Attachment 4c SUBMITTAL REGISTER Example For Contractor Reference

SECTION 01 33 00

SUBMITTAL REGISTER

CONTRACT NO.

(ER 415 1-10)

CONTRACTOR

PROJECT NAME AND NUMBER:

TYPE OF SUBMITTAL

A
C
T
I
V
I
T
Y
N
O
a.

TRANSMITTAL

NO.

b.

I
T
E
M
N
O
c.

SPECIFICATION

PARAGRAPH

NUMBER

d.

DESCRIPTION OF ITEM SUBMITTED

e.

I
N
S
T
D R
R U
A C
W T
I
D I
A N O
T G N
A S S
f. g. h.

S
C
H
E
D
U
L
E
S
i.

S
T
A
T
E
M
E
N
T
S
j.

C
E
R
T
I
R F
E I
P C
O A
R T
T E
S S
k. l.

CONTRACTOR

SCHEDULE DATES

CLASSIFICATION

I
N
F
O
R
O M
& A
M T
I

S R M O

A E A N

M C N

P O U O

L R A N

E D L L

S S S Y

m. n. o. p.

G
O
V
E
R
N
M
E
N
T

A
P
P
R
O
V
E
D
q.

SPECIFICATION SECTION

R
E
V
I
E
W
E
R
r.

CONTRACTOR

ACTION

SUBMIT

TO

GOVERNMENT

APPROVA MATERIAL

L NEEDED NEEDED

SUBMIT

BY
BY

s.

t.

u.

GOVERNMENT

ACTION

DATE

C
O
D
E
v.

w.

DATE

x.

C
O
D
E
y.

z.

REMARKS

aa.

DIVISION 1-GENERAL REQUIREMENTS

01 30 00 Administrative Requirements

1.3
1.1
1.1

List of contact personnel
View location map
Progress and Completion Pictures

X

X
X
X

x
x
x

01 32 01 Project Schedule

1.2
1.2

Preliminary Project Schedule

X

File naming Convention

X

1.2

Initial Project Schedule

1.2

Periodic Schedule Updates

X

x

X

X

X

X

X

X

X

x

x

x

x

x

x

x

x

x

x

x

x

x

01 35 26 Government Safety Requirements

Accident Prevention Plan (APP)

x

x

1.2

Crane Critical Lift Plan

x

x

1.2

Activity Hazard Analysis (AHA)

x

1.2

Emergency Response Plan

1.2

Fall Protection and Prevention Plan

x

1.2

Qualification of Competent Person

x

1.2

Qualification of Site Safety and Health Officer

1.2

Excavation Permit

1.2

1.2
1.2

x
x

x
x

Licenses, Permits and Notifications

x

x

x

x

x

x

x

x

X

x
x

1.2
1.2

Summary of Worker Compensation Claim

x

x

1.2

Confined Space Entry Permit

x

x

x

1.2

Hot Work Permit

x

x

1.2

License Certificates

1.2

Excavator Certificate of Compliance

1.4
1.4

01 45 01 Quality Control

Quality Control Plan
Daily Contractor Quality Control Reports (CQC)

x

x

x

x

x

x

x

x

x

x

x
x
x

x

x

x
x

Accident Reports
USACE Prime Contractor Monthly Record of Work-Related Injuries/Illnesses & Safety Exposure Reports
Regulatory Citations and Violations

1.2

Project Name

x

x

x
x

x
x

x

x

x

Project #578-XX-XXX

SECTION 01 33 00

SUBMITTAL REGISTER

CONTRACT NO.

(ER 415 1-10)

CONTRACTOR

PROJECT NAME AND NUMBER:

A
C
T
I
V
I
T
Y
N
O
a.

TRANSMITTAL

NO.

b.

I
T
E
M
N
O
c.

SPECIFICATION

PARAGRAPH

NUMBER

DESCRIPTION OF ITEM SUBMITTED