FORM NO.

_____
OFFICE OF THE PRESIDENT
NATIONAL HOUSING AUTHORITY
Elliptical Road, Diliman, Quezon City

PROJECT ENGINEER’S REPORT

For the Month of ______________
I. BASIC INFORMATION
PROJECT NAME
LOCATION
IMPLEMENTING OFFICE
CONTRACTOR
SCOPE OF WORK

CONTRACT COST (ORIGINAL) VARIATION ORDER/S

CONTRACT COST (REVISED) WORK SUSPENSION ORDER/S
CONTRACT DURATION
DATE STARTED TIME EXTENSION/S
COMPLETION DATE (ORIGINAL) REVISED COMPLETION DATE
II. PROJECT STATUS
STATUS OF ACCOMPLISHMENT
TARGET ACTUAL
ITEM % WEIGHT TOTAL
ACCOMPLISHMENT ACCOMPLISHMENT
LAND DEVELOPMENT
HOUSING CONSTRUCTION
TOTAL

STATUS OF PAYMENT
PAYMENTS MADE BALANCE
DATE PERIOD COVERED
GROSS AMOUNT % AMOUNT %
1.
2.
3.

CONTRACT SCHEDULE STATUS

REVISED PERIOD REVISED
TIME EXTENSION NO. OF REASON FOR
CONTRACT CONSIDERED COMPLETION REMARKS
NO. DAYS TIME EXTENSION
DURATION (AS APPLICABLE) DATE
1
2
3
4
SUMMARY OF UNWORKABLE DAYS DUE TO WEATHER CONDITION
MONTH NO. PERIOD COVERED NO. OF WORKABLE DAYS NO. OF UNWORKABLE DAYS
1
2
3
4
5
STATUS OF SUBMISSION OF DOCUMENTARY REQUIREMENTS
DOCUMENT STATUS REMARKS

Page 1 of 2
 1. Variation Order
2.
3.
4.
5.

ISSUES / CONCERNS / SITE INSTRUCTIONS

ISSUES/CONCERNS/OBSERVATIONS ACTION TAKEN
(INCLUDING COMPLIANCE WITH CPES
REQUIREMENTS, ETC.) DATE IMPLEMENTING OFFICE CONTRACTOR/DEVELOPER
1.
2.
3.
4.
5.

III. RECOMMENDATIONS (If any)

This form must be submitted to NHA Regional Office, duly accomplished and signed by the concerned personnel on or before end of each month.

Prepared by:

____________________
NAME
Site Engineer

Checked by:
____________________
NAME
District Manager

Noted by:

____________________
NAME
Regional Manager

Page 2 of 2