Field Report : Asphalt Page 1 of 6

Shift No 4452582 Service No. 04335559 Date of Works 15/09/23 Night Weekend
Shift Location TGA Day of the Week FRIDAY
Job Description TGA (TONKIN GAP) ASP Customer Name TONKIN GAP ALLIANCE
Map Ref Distance Duration Full Customer Contact TONKIN GAP ALLIANCE
Plant to Supply Product Job Number 17060748 Phone No 08 9200 2500

Non Productive Day Planned Non Productive

Rain Day
Other (Please provide reason)

Shift Plan Layer Product Short Description Blinder Type Mass Depth (mm) Surface Area (M2)
(Tonnes) Preparation
Asphalt Area (M2)

Shift Plan Material Being Removed Length(M) Width(M) Area Depth(mm) Volume(M3) Volume Hours A Hours B
(Tonnes) Rate Rate
Profiling

Dump Site
Material Removed Location Quantity (Loads) Distance (Kms) Removal

Labour (Includes internal and external employees via agencies) – Excludes subcontractor First Hour Data
Start 08:30 Finish 16:30 Planned Start
Lunch .50 Total 7.50 Planned worked hours (include all travel time) Actual Start
Crew 287 170616 Asphalt Crew 3 (WA) Delay

Additional Information relating To Labour Risk Assessment Complete

Amend / Complete the labour table below where actual work deviates from the original shift plan

Address People On Site Int / Planned Planned Planned Planned Actual Actual Actual Actual Additional
Book Number Ext Start Finish Lunch Total Start Finish Lunch Total Allowances
1125354 1 Supervisor Sal EMP 08:30 16:30 .50 7.50
1125357 1 Project Engineer Sal EMP 08:30 16:30 .50 7.50
1125363 1 Project Manager Sal EMP 08:30 16:30 .50 7.50
1051681 Jones, Ryan EMP 08:30 16:30 .50 7.50
1127256 Klein, Jason EMP 08:30 16:30 .50 7.50
1088070 Phillips, Stuart EMP 08:30 16:30 .50 7.50
1138123 Heslington, Matthew EMP 08:30 16:30 .50 7.50
1038537 Watson, Jerome EMP 08:30 16:30 .50 7.50
1137168 Bosworth, Phillip EMP 08:30 16:30 .50 7.50
1038533 Swan, Rory EMP 08:30 16:30 .50 7.50

Downtime Allocation – Lost Time Delays (Nearest 15 Mins)

Rain/ Training/ Yard Work No Work Plant Equip Site/ Client Incident/ Other Travel Shift
Weather Safety Breakdown Breakdown Not Ready Accident

Plant (Includes internal and externally hired leased plant(Dry hire only) – Excludes subcontractor

Internal
Start 08:30 Hours equipment available on site Site Establishment
Finish 16:30 (Internal and long term lease) Float Moves

Equipment Type Unit Number Planned Planned Planned Actual Actual Actual Break Actual
Start Finish Total Start Finish Hours Down Total
Hours
Trailer - Tag Along TB003 08:30 16:30 8.00
Profiler/Cold Milling Machine PR014 08:30 16:30 8.00
Tack Coater TC006 08:30 16:30 8.00
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Equipment Type Unit Number Planned Planned Planned Actual Actual Actual Break Actual
Start Finish Total Start Finish Hours Down Total
Hours
Truck Medium Single Axle ≥ 8t TM088 08:30 16:30 8.00
ROLLER HAMM HD+90 VO RT101 08:30 16:30 8.00
ROLLER HAMM HD14VV RT134 08:30 16:30 8.00
PAVER ASPHALT - TRACK PA112 08:30 16:30 8.00
RUBBER TYRED ROLLER RR204 08:30 16:30 8.00
SKIDSTEER SS137 08:30 16:30 8.00
MATERIAL TRANSFER VEHICLE MT021 08:30 16:30 8.00
PAVER ASPHALT PA140 08:30 16:30 8.00

