DATE:			
WEATHER:		TEMP HIGH/LOW: ’		
WORKING CONDITIONS:              	Cool/	
		Rental	 Remaining	
TYPE OF EQUIPMENT	 		

						
NAME:	CLASSIFICATION	HRS. WORKED	HRS. REMAINING	

				

				

				
INJURY RECORD & DESCRIPTION OF ACCIDENT:		

VISITORS:			

			

OWNER FURNISHED MATERIALS RECEIVED:		
CONTRACTOR FURNISHED MATERIALS RECEIVED:	

	                          		
AMOUNT OF CONTRACT TIME USED: 	0	
AMOUNT OF CONTRACT TIME LEFT:		
NUMBER OF DAYS OVER CONTRACT TIME:		
WORK BEGAN AT: 		
WORKED STOP AT:		
WORK ACCOMPLISHED TODAY:		

	
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SUPERINTENDENT'S SIGNATURE: