Weekly Pipeline Reporting Form

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Pipeline Reporting

Contractor Name

Project Location

Superintendent Name

Steward Name

# of Hall Laborers

# of Company Laborers

Total Laborers

Any injuries sustained on the job?

Yes No

Any injuries sustained on the job?

Yes No

Laborer Name

Date

Any failed drug test?

Yes No

Laborer Name

Date

Additional Information

Steward Signature

Date

8441 Gulf Freeway
Houston, Texas 77017

2255 Hwy 418
Kountze, Texas 77625

Construction: Eastern Texas including Houston & Galveston

Pipeline: Local 350 has jurisdiction over all pipeline work in the states of Texas, Oklahoma and the southern portion of New Mexico.