Form DC-144 (a) (12/22/2015)

New Jersey Department of Transportation

Daily Work Report

Project Name:
Contract ID:
Contractor

Inspector Printed Name and Signature: Date:

Weather/Temp AM /
PM /

Item No Item Description Item Code Plan Page # Location Subcontractor Placed Qty As Built Qty

Environmental Remarks:

Traffic Control Safety Remarks:

Work Observations and Remarks

Work Hours
Pay Items
Regular Overtime
RE
Non- RE Supervision
Office
General
Earth
Drainage
Aggregates
Curb and Sidewalk
Paving
Structures
Utilities
Electrical
Guide Rail
Safety
Miscellaneous

Benefit Leave
Training
Loaned off Project
attach additional sketches, photos, calculation, delivery tickets
Form DC-144 (b) (12/22/2015)

New Jersey Department of Transportation

HMA Supplement
Project Name:
Contract ID/ DP#:
Contractor
Item # Description Item Code
Inspector Printed Name and Signature: Date:

Location (station to station) Lane Lift Thickness Mix No. Lot No. Pounds Received Pounds Placed SY Laid LBS/SY

Placed Quantity TONS

Work Observations and Remarks

Producer of Mat'l: Mix # Highest Lowest Avg. for Day

Mix F F F
Temperature: F F F
Form DC-144 (c ) (12/22/2015)

New Jersey Department of Transportation

Bituminous Materials Supplement
Project Name:
Contract ID:
Contractor
Item # Description Item Code

Inspector Printed Name and Signature: Date:

Grade of Material Producer and Location Hauler and Location

Gauge on Truck Temp of Conversion Gallons Applied Area

Location (station to station) Lane Lot No. Tank No. Truck No.
Material Factor (SY)
Rate (G/SY)
Start Finish Gross @ 60o F

Specifed Temperature Range of Material

Specified Rate of Application
Work Observations and Remarks
Form DC-144 (d) (12/22/2015)

New Jersey Department of Transportation

Pile Driving Supplement
Project Name:
Contract ID:
Contractor
Item # Description Item Code
Inspector Printed Name and Signature: Date:

Structure Location Type Hammer

Length Timber Pile Dia. Splice Data Penetration Blows Last 5 Feet Blows Last
Pile No. NOTES
in Lead Tip Butt Length From Length 5 4 3 2 1 Inch

Work Observations and Remarks