CONTRACTOR PRODUCTION REPORT

CONTRACT NO (ATTACH ADDITIONAL SHEETS IF NECESSARY) TITLE AND LOCATION

DATE REPORT NO

Enter Date (DD/MMM/YY) Enter Report # Here

Enter Cnt# Here

CONTRACTOR

Enter Title and Location of Construction Contract Here

SUPERINTENDENT

Enter The Contractor's Company Name Here

AM WEATHER Enter AM Weather Data Here PM WEATHER Enter PM Weather Data Here

Enter Superintendent's Name Here

MAX TEMP (F) Enter Max Temp Here MIN TEMP (F) Enter Min Temp Here

WORK PERFORMED TODAY

Schedule Activity No. WORK LOCATION AND DESCRIPTION EMPLOYER NUMBER TRADE HRS

JOB SAFETY

WAS A JOB SAFETY MEETING HELD THIS DATE? (If YES attach copy of the meeting minutes) WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? (If YES attach copy of completed OSHA report)

YES YES YES YES

NO NO NO NO

TOTAL WORK HOURS ON JOB SITE, THIS DATE, INCL CON'T SHEETS CUMULATIVE TOTAL OF WORK HOURS FROM PREVIOUS REPORT TOTAL WORK HOURS FROM START OF CONSTRUCTION SAFETY REQUIREMENTS HAVE BEEN MET.

WAS CRANE/MANLIFT/TRENCHING/SCAFFOLD/HV ELEC/HIGH WORK/ HAZMAT WORK DONE? (If YES attach statement or checklist showing inspection performed.) WAS HAZARDOUS MATERIAL/WASTE RELEASED INTO THE ENVIRONMENT? (If YES attach description of incident and proposed action.) Schedule Activity No. LIST SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED

EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB (INDICATE SCHEDULE ACTIVITY NUMBER) Schedule Activity No. Submittal # Description of Equipment/Material Received

CONSTRUCTION AND PLANT EQUIPMENT ON JOB SITE TODAY. INDICATE HOURS USED AND SCHEDULE ACTIVITY NUMBER. Schedule Activity No. Owner Description of Construction Equipment Used Today (incl Make and Model) Hours Used

Schedule Activity No.

REMARKS

CONTRACTOR/SUPERINTENDENT 4296/1 (9/98)

DATE SHEET 1 OF 2

4296/1 (9/98)

SHEET 2 OF 2

CONTRACTOR QUALITY CONTROL REPORT

(ATTACH ADDITIONAL SHEETS IF NECESSARY) PHASE CONTRACT NO

DATE REPORT NO

Enter (DD/MMM/YY) Enter Rpt # Here

Enter Cnt# Here

CONTRACT TITLE

Enter Title and Location of Construction Contract Here

YES NO

PREPARATORY

WAS PREPARATORY PHASE WORK PREFORMED TODAY? IF YES, FILL OUT AND ATTACH SUPPLEMENTAL PREPARATORY PHASE CHECKLIST. Schedule Activity No. Definable Feature of Work

Index #

WAS INITIAL PHASE WORK PREFORMED TODAY? IF YES, FILL OUT AND ATTACH SUPPLEMENTAL INITIAL PHASE CHECKLIST. Schedule Activity No.

YES

NO

INITIAL

Definable Feature of Work

Index #

WORK COMPLIES WITH CONTRACT AS APPROVED DURING INITIAL PHASE? WORK COMPLIES WITH SAFETY REQUIREMENTS? Schedule Activity No. Description of Work, Testing Performed & By Whom, Definable Feature of Work, Specification Section, Location and List of Personnel Present

YES YES

NO NO

REWORK ITEMS IDENTIFIED TODAY (NOT CORRECTED BY CLOSE OF BUSINESS) Schedule Activity No. Description

FOLLOW-UP

REWORK ITEMS CORRECTED TODAY (FROM REWORK ITEMS LIST) Schedule Activity No. Description

REMARKS (Also Explain Any Follow-Up Phase Checklist Item From Above That Was Answered "NO"), Manuf. Rep On-Site, etc. Schedule Activity No. Description

On behalf of the contractor, I certify that this report is complete and correct and equipment and material used and work performed during this reporting period is in compliance with the contract drawings and specifications to the best of my knowledge except as noted in this report.

AUTHORIZED QC MANAGER AT SITE DATE

DATE

GOVERNMENT QUALITY ASSURANCE REPORT

QUALITY ASSURANCE REPRESENTATIVE'S REMARKS AND/OR EXCEPTIONS TO THE REPORT Schedule Description Activity No.

