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pdfU.S. DEPARTMENT OF ENERGY – BONNEVILLE POWER ADMINISTRATION (BPA)
BPA F 6410.11e
DAILY REPORT TO INSPECTOR
(07-2023)
OMB Control Number: 1910-5190
Expiration Date: xx/xx/xxxx
1. Date
Pg. 1 of 3
Please submit via Construction Administration & Information System (CAIS) or email to COR.
2. Contract No.
3. Title and Location
4. Report No.
5. Contractor (Prime or Subcontractor)
6. Name of Superintendent or Foreman
7a. Weather – A.M.
7b. Temperature – A.M.
8a. Weather – P.M.
9. Prime Contractor/Subcontractor Workforce
(if space provided below is inadequate, use additional sheets)
Number
Trade
Hours
Employer
8b. Temperature – P.M.
11. Total Work Hours on Job
Site this Date
12. Cumulative Total of Work
Hours from Previous Report
13. Total Work Hours from
Start of Construction
15. Inspection and/or Testing
Performed Today – Follow with Report
10. Location and Description
Of Work Performed
14. Were There Any Lost Time Accidents This Date?
YES
NO
If “YES”, a copy of the completed OSHA report is required.
16. Location and/or
Element of Work
17. Remarks
Results of Inspections/Testing
File Code: FE-1200; Retention: Destroy no sooner than 5 years after the records are closed
BPA F 6410.11e
U.S. DEPARTMENT OF ENERGY – BONNEVILLE POWER ADMINISTRATION (BPA)
(07-2023)
DAILY REPORT TO INSPECTOR
OMB Control Number: 1910-5190
Expiration Date: xx/xx/xxxx
Pg. 2 of 3
18. Spec. Para.
and/or Drawing No.
22. Spec Para.
and/or Drawing No.
19. Equipment / Material Received Today to be Incorporated in Job
(Description, Sizes, Quantity)
20. Submittal No.
or Certification
21. Date
Approved
23. Location and Description of Deficiencies
(Materials, Equipment, Safety, and/or Workmanship) Action Taken or to be Taken
25. Reference
24. Deficiencies Corrected This Date
Report No.
26. Construction and Plant Equipment Left on Job Site Until Use is Completed
Date First
Hours Worked
Description
Hours Idled
on Job
This Date
(First time only)
Compliance
Notice No.
Date of Final
Removal from
Job Site
27. Remarks: (Include directions received from COR, visitors, compliance notices received, errors and/or omissions in P/S; pertinent information)
File Code: FE-1200; Retention: Destroy no sooner than 5 years after the records are closed
BPA F 6410.11e
(07-2023)
U.S. DEPARTMENT OF ENERGY – BONNEVILLE POWER ADMINISTRATION (BPA)
DAILY REPORT TO INSPECTOR
OMB Control Number: 1910-5190
Expiration Date: xx/xx/xxxx
Pg. 3 of 3
Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to validate information in the event of a claim and for project record keeping. The data you supply will
be used by BPA to validate project requirements are met. Public reporting burden for this collection of information is estimated
to average 15 minutes (or .25 hours) per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to Office of the Chief Information Officer, Enterprise Policy Development & Implementation Office, IM-22,
Paperwork Reduction Project (OMB control number 1910-5190), U.S. Department of Energy, 1000 Independence Ave SW,
Washington, DC 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (OMB
control number 1910-5190), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any 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 Paperwork Reduction Act (PRA) of 1995 requires each Federal agency to seek and obtain approval from the Office of
Management and Budget (OMB) before undertaking a collection of information directed to 10 or more persons of the general
public, including persons involved in or supporting the operation of Government-owned, contractor-operated facilities.
Submission of this data is mandatory, failure to submit could result in delay of performance payment.
File Code: FE-1200; Retention: Destroy no sooner than 5 years after the records are closed
File Type | application/pdf |
File Title | BPA Form 6410.11e Daily Report to Inspector |
Author | Noell,Stephanie J (BPA) - CGI-7 |
File Modified | 2023-07-10 |
File Created | 2023-05-01 |