* NOTE: The office must be notified immediately of any accidents and an injury report must be submitted.
PERSONNEL / SUMMARY OF HOURS
WORK PERFORMED ON THIS DATE
DELIVERIES RECEIVED ON THIS DATE
DESCRIPTION OF DELAYS DUE TO JOBSITE CONDITIONS
DESCRIPTION OF ADDITIONAL WORK PERFORMED
NOTE: Specific details of additional work including hours worked MUST be documented on Additional Work Validation Form. Include contact name whom any discussions were made regarding delays or other directions.