Form FAA 5370-1 FAA 5370-1 Construction Progress and Inspection Report

U.S. Department
of Transportation
Federal Aviation
Administration

FAA Form 5370-1, Construction Progress and Inspection Report
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor
shall a person be subject to a penalty for failure to comply with a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information
displays a currently valid OMB Control Number. The OMB Control Number for this information
collection is 2120-0569. Public reporting for this collection of information is estimated to be
approximately 5–80 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, completing and reviewing the
collection of information. All responses to this collection of information may be required under
Title 49 Section 47112 to ensure the terms and conditions of grant agreements are met, to
maintain a broad overview of the construction to be reasonably certain the work is accomplished
in accordance with the plans and specifications, and to evaluate the adequacy of the sponsor’s
construction inspection. No assurances of confidentiality are given. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591,
Attn: Information Collection Clearance Officer, ASP-110.
Instructions for Preparing FAA Form 5370-1
Submit one copy for each report. If additional space is required to complete any of the items,
continue on a separate sheet of plain paper, identifying it with the project number.

OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019

Period Ending

Construction Progress and Inspection Report
U.S. Department
of Transportation
Federal Aviation
Administration

Project Number

Airport Grant Program

Airport Name
Contractor’s Name

Project Description
1. Contract Time

No. Days Charged to Date

Last Working Day Charged (Date)

2. Brief Weather Summary this Period, including Approximate Rainfall and Periods of Below Freezing Temperature
(On earthwork jobs, include soil conditions.)

3. Rough Estimate of Percent Completion to Date of Construction Phases (Include items such as clearing, grading,
drainage, base, surface, lighting, etc.)

4. Work Completed or In Progress this Period

5a. Summary of Laboratory and Field Testing this Period (Note failing tests and any retests. Summarize out-of-tolerance.)

5b. Material (Identify material subject to pay reduction.)

6. Description of Anticipated Work by Contractor for Next Period

7. Problem Areas/Other Comments (Include revisions to plans and specifications approved or denied, delays, difficulties,
etc. and actions taken.)

SPONSOR’S INSPECTOR OR REPRESENTATIVE
Date

Typed or Printed Name and Title

FAA Form 5370-1 (9/17) SUPERCEDES PREVIOUS EDITION

Signature