y/N)
1. Excavation A B C D
2. Dewatering A B C D
3.Hauling of Concreting Materials C S 3/4
4. Stub Setting A B C D
5. Grounding A B N/A C D N/A
6. Installation of rebars A B C D
7. Formworks A B C D
8. Concreting A B C D
9.Backfilling A B C D
10.Hauling of Tower Parts 10 20 30 40 50 60 70 80 90 100
11.Erection 10 20 30 40 50 60 70 80 90 100
12.Preparation for Stringing
13.Stringing (CONDOR) A1 B1 C1 A2 B2 C2

14. Stringing (OPGW) L R

14. Others (Pls. Specify)

If no work performed today, why?: _____________________________________________________________________

If any work interruption, specify the reasons: ______________________________________________________________

A. Safety: Y/N REMARKS

A.1. Safety Signages/Warnings Installed?
A.2. First Aid Kit Available?
A.3. Worker s with proper PPEs?
A.4. Barricades/Fence Installed?
B. Manpower: Y/N REMARKS
B.1. Adequate Manpower? Specify how many*
B.2 Is good workmanship being performed?
C. Equipment/Materials: Y/N REMARKS
C.1. Proper Equipment Used?*
C.2. Equipment Qualified Operator?
C.3. Equipment in Good Condition?
C.4. Materials Complete?
C.5. Materials Acceptable?
C.6. Materials Protected from Weather?

Weather Condition:

7-8 8-9 9-10 10-11 11-12 1-2 2-3 3-4 4-5 5-6 6-7
Sunny/Fair
Cloudy
Showery
Heavy Rain

Prepared By: Confirmed By:

______________________ _______________________
Inspectors Name and Signature Sub Contractor Representative

Notes: Pictures taken should also be attached in this form as proof of activities undertaken.
* - Shall be consistent with the submitted Manpower and equipment schedule