| 0204 |
General Computation |
Construction Field Services Division |
07/2019
|
Fillable
|
| 0500 |
Coring Request |
Construction Field Services Division |
05/2000
|
Fillable
|
| 0501 |
Materials Source List |
Construction Field Services Division |
07/2013
|
Fillable
|
| 0502 |
Pavement Core Record |
Construction Field Services Division |
03/2014
|
Fillable
|
| 0503 |
Independent Assurance Concrete Tests |
Construction Field Services Division |
10/2019
|
Fillable
|
| 0504 |
Independent Assurance Aggregate Tests |
Construction Field Services Division |
11/2019
|
Fillable
|
| 0506 |
Report Of Sign Inspection |
Construction Field Services Division |
09/2004
|
Fillable
|
| 0513 |
Report of Strand Tensioning |
BOBS - Structural Fabrication Unit |
10/2020
|
Fillable
|
| 0528A |
Report of Test on Daily Asphalt Cement - Original |
Construction Field Services Division |
05/2000
|
Fillable
|
| 0528B |
Report of Test on Daily Asphalt Cement - Recovered |
Construction Field Services Division |
05/2000
|
Fillable
|
| 0566 |
Field Inspection Report |
Construction Field Services Division |
09/2004
|
Fillable
|
| 0579 |
Structure Foundation Inspection |
BOBS - Geotechnical Services Section |
09/2004
|
Fillable
|
| 0580 |
Concrete Plant Equipment Inspection Report |
Construction Field Services Division |
09/2004
|
Fillable
|
| 0580A |
Concrete Plant Inspection |
Construction Field Services Division |
03/2002
|
Fillable
|
| 0582A |
Density Retest Record |
Construction Field Services Division |
05/2000
|
Fillable
|
| 0582B |
Moisture & Density Determination - Nuclear Method |
Construction Field Services Division |
04/2020
|
Fillable
|
| 0583 |
Record of Soils Recommendations |
Construction Field Services Division |
06/2004
|
Fillable
|
| 0590 |
Field and Lab Test Report |
BOBS - Structural Fabrication Unit |
10/2020
|
Fillable
|
| 1013S |
Inspector's Checklist For Inspection for Solar Boards |
Construction Field Services Division |
07/2012
|
Fillable
|
| 1022N |
New Materials Product Evaluation Request Form |
Construction Field Services Division |
07/2019
|
Fillable
|
| 1022Q |
Qualified Products Evaluation Request Form |
Construction Field Services Division |
07/2019
|
Fillable
|
| 1028 |
Traffic Signal Strain Pole Inspection Report |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1029 |
Initial Acceptance for Pavement Warranty Work |
Construction Field Services Division |
10/2017
|
Fillable
|
| 1100 |
Recommendation/Auth.: Changes/Extra/Extension/Adj. Contract |
Construction Field Services Division |
10/2000
|
Fillable
|
| 1100A |
Extension Of Contract Time Request No. |
Construction Field Services Division |
10/2017
|
Fillable
|
| 1100B |
Recommendation & Authorization For: (Continuation Sheet) |
Construction Field Services Division |
02/2001
|
Fillable
|
| 1101 |
Force Account Statement |
Construction Field Services Division |
04/2017
|
Fillable
|
| 1101A |
Force Account - Daily Field Record |
Construction Field Services Division |
10/2000
|
Fillable
|
| 1105 |
Final Estimate Submittal Form (Project Let Prior To October 5, 2018) |
Construction Field Services Division |
08/2018
|
Fillable
|
| 1107 |
Daily Weight Record |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1107A |
Weigh Tickets Storage Envelope (9 X 12 BrownKraft) |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1108A |
Rainfall Record |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1110 |
Project Engineer Evaluation (Confidential) |
Construction Field Services Division |
03/2000
|
Fillable
|
| 1112D |
Record of Contract Modifications |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1113A |
Borrow Area Restoration Report |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1115 |
Concrete Pavement Warranty Cursory Inspection |
Construction Field Services Division |
08/2001
|
Fillable
|
| 1116 |
Weekly Statement Of Working Days Charged |
Construction Field Services Division |
02/2001
|
Fillable
|
| 1119D |
Damage Claim Notice |
