Notice to Locals and Consultants

If you are looking for the Excel inspection worksheets they have been moved to the Local Systems Post-Letting Resources page, under Inspection Worksheets (Excel) heading.

Index to Pay Items

Index to English Item Forms Current as of December 2024 Letting

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Administration

Form Name and Number
Form Name and NumberPDFExcel
Preconstruction (Civil Rights) Talking PointsDownload 
Preconstruction Meeting Sign In SheetDownload 
Preconstruction Meeting NotesDownload 
Source of Materials List Download
Project Documentation ChecklistDownload 
Statement of Force Account (181213)Download 
DBE Commercially Useful Function Checklist (517014)Download 
Daily DBE Truck Tracking (650041)Download 
Certification of Subcontractor Payments (518002 for DocExpress)Download 
Certification of Subcontractor Payments (518002)Download 
EEO Project Site Inspection Wage Rate Report (650170)Download 
Notice of Suspension or Resumption of Work (810036)Download 
Co-Permittee Certification Statement (830215)Download 
Contract Quantity Agreement (830230)Download 
Interest Payment Information (830235)Download 
Non-Compliance Notice (830245)Download 
Audit of Final Pay Estimate (830301)Download 
Statement of Completion and Final Acceptance of Work (830435)Download 
Statement of Completion and Final Acceptance of Work (830435 - For Doc Express)Download 
Final Payment (830436)Download 
Final Payment (830436 - For Doc Express) Download 
Request for Early Retainage Funds (830246)  Download 
Request for Early Retainage Funds (830246 – For Doc Express) Download 
Noncomplying Tests or Measurements (CMApp 2-33) Download 
Equipment Log (E104)DownloadDownload
Fuel Adjustment (E105) Download
Trainee Reimbursement – Office Records (E128)DownloadDownload
Audit Forms (IM 101) Download
Blank Plan Sheet For As-BuiltsDownload 
Haul Road Request FormDownload 
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General Inspection

Form Name and Number
Form Name and NumberPDFExcel
Daily Diary Download
Project Index Download
Inspectors ChecklistDownloadDownload
Project InformationDownloadDownload
Identification of Sample Test (820193)Download 
Salvaged Project Materials (CMApp 3-1)Download 
Portable Scale Report (CMApp 3-7)Download 
Subdrain – Longitudinal (E022) Download
Sewers – Lines (E024) Download
Pavement Markings by Station (E026)DownloadDownload
Pavement Markings in Miles (E027) Download
Loop Detectors (E028) Download
Flaggers and Pilot Cars (E029)DownloadDownload
Mobilization (E030) Download
Trainee Reimbursement – Field (E032) Download
Measurement Drawings (E100)DownloadDownload
Clearing and Grubbing (E103)DownloadDownload
Scale Check (E106)DownloadDownload
Salvage & Removal of Buildings (E127)DownloadDownload
Intake & Utility Access Log (E132)DownloadDownload
Loop Detector Data Form (E133)DownloadDownload
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Generic Measurement Forms

Form Name and Number
Form Name and NumberPDFExcel
Generic – Station to Station (E001) Download
Area – Square Foot (E002) Download
Area – Square Yard (E003) Download
Volume – Cubic Yard (E004) Download
Lump Sum (E005) Download
Material – Required, Placed, Yield (E007) Download
Volume – Disposal (Boulders) (E009) Download
Lumber (E017) Download
Pipe (E018) Download
Remove and Reinstall (E025) Download
Remove and Relocate (E031) Download
Generic Blank (E039) Download
Generic Square (E040) Download
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Environmental

Form Name and Number
Form Name and NumberPDFExcel
Storm Water Site Inspection (830214)Download 
Co-Permittee Certification Statement (830215)Download 
Notice of Discontinuation (830216)Download 
Iowa DNR Abandoned Water Well Plugging Record (CMApp 10-6)Download 
Fertilizer and Mulch (E033) Download
Overseeding – Seed & Fertilizer (E034) Download
Native Grass and Wild Flowers (E035) Download
Ditch Control (E036) Download
Water Record (E037) Download
Landscape Plant Record (E038) Download
Tree & Shrub Furnish & Install (E041) Download
Erosion and Landscaping Measurements (E123)DownloadDownload
Incidental Seed, Mulch & Fertilizer (E136)DownloadDownload
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Grading

