JDAC Daily Support Tracking Form
Revi
sed December 2017
PCN: _____________________ Project Name: ________________________
Form Submitter’s Company Name: ________________________________
Form Submitter’s Printed Name: ___________________________________ Form Submitter’s Signature: ________________________________________
Contractor to complete
WMATA Employee to Complete
During WMATA’s Safety Briefing
Day Date Military Time
Start/End
Work Activity
List any comments
about the work
activity. If work
activity didn’t occur,
state the reason.
Employee’s
Shift
Start
Date Department
Print Full Name
Legibly
Initial
Thurs 02-11-16 0030-0430
Installing
monitoring points
No comments Wed 02-10-16
TASS
POWR
OTHER
Specify ________
Joe Smith
Jane Taylor
JS
JT
TRST
POWR
PLNT
COMM
IT
OTHER
Specify ________
PLEASE READ:
(1) Contractor must submit this completed form by e-mail to the assigned JDAC Engineer and JDAC Facilitator by 9:00 AM of the following
business day after the completed supported activity.
(2) All support cancellations are due via email by 9:00 am to the assigned JDAC PM, Engineer and Facilitator prior to the day for the requested
support for your project will be subjected to incur support charges.
SAMPLE