Construction Field Services Division |
06/2015
|
Fillable
|
| 1120 |
Final Inspection/Acceptance |
Construction Field Services Division |
12/2016
|
Fillable
|
| 1122A |
Inspector's Daily Record Of Contract Removal Items |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1122B |
Inspector's Daily Report |
Construction Field Services Division |
03/2021
|
Fillable
|
| 1122C |
Inspector's Daily Report Worksheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1122C-2 |
Inspector's Daily Report Worksheet Continuation |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1124 |
Earthwork Data Sheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1125 |
Permit To Place |
Construction Field Services Division |
10/2017
|
Fillable
|
| 1126 |
National Pollutant Discharge Elimination System (NPDES) and Soil Erosion and Sedimentation Control (SESC) Inspection Report |
Construction Field Services Division |
01/2019
|
Fillable
|
| 1130 |
Progress Schedule |
Construction Field Services Division |
01/2018
|
Fillable
|
| 1131 |
Bridge Decks Concrete Depth Measurements |
BOBS - Bridge Construction |
11/2015
|
Fillable
|
| 1134 |
Superpave & Hot Mix Asphalt (First Cursory Inspection) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1134A |
Superpave & Hot Mix Asphalt (Second Cursory Inspection) |
Construction Field Services Division |
04/2018
|
Fillable
|
| 1134C |
Superpave & Hot Mix Asphalt (Detailed Inspection) |
Construction Field Services Division |
04/2018
|
Fillable
|
| 1137 |
Work Order |
Construction Field Services Division |
06/2020
|
Fillable
|
| 1138 |
Bridge Reinforcing Computations |
BOBS - Bridge Construction |
09/2020
|
Fillable
|
| 1143 |
Testing Earth Grade With Compactor |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1145 |
Grade Check |
Construction Field Services Division |
01/2011
|
Fillable
|
| 1147 |
Final Estimate Review Summary |
Construction Field Services Division |
01/2019
|
Fillable
|
| 1155 |
Weekly Summary Of Cert. Concrete/Comm. Central-Transit Mix |
Construction Field Services Division |
10/2017
|
Fillable
|
| 1156-T1 |
Minimum Wage Rate Interview Sheet Tier 1 |
Construction Field Services Division |
06/2018
|
Fillable
|
| 1156-T2 |
Minimum Wage Rate Interview Sheet Tier 2 |
Construction Field Services Division |
06/2010
|
Fillable
|
| 1157 |
Test Pile Record |
BOBS - Geotechnical Services Section |
02/2020
|
Fillable
|
| 1157A |
Pile Driving Table |
BOBS - Geotechnical Services Section |
10/2006
|
Fillable
|
| 1160 |
Report Of Modulus Of Rupture |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1160A |
Concrete Cylinder/Core Compression Test Results |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1161 |
Foundation Piling Record |
BOBS - Geotechnical Services Section |
02/2020
|
Fillable
|
| 1162 |
Winter Concrete Temperature Record |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1165 |
Notice of Non-Compliance with Contract Requirements |
Construction Field Services Division |
10/2018
|
Fillable
|
| 1167B |
Field Evaluation Of Warranty Performance Chip Seal CPM 2001 |
Construction Field Services Division |
02/2013
|
Fillable
|
| 1168 |
Force Account Worksheet For Equipment 1990 Specifications |
Construction Field Services Division |
10/2000
|
Fillable
|
| 1168-93 |
Force Account Worksheet For Equipment 1993 Spec. Provisions |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1174 |
Concrete Proportioning Plant Report |
Construction Field Services Division |
06/2005
|
Fillable
|
| 1175 |
Post Final Construction Estimates |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1178 |
Transfer Of Tested Materials Report |
Construction Field Services Division |
08/2001
|
Fillable
|
| 1182W |
Contractor Performance Evaluation - Warranty |
Construction Field Services Division |
08/2010
|
Fillable
|
| 1184 |
CPM-HMA overlay & ColdMill and HMA Overlay (Cursory Inspection) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1190 |
Structure - Clearance Measurements |