Form Name and Number
Form Name and NumberPDFExcel
Moisture and Density Nuclear Test Report (821258)Download 
Settlement Plate Data (CMApp 6-3) Download
Excavation Haul (E006) Download
Compaction – Moisture & Density (E008) Download
Overhaul (E010) Download
Removed & Placed (E011) Download
Excavation - % shrink, lift (E012) Download
Compaction – lift by Station (E013) Download
Compaction – lift by Miles (E014) Download
Compaction – lift by Tons (E015) Download
Field Moisture Test (E107)DownloadDownload
Proctor Test (E108) Download
Subgrade/Final Grade Check (E109)DownloadDownload
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Asphalt/Portland Cement Concrete

Form Name and Number
Form Name and NumberPDFExcel
Plant Monitor Documentation (CMApp 3-6)Download 
Full Depth Patches (E003Modified) Download
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Asphalt

Form Name and Number
Form Name and NumberPDFExcel
Asphalt Pavement Yield Checks (E019) Download
Prime and Tack (E020) Download
Asphalt QI (E042) Download
Asphalt Mat Temperatures (E121)DownloadDownload
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Portland Cement Concrete

Form Name and Number
Form Name and NumberPDFExcel
PCC Core Report Download
QMC Coarseness Workability CalculationsDownload 
Density of Plastic PC Concrete Nuclear Test Report (821297)Download 
Project Information Paver Inspection (830213)Download 
Daily PCC report (E023)DownloadDownload
Depth Checks (E110)DownloadDownload
PC Concrete Item Checklist (E111)DownloadDownload
Texture Tolerance Checks (E112)DownloadDownload
PC Concrete Beam Record (E114) Download
Air and Slump Tests (E115)DownloadDownload
Mobile Mixer Data (E120)DownloadDownload
PCC Pavement Field Page (E135)DownloadDownload
Tining/Grooving Depth Checks (E140)DownloadDownload
Maturity Record – Grade (E141)DownloadDownload
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Structures

Form Name and Number
Form Name and NumberPDFExcel
High Tension Guardrail LogDownload 
Fab Report (820260)Download 
Structural Steel – Project Site Inspection Report (820261)Download 
Log of Piling (830209)Download 
Log of Piling Driven By Formula (830210)Download 
Steel H-Pile Monitor Inspection Form (Materials IM 467.01 App C)Download 
Steel Sheet Piling Identification Report (Materials IM 467.02 App C)Download 
Steel Pipe Piles Monitor Inspection Form (Materials IM 467.03 App C)Download 
Pile Point Identification Report (Materials IM 468 App B)Download 
Pile Driving Data Sheet for Gravity Hammer (CMApp 11-5.1)Download 
Pile Driving Data Sheet for Power Hammer (CMApp 11-5.2)Download 
Drilled Shaft Field Report (CMApp 11-11.1)Download 
Drilled Shaft Concrete Report (CMApp 11-11.2)Download 
Rotational Capacity (Long bolts tested in Skidmore) (CMApp 11-13.1)Download 
Rotational Capacity (For bolts too short to be tested in a Skidmore) (CMApp 11-13.2)Download 
Guardrail Installation Checklist (CMApp 12-3)Download 
Overhead Sign Truss Checklist (CMApp12-8)Download 
Bridge Beam Placement (E016) Download
Piling Test (E021) Download
Structures (E043) Download
Piling Cutoff Log (E116)DownloadDownload
Pile Cutoffs – calculations (E117)DownloadDownload
Structural Steel Placement (E118)DownloadDownload
Bridge Deck Thickness and Cover Checks (E119)DownloadDownload
Bridge Deck Evaporation Report (E122) Download
Bridge Deck Observation Report (E139)DownloadDownload
Structures Weekly Grade Report (E145)DownloadDownload
Instructions for Structures Weekly Grade Report (E145)Download 
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Traffic Control/Safety

Form Name and Number
Form Name and NumberPDFExcel
Railroad Flagger Documentation Form Download
Traffic Control Evaluation Report (830437)Download 
Construction Work Zone Crash Report (CMApp 5-1)Download 
Work Zone Incident Report (CMApp 5-2)Download 
Severe/Fatal Accident Information (CMApp 5-5)Download 
Daily Traffic Control Diary (CMApp 5-11)DownloadDownload
Traffic Surveillance (E126)DownloadDownload
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Guides/References

Form Name
Form NamePDFLink
Digital Signature for PDF Forms - HelpDownload 
DOT Doc Express CookbookDownload 
DOT Doc Express User GuideDownload 
FieldBook CookbookDownload 
FieldBook User GuideDownload 
FieldManager CookbookDownload 
FieldManager User GuideDownload 
Fundamentals of SurveyingDownload 
iPad HelpDownload 

Links

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