GOVERNMENT QUALITY ASSURANCE MANAGER 4296/2 (9/98) SHEET 1 OF 1

DATE

GOVERNMENT QUALITY ASSURANCE (QA) REPORT

(ATTACH ADDITIONAL SHEETS IF NECESSARY) CONTRACT NO TITLE AND LOCATION

DATE

Enter Date (DD/MMM/YY) Enter Report # Here

Enter Cnt# Here

YES NO

Enter Title and Location of Construction Contract Here

IF NO, WHY NOT:

REPORT NO

Status

WORKING?
WEATHER CONDITIONS:

YES

NO

REMARKS:

Check Points

SUPERINTENDENT ON SITE QC MANAGER ON SITE QC REPORTS CURRENT AS-BUILTS CURRENT SUBMITTALS APPROVED FOR FOR ONGOING WORK DEFICIENCY LIST REVIEWED

WORK OBSERVED/DEFICIENCIES NOTED/SAFETY ISSUES DISCUSSED/QA TESTS AND RESULTS: Schedule Activity No DESCRIBE OBSERVATIONS

MEETING/CONFERENCE NOTES (INCLUDING PARTICIPANTS): Schedule Activity No. NOTES

INSTRUCTIONS GIVEN OR RECEIVED/CONTROVERSIES PENDING: Schedule Activity No. INSTRUCTIONS/CONTROVERSIES

QA REPRESENTATIVE 4296/5 (9/98)

DATE

SUPV INITIALS

DATE

SHEET 1 OF 1

INITIAL PHASE CHECKLIST

CONTRACT NO DEFINABLE FEATURE OF WORK

SPEC SECTION

DATE

Enter Spec Section # Here

SCHEDULE ACT NO.

Enter Date (DD/MMM/YY)

INDEX #

Enter Cnt# Here

Enter DFOW Here

POSITION

Enter Sched Act ID Here

YES NO

Enter Index# Here

GOVERNMENT REP NOTIFIED _____ HOURS IN ADVANCE:

PERSONNEL PRESENT

NAME

COMPANY/GOVERNMENT

PROCEDURE COMPLIANCE PRELIMINARY WORK WORKMANSHIP

IDENTIFIY FULL COMPLIANCE WITH PROCEDURES IDENTIFIED AT PREPARATORY. COORDINATE PLANS, SPECIFICATIONS, AND SUBMITTALS. COMMENTS:

ENSURE PRELIMINARY WORK IS COMPLETE AND CORRECT. IF NOT, WHAT ACTION IS TAKEN?

ESTABLISH LEVEL OF WORKMANSHIP. WHERE IS WORK LOCATED?

IS SAMPLE PANEL REQUIRED? WILL THE INIITAL WORK BE CONSIDERED AS A SAMPLE?

YES YES

NO NO

(IF YES, MAINTAIN IN PRESENT CONDITION AS LONG AS POSSIBLE AND DESCRIBE LOCATION OF SAMPLE)

RESOLUTION CHECK SAFETY

4296/2C (9/98)

RESOLVE ANY DIFFERENCES. COMMENTS:

REVIEW JOB CONDITIONS USING EM 385-1-1 AND JOB HAZARD ANALYSIS COMMENTS:

OTHER ITEMS OR REMARKS

OTHER

SHEET 1 OF 2

QC MANAGER

DATE

4296/2C (9/98)

SHEET 2 OF 2

Instructions for Using Report Forms in MS-Word

In the Report Header, fields that have instructional text such as Enter Title and Location of Construction Contract Here prompt the user to enter the information in a specific location, governed by the field. Single mouse click anywhere in the field and the field will darken. Entry of text/data at this point will delete the instructional text in the field and will be replaced with entered text/data. All check boxes are all defaulted as unchecked (i.e.; ). To check the box (i.e.; ), double click the box and the Check Box Form Field Options box will appear. In the Default value section of the box, click in the Radio Button for Checked, then click on the OK button and the box will be checked.

The Hour fields where intentionally not programmed to total. If the Contractor deleted the formula in a field within the range that was to be totaled, the total would be wrong. With the ability to [unlimitedly] expand the Contractor Production Report and Contractor Quality Control Representative Report, their Continuation Sheets are obsolete. In the footer of each form are data fields for the Sheet number and the total number of sheets in the report (Sheet 1 of 2). The first number will generate itself when pages of the report are added. But MS-Word will not automatically update the second number. To update the NumPages field, click the field or the field results and then press F9. You can also click Options in the Tools menu, click the Print tab, and then select the Update fields check box.

PREPARATORY PHASE CHECKLIST

CONTRACT NO

SPEC SECTION

DATE

(CONTINUED ON SECOND PAGE) DEFINABLE FEATURE OF WORK Enter DFOW Here

_____ HOURS IN ADVANCE: POSITION

Enter Spec Section # Here

SCHEDULE ACT NO.

Enter Date (DD/MMM/YY)

INDEX #

Enter Cnt# Here

GOVERNMENT REP NOTIFIED NAME

Enter Sched Act ID Here

YES NO

Enter Index# Here

PERSONNEL PRESENT

COMPANY/GOVERNMENT

REVIEW SUBMITTALS AND/OR SUBMITTAL REGISTER. HAVE ALL SUBMITTALS BEEN APPROVED? IF NO, WHAT ITEMS HAVE NOT BEEN SUBMITTED?