BOBS-Structure Management Section |
07/2018
|
Fillable
|
| 1190M |
Structure Clearance Measurements - Metric |
Design Division |
07/2001
|
Fillable
|
| 1193A |
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Longitudinal Cracking/Open Joint) |
Construction Field Services Division |
04/2018
|
Fillable
|
| 1193B |
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Debonding) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1193C |
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Raveling) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1193D |
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Flushing) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1193E |
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Rutting) |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1198 |
Volume Sheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1802 |
Bridge Painting Performance Warranty |
Construction Field Services Division |
03/2018
|
Fillable
|
| 1806 |
Theoretical Max. Spec. Gravity - Bituminous Paving Mixtures |
Construction Field Services Division |
07/2001
|
Fillable
|
| 1813 |
Submitted Mix Design Summary Sheet |
Construction Field Services Division |
02/2006
|
Fillable
|
| 1817D |
Asphaltic Material - Plant Samples - Worksheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1820 |
Contractor's Bituminous Mix Design Communications |
Construction Field Services Division |
02/2015
|
Fillable
|
| 1820C |
Bituminous Mixture Analysis - Worksheet |
Construction Field Services Division |
05/2000
|
Printable
|
| 1822 |
Marshall Mix Design Worksheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1829 |
Testing Of Bituminous Mixtures (Calcualtion Worksheet) |
Construction Field Services Division |
08/2002
|
Fillable
|
| 1831 |
JPCP/JRCP (Second Cursory Inspection - Worst Segments) |
Construction Field Services Division |
02/2013
|
Fillable
|
| 1839 |
Testing Of Bituminous Mixtures (Vacuum Worksheet) |
Construction Field Services Division |
09/2002
|
Fillable
|
| 1842 |
Independent Assurance |
Construction Field Services Division |
10/2019
|
Fillable
|
| 1843 |
Independent Assurance HMA Tests |
Construction Field Services Division |
10/2019
|
Fillable
|
| 1849 |
Marshall Mix Design Checklist |
Construction Field Services Division |
02/2015
|
Fillable
|
| 1851 |
Gyratory Conpacted Bulk Specific Gravity Worksheet |
Construction Field Services Division |
03/2008
|
Fillable
|
| 1855 |
Contractor's Superpave Bituminous Mix Design Communication |
Construction Field Services Division |
02/2015
|
Fillable
|
| 1858 |
Submitted Superpave Mix Design Summary Sheet |
Construction Field Services Division |
03/2008
|
Fillable
|
| 1859 |
Coarse Aggregate Gravity |
Construction Field Services Division |
03/2000
|
Fillable
|
| 1860 |
Fine Aggregate Gravity |
Construction Field Services Division |
03/2000
|
Fillable
|
| 1862 |
Superpave Mix Design Checklist |
Construction Field Services Division |
02/2015
|
Fillable
|
| 1867 |
Hot Mix Asphalt Certification Inspection Checklist |
Construction Field Services Division |
09/2002
|
Fillable
|
| 1871 |
Requesting Type II Noise Abatement |
Construction Field Services Division |
09/2011
|
Fillable
|
| 1878 |
Testing of Bituminous Mixtures |
Construction Field Services Division |
01/2004
|
Fillable
|
| 1879 |
RAP Stockpile Summary Data Sheet |
Construction Field Services Division |
06/2002
|
Fillable
|
| 1881 |
Concrete Deck Overlay Material Workmanship Warranty |
Construction Field Services Division |
03/2002
|
Fillable
|
| 1882 |
Modular Expansion Joint System |
Construction Field Services Division |
03/2002
|
Fillable
|
| 1884 |
JPCP/JRCP (First Cursory Inspection) |
Construction Field Services Division |
02/2013
|
Fillable
|
| 1885 |
JPCP/JRCP (Detail Inspection - Questionable Segments) |
Construction Field Services Division |
02/2013
|
Fillable
|
| 1886 |
Life Cycle Cost Anlayst Assumption Sheet |
Construction Field Services Division |
04/2003
|
