• Work Date:
• Weather:
• CM #:
• Extra Work Order: Yes No
• T&M# :
• Work On Site: Yes No
• Work Performed:

• Ticket #:

• Straight Hours:
• Over Time Hours:
• Double Time Hours:

• CM Title:
• CM Type: Please Select Lump Sum T&M
• Change Order Type: Please Select In Scope Out of Scope
• Reason Code: Please Select
• COR Due Date:
• Change Description:

• Search / Add Trade:

• Display: Please Select All RFIs Open RFIs Closed RFIs
• Display Text: Please Select Request Text Answer Text Request & Answer Text

• RFI #:
• CM #:
• Client/Arch RFI #:
• Sub RFI #:
• RFI Created:
• Required By:
• RFI Closed:
• Title:
• Received From:
• Schedule Impact: Please Select Yes No TBD
• Cost Impact: Please Select Yes No TBD
• Send RFI From: Select Contact
• Send RFI To: Select Contact
• CC:
• Location:
• Drawing #:
• Request:
• Answer:

• -- Select One -- Subcontractor Architect Engineer Client Vendor Manufacturer Owners Rep Program Manager Strategic Partner Others Consultant
• Search:

• Search:

• Subcontractor: Select Company
• CSI Code:
• Activity Name:
• Activity Start Date:
• Activity End Date:

• Provide a summary of the scope of work listing key trades and any operations or activities which are potentially hazardous and provide the actions to be taken to mitigate the hazards and complete the task safely.

• Subcontractor: Select Company
• CSI Code:

• Notes:
• Attendees:

• Signed By:
• Title:
• Date:

• Observation Noted:

Electronic Signature Acknowledgement

By signing this form "electronically" you agree your electronic signature is the legal equivalent of your manual/handwritten signature on this document. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.

• Signed By
• Title
• Date

By signing this form "electronically" you agree your electronic signature is the legal equivalent of your manual/handwritten signature on this document. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.

• Signed By
• Title
• Date

• Subcontractor: Select Company
• Report Status:
• Date & Time of Incident:
• Incident Type: Select Type
• Description of Incident:
• Incident Location (Include Floor, Building, Zone, etc.):
• Project Insurance Type: Select Insurance Type
• PANYNJ OCIP or CCIP Line #:

• Completed By:
• Title:
• Report Closed on (Enter When Fully Completed):

• VRH Punchlist #:
• Owner Reference #:
• Title:
• Room/Location
• Description:
• Drawing/Reference#:
• Complete By Date:
• Scope: Please Select In Scope Out of Scope
• Completed Date:

• -- Select One -- Subcontractor Architect Engineer Client Vendor Manufacturer Owners Rep Program Manager Strategic Partner Others Consultant
• Search:

• Search: