DAILY LOG OF CONSTRUCTION M T W Th F PMIS. No.: PROJECT:

PARK CONTRACT NO. DATE 2018 年 1 月 9 日 CONTRACTOR CONTRACTOR REPRESENTATIVE ON JOB

WEATHER (Rain, Snow, Cloudy, Windy, etc.) TEMP. GROUND CONDITIONS (Dry, Damp, Wet, Frozen) High Low

NO. CONTRACTOR'S MEN BY JOB CATEGORIES NO. SUBCONTRACTOR'S MEN BY JOB CATEGORIES

EQUIPMENT ON JOB No. Working MATERIALS DELIVERED Units Brief description of size Yes No

OFFICIAL VISITORS TO JOB SITE

STATUS OF WORK ITEM Brief description of work in progress, questionable performance, etc. Include tests made and samples taken. No. (Use comments section on reverse for other information, if necessary)

SIGNATURE TITLE: CM INSPECTOR

FORM No. QCA-1 Rev. 01/03/05 CRITICAL POINT/MILESTONE INSPECTIONS (Describe item inspected, observations, problems, action items)

STATUS of GOVERNMENT FURNISHED SERVICES AND/OR SUPPLIES

SAFETY COMMENTS

DIFFICULTIES WITH CONTRACTOR OR REPRESENTATIVE

UNFORESEEN DEVELOPMENTS (Describe conditions, action taken; person contacted, recommended actions)

OTHER COMMENTS OR PERTINENT FACTS REGARDING JOB

FORM No. QCA-1 Rev. 01/03/05 FORM No. QCA-1 Rev. 01/03/05