HomeMy WebLinkAboutTCS - 2/16/2017 _ Washington State Contractor's Daily Report of
WDepartment of Transportation pp Traffic Control - Summary
`03853 709.3-TCS 02/16/2017^
Page One
Ctr t Number SR Number Date
11 �,
Photos /Videos taken today for record? ❑Yes No
If Yes, note locations:
-7 bL D Z
Summary of T-CS Activities
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Contract r Contract o raffic trot Supe or s Si nature
Comments
To be Completed by Contractor's Traffic Control Supervisor(TCS)
DOT Form 421-040A EF Distribution: White-Contractor;Canary-Project Engineer
Revised 412004
SR Number
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FA Wean State Contractor's Daily Report of Traffic
�I/ Deparpnent of Transportation Control - Traffic Control Log
Use separate sheets for each setup. (May be altered to record Class A signs.) Page
Contr t Number SR Number Day
Dat
I -7
Sta AF-Setup Sta B Legend
Station — Time Station — Time (List of Signs Used)Work
< > �
O ' 50+ll A 9 F
Cones Piloted
> O 4,Ces ❑No ❑ Yes ler
Per Approved Plan Plan Title
(, Yes ❑No
Sta C One Way TrafficFlagger/SpotterSta Start End Hours
T Sta
(one or more lanes) I Station A -
Two W ay Traffic Station B
(two or more lanes) Station C
Station D
Other Traffic Control Labor
Na a Start End Hours
C ractor
Contra or C rvisor's Signature
Type of Traffic Control Time Set Up I Time(s)Checked I Time Removed
IW
To be Completed by Contractor's Traffic Control Supervisor(TCS) 2 3
DOT Form 421-0408 EF Distribution: White-Contractor;Canary-Project Engineer
Revised 03/2008
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'03853 708-Inspector's Daily Reports 02117/2017'
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R E N T O N Inspector's Daily Report
AHEAD OF THE CURVE.
IDR Sheet 1 of 3 Sheets
Project No. Project Name Day Date
CITY y OF RENTON-116TH AVENUE SE Friday February17,2017
CM-1193(003) SIDEWALK
Prime Contractor Representative/Tide
A. KAMINS CONSTRUCTION,INC. Chad Kamins/Owner
Subcontractor or AgentYd D/M/W_BE Representative/Title
B. AGS x x An la BostwicWfCS
C.
D.
E.
A.M. P.M.
Weather: Clear Clear Site Conditions: Wet
Temperature: Low: 41 x°F High: x°F
Contractor's Work Activity
Description and Location
Cocrete Removal
Required Backup Samples Taken
Item, Description, and Location of Work Marls 000umentatlon Approved
(NOTE:Any"NO'is to be explained in Diary) Merl Source Approved
Pay Note Made
Item No. Contract Item Description Location YM YM YM YM
Traffic Control
Was Traffic Control Required Today? Yes EINo Was WZTC according to approved TCP? Yes =No
Was TCS on Project Site Today? Fa Yes No Do all Flaggers have current flagging card? �a Yes =No
DIARY
See Below
Photos taken Today?%Yes ]No
(Signed) NAME: /-. f Construction Inspector
Reviewed By
rA
Inspector's Daily Report
CONSULTING HEr1 a�s0' - (CONTRACTOR'S EQUIPMENT & WORKFORCE)
IDR Sheet 2 of 3 Sheets
Project No. Project Name Day I Date
CITY OF RENTON- 116TH AVENUE SE
CM-1193(003) SEDEWALH Friday February 17,2017
Prime Contractor Subcontractor
KAMINS CONSTRUCTION,INC.
CONTRACTOR' S EQUIPMENT
Operating Contractor's ID A-E,seepage 1
Equi
UrnUnits p Equipment Description Oper Stdby Down Idle REMARKS
No.
a 1 E-01 I Cat 924 Loader 5
A 2 E-021 Cat 307 Exc. 8
A 1 E-03 Cat 303 Exc. 8
A 1 E-04 La Mor Sweeper
A 1 E-05 F450 U/1' 8
A 1 &06 F650 D/1' 8
E-07
B 1 E-08 F150 P/U 8
E-09
E-10
E-11
1-12
E-13
E-14
E-15
E-16 _
E-17
E-18
E-19
E-20
E-21
CONTRACTOR'S WORKFORCE
* rating Contractor's ID(A-E,see page 1)
NUMBERIHOURS NUMBER
Laborers Pipe Layr Oper Drivers Flaggers Electrician Other Male FMIWO Wipronfles Trainee
A 1/8 / U 8 IN / / FOREMAN 4
B
C l l l l If
... E
(Signed) NME: . ✓ Construction Inspector
Inspector's Daily Report
Gey t3z Osborac, Itr�
coNsuLnNG ENGINEERS (DIARY-continued)
IDR Sheet 3 of 3 Sheets
Project No. Project Name Day Date
CM-1193(003) CITY OF RENTON- 116TH AVENUE SE Friday February 17,2017
SIDEWALK
Prime Contractor
KAMMS CONSTRUCTION,INC.
DIARY-continued
7:30am;Kamins is on site cutting out the driveway approches. 8:00am;AGS is on site preparing T/C.8:30am;AGS has created a clear
zone at the south end of the project to allow Kamins to place equipment for removals.9:00am;Chad Kamins is on site to observe the
removals;He states that the error is mine and that I should have noted the defect in the curb before the walks were in place.I have stated
that I need to inspect the job when finished.Work continues at Sta. 12+82R+/-. 12:30pm;Kamins continues removals at Sta. 13+57.
2:30pm;Kamins has finished removing concrete from the last of the driveways.
(Signed)NAME: Construction Inspector