External
Equipment Type Description Hire Company PO No. Qty. Start Finish Total B/D Docket
Hours No.
Sherrin Roller HD70 RA08046 06:30 17:00 10.50

SHERRIN ROLLER HD14 RM04021 06:30 17:00 10.50

SHERRIN ROLLER RA08045 06:30 17:00 10.50

SHERRIN ROLLER HD90 06:30 17:00 10.50

SHERRIN PED ROLLER PR003 06:30 17:00 10.50

SHERRIN PED ROLLER PR004 06:30 17:00 10.50

RENTCO TIPPER MT008 06:30 17:00 10.50

KEE HD70 K517 06:30 17:00 10.50

KENNARDS PED ROLLER 06:30 17:00 10.50

Miscellaneous Items
Item Description Quantity

Subcontractors Excluding dry hire of equipment (Amend details below when actual work deviates from original plan)

External Asphalt Crew Contractor Name PO Number No. Of People Start Finish Total Tonnes Area (M2) Docket No.
Laid

Subcontractors Excluding dry hire of equipment (Amend details below when actual work deviates from original plan)

External Profiling Crew Contractor Name PO Number No. Of Start Finish Total Docket No.
People

Job Usage Details - Profiling

Treatment Type Area Volume Volume Depth Edge End Planing Water No. Of No. Of
(M2) (M3) (Tonnes) (mm) Planing Usage Tips Blocks

Plant Hire (Inc. Driver) Contractor Name PO Number No. Of People Start Finish Total Docket No.

Traffic Control Contractor Name PO Number No. Of People Start Finish Total After No. No. Docket No.
Care Arrow Var.
Signs Boards Msg.
Boards
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Other Subcontract Service PO Number No. Of People Start Finish Total Service Type Docket No.

Truck Hire – Including Driver Information relating to truck plan

Driver / Company Name Rego No. Truck Id No. Travel To Site Hours To Be Paid Additional
Hours Kms Start Finish Total
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Profiling Docket No.

Date Of Works Service W/O No.
Customer Name

Location

Machine No.

Site Map

Lot No. (e.g. Patch No.) 1 2 3 4 5 6 7 8

Comments

Float move
In Intermediate

Out Standby Hours

Downer Representative Signature Customer Signature

Print Name Print Name

Work Description Key CH-Chases Pa - Patch Mill – Mill M/F – Mill and Fill 00 – Hot Spot Removal
Material Being Removed Key AC – Asphalt BC – Base Course TAR – Tar SG – Subgrade/Spoil
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Date Of Works Night Weekend Service W/O No.

Location Day of The Week

Customer Name

Map Ref. Customer Contract

Plant To Supply Product Distance Phone No.

Site Conditions

Weather Conditions Air Temperature Surface Temperature Time Taken

Base Suitable for Paving Existing Damage

Details Of Concerns Relating To Site Conditions

Customer Signature

Summary Of Works
1 2 3 4 5 6 7

Street Name

Chainage Start

Chainage End

Surface Prep Area(M2)

Pavement Layer

Mix Type

Blinder Type

Mix Description

Tonnes Laid

Depth (mm)

Area(M2)

Hand Work (Tonnes)

Tack Litres Used (Ltr)

Tack Litres (M2)

RPM

Return Volume Tonnes

Foreman's Comments / Variations Claims

Downer Representative Signature Customer Signature

Print Name Print Name

After Care Required

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Work Details/ Comments

Quality Asphalt Only Jobs

Quality of work – Accepted by Customer Are Joints Tight?

Post Job Inspection Completed Are There Roll Marks?

Is the Site Clean? Are Falls Correct?

Is the Job Complete? Has Mat Been Compacted Properly?

Have Services Been Cleared?

Zero Harm Supporting Documents

Risk Assessment Attached? Plant Check Sheets Attached?

Was Anyone Injured? (If yes, details, name, etc.) All Contractor Dockets Attached?

BIR Issued on Shift? All Required Fields Complete?

Is Site Safe To Leave? (If no details)

Foreman's comments

Foreman's signature

Foreman's name

Supervisor's Name

Reviewed by

Date Reviewed