Fillable
|
| 1900 |
Aggregate Inspection Daily Report |
Construction Field Services Division |
10/2017
|
Fillable
|
| 1901 |
Mechanical Analysis Report |
Construction Field Services Division |
08/2020
|
Fillable
|
| 1903 |
Daily Report of Bituminous Plant Inspection |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1903B |
Report of Quality Assurance Testing |
Construction Field Services Division |
04/2020
|
Fillable
|
| 1903C |
Daily Report of Contractor's Quality Control Tests |
Construction Field Services Division |
04/2020
|
Fillable
|
| 1905 |
Testing of Bituminous Mixtures (Centrifuge Worksheet) |
Construction Field Services Division |
08/2002
|
Fillable
|
| 1907 |
Report of Compacted Bituminous Mixture Core Density & Percent Compaction |
Construction Field Services Division |
10/2015
|
Fillable
|
| 1911 |
Job Mix Formula (JMF) Bituminous Field Communication |
Construction Field Services Division |
03/2014
|
Fillable
|
| 1912 |
Testing of Bituminous Mixtures Ignition Furnace Worksheet |
Construction Field Services Division |
08/2002
|
Fillable
|
| 1920 |
Field Report For Concrete Pipe |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1920A |
Field Report For Precast Drainage Items |
Construction Field Services Division |
09/2004
|
Fillable
|
| 1922 |
Shipment Of Tested Stock Report |
Construction Field Services Division |
07/2018
|
Fillable
|
| 1923B |
Sample Identification (Bituminous Materials) |
Construction Field Services Division |
03/2020
|
Fillable
|
| 1929 |
Welder Qualification Field Data Report |
BOBS - Structural Fabrication Unit |
10/2020
|
Fillable
|
| 1934 |
Daily Bituminous Plant & Street Communication Worksheet |
Construction Field Services Division |
05/2000
|
Fillable
|
| 1937 |
Tensile Strength Ratio (TSR) Worksheet |
Construction Field Services Division |
08/2004
|
Fillable
|
| 1951 |
Prevailing Wage Claim Form |
Construction Field Services Division |
05/2007
|
Fillable
|
| 1952 |
Certified Payroll Review Checklist |
Construction Field Services Division |
06/2010
|
Fillable
|
| 1954 |
Certified Payroll Status Log |
Construction Field Services Division |
07/2009
|
Fillable
|
| 1955 |
Contractor's Certified Payroll |
Construction Field Services Division |
08/2009
|
Fillable
|
| 1956 |
LRFD Pile and Driving Equipment Data |
BOBS - Geotechnical Services Section |
02/2020
|
Fillable
|
| 1960 |
Checklist for Constructability Review Project Development Phase |
Design Division |
10/2020
|
Fillable
|
| 1961 |
Checklist for Constructability Review Early Project Scoping |
Design Division |
03/2020
|
Fillable
|
| 1963 |
Interim Project File Review |
Construction Field Services Division |
04/2020
|
Fillable
|
| 1964 |
Local Agency Project Field Review |
Construction Field Services Division |
04/2015
|
Printable
|
| 1967 |
Jobsite Poster Inspection Checklist |
Construction Field Services Division |
08/2019
|
Fillable
|
| 1968 |
Sewage Disposal System Events Claim Information |
Construction Field Services Division |
08/2016
|
Fillable
|
| 1978 |
Proposed Ride Quality Excluded Areas |
Construction Field Services Division |
09/2011
|
Fillable
|
| CONEBLK |
One Point Michigan Cone Test Chart Black |
Construction Field Services Division |
11/2002
|
Printable
|
| CONEBLU |
One Point Michigan Cone Test Chart Blue |
Construction Field Services Division |
11/2002
|
Printable
|
| CP-347 |
Certified Payroll |
Construction Field Services Division |
07/2010
|
Fillable
|
| CP-347Instructions |
Instructions for Completion of CP-347 MDOT Certified Payroll |
Construction Field Services Division |
10/2009
|
Printable
|
| T-99BLK |
One Point T-99 Test Chart Black |
Construction Field Services Division |
11/2002
|
Printable
|
| T-99RED |
One Point T-99 Test Chart Red |
Construction Field Services Division |
11/2002
|
Printable
|
| WH-347 |
US Dept. of Labor, Payroll Form |
Construction Field Services Division |
|
Site Link
|
New or
Revised within the last 90 days. No.of Fillable or Printable forms:
145