Caltech Daily Field Report
Inspections done (pick all that apply; they choose the pages and codes)
(anchor test page) (firestop page)
Date Report No.
Time arrived Time departed
Regular hours Overtime hours
Weather Caltech project #
Your registration # (ICC / ACI)
Project details (filled in for you) Set by the IOR for this project.
Facility name Project name
Project location HCAI #
Client name Contractor name
Inspection codes and hours worked
Equipment used
Permit # (if any)
Remarks: the notes box above (type or 🎤 dictate). Photos and plan attachments below go on the photo pages.
Post-installed anchor test (page 2)
Location in structure Specified test load / torque
ASTM test method Remarks
+ Anchor row Firestop inspection form (page 3)
Boxes with ▾ have a list to pick from; you can also type anything.
Installer Listed assembly (UL system) ▾
EJ reference ▾ Detail / sheet no. ▾
RFI / NMA no. ▾ Quantity inspected today
Quantity on project to date Horizontal penetrations
Vertical penetrations Joints
+ Firestop row Not applicable HCAI Verified Compliance Report (VCR, last page)
Facility, project, firm (Caltech Labs, Inc., Brea), "Periodic physical presence", "Inspection Reports", "Special Inspector",
your name, registration #, date and signature are filled in for you.
Interval / milestone Ref. No. (optional)
Observed / inspected (section C)
Comments / exceptions (section E)