YES

NO

SUBMITTALS

ARE ALL MATERIALS ON HAND? IF NO, WHAT ITEMS ARE MISSING?

YES

NO

CHECK APPROVED SUBMITTALS AGAINST DELIVERED MATERIAL. (THIS SHOULD BE DONE AS MATERIAL ARRIVES.) COMMENTS:

ARE MATERIALS STORED PROPERLY?

YES

NO

MATERIAL STORAGE SPECIFICATIONS PRELIMINARY WORK & PERMITS

4296/2B (9/98)

IF NO, WHAT ACTION IS TAKEN?

REVIEW EACH PARAGRAPH OF SPECIFICATIONS.

DISCUSS PROCEDURE FOR ACCOMPLISHING THE WORK.

CLARIFY ANY DIFFERENCES.

ENSURE PRELIMINARY WORK IS CORRECT AND PERMITS ARE ON FILE. IF NOT, WHAT ACTION IS TAKEN?

SHEET 1 OF 2

IDENTIFY TEST TO BE PERFORMED, FREQUENCY, AND BY WHOM.

WHEN REQUIRED?

TESTING

WHERE REQUIRED?

REVIEW TESTING PLAN.

HAS TEST FACILITIES BEEN APPROVED?

ACTIVITY HAZARD ANALYSIS APPROVED? REVIEW APPLICABLE PORTION OF EM 385-1-1.

YES

NO

SAFETY
NAVY/ROICC COMMENTS DURING MEETING.

MEETING COMMENTS
OTHER ITEMS OR REMARKS:

OTHER ITEMS OR REMARKS

QC MANAGER

DATE

4296/2B (9/98)

SHEET 2 OF 2

RESPONSIBILITIES/AUTHORITY OF THE QC MANAGER

1. Appointing letter to the QC manager shall detail his/her authority and responsibility to act for the contractor and outline his/her duties, responsibilities and authority. He/she shall have no job-related responsibilities other than QC unless specifically permitted in the specification. 2. He/she shall be on the site at all times during progress of the work, with complete authority to take any action necessary to ensure conformance with the contract requirements. In the event of his/her absence, approved backup shall be on the site. 3. Authority to immediately stop any segment of work which does not comply with the contract plans and specifications and direct the removal and replacement of any defective work. 4. Conduct daily inspection of work performed for compliance with plans and specifications.

5. Certify daily that all materials and equipment delivered/installed in the work comply with contract plans and specifications. Certify daily that all work performed on the construction site and off the construction site conforms to plans and specifications. Report any deficiencies and remedial action planned and taken. 6. Supervise and coordinate the inspection and tests made by the members of the Quality Control Organization, including subcontractors. 7. Assure QC staff is adequate to meet its responsibilities.

8. Maintain a copy of the ROICC approved QC Plan on file at the jobsite complete with up-to-date approved revisions/filled-in log of submittals. Maintain at the jobsite an up-to-date QC Submittal Register (provided in the specification) showing the status of all submittals required by the contract. 9. Maintain at the jobsite a testing plan showing status of all tests required by the contracts. Ensure that all tests required are performed and report the results of same. Indicate whether test results show the item tested conforms to contract requirements or not. 10. Authority to remove any individual from the site who fails to perform his/her work in a skillful and workmanlike manner or his/her work does not comply with the contract plans and specifications. 11. QC manager does not have authority to deviate from plans and specifications without prior approval, in writing, from the ROICC. 12. Ensure that the contractor's Quality Control Organization is adequately staffed with qualified personnel to perform all the detailed inspections and testing specified in the plans and specifications. 13. Maintain at the jobsite the up-to-date QC Rework Items List.

ATTACHMENT A

REWORK ITEMS LIST

Contract No. and Title: Contractor: Enter Contract # and Title Here Enter Contractor's Company Name Here CONTRACT REQUIREMENT DATE NUMBER IDENTIFIED DESCRIPTION (Spec. Section and Par. No., Drawing No. and Detail No., etc.) ACTION TAKEN BY QC MANAGER RESOLUTION DATE COMPLETED

4296/3 (9/98)

SHEET 1 of 1

TESTING PLAN AND LOG

CONTRACT NUMBER Enter Contract # Here SPECIFICATION SECTION AND PARAGRAPH NUMBER ACCREDITED/ APPROVED LAB TEST REQUIRED YES NO SAMPLED BY TESTED BY PROJECT TITLE AND LOCATION Enter Contract Title and Location Here LOCATION OF TEST ON SITE OFF SITE DATE COMPLETED CONTRACTOR Enter Contractor's Company Name Here DATE FORWARDED TO CONTR. OFF. REMARKS

ITEM OF WORK

4296/4 (9/98)

SHEET 1