Pantry statewide form changes
Last updated: 2024-05-01
Refer to this page to see a list of the changes made to the Construction documentation used to administer a construction contract.
File name |
Description of change(s) |
---|---|
QMP Template Forms | |
Form changes and new form |
The following form updates were made:
New forms: CIRSum.docx for Cold In-Place REcylcing Summary (155 report). ConcBarrSum.docx for QMP Concrete Barrier Testing Summary (155 report). HMAPWLSum.docx for PWL HMA Mix and Density Testing Summary (155 report). HMAQMPSum.docx for QMP HMA Mix and Density Testing Summary (155 report). MillRelay_PulbRelayCmpctSum.docx for QMP Mill and Relay Compaction and Pulverize and Relay Compaction Summary (155 report). SubgradeSum.docx for QMP Subgrade Summary (155 report). |
NonConformance_NonPerformanceAddendum.docx |
|
NonPerformance_NonConformanceConcurrence.docx |
|
A-Z Forms | |
WeeklyProgressMeetingAgenda.docx | Weekly Progress Meeting Agenda updated to include Buy America certifications under the Materials section |
Utility Relocation Claim Assessment Notice.docx | New Utility Relocation Claim Assessment Notice |
Utility Relocation Claim Documentation Checklist.docx | New Utility Relocation Claim Documentation Checklist |
Utility Relocation Claim Notice of Receipt of Claim.docx | New Utility Relocation Claim Notice of Receipt of Claim |
LineOfCommunication.docx |
Removed the FAX line from the Line of Communication form. Replaced LineOfCommunication.dotm with LineOfCommunication.docx |
Removed the outdated Utility Conflict Documentation Report and the Utility Conflict Documentation Report Instruction Presentation from 2021. | |
GuardrailPostSamplingDataForm.xlsx | An updated version of the Guardrail Post Sampling Data form has been posted. |
HMA_PWL_PrePaveAgenda.docm | Added Statewide IRI Ride contact Chris Norton to the Region DOT Pavement & Material Contacts table at the bottom of the agenda. |
HMAPrePaveAgenda.docm | Added Statewide IRI Ride contact Chris Norton to the Region DOT Pavement & Material Contacts table at the bottom of the agenda. |
DT Forms | |
File name |
Description of change(s) |
---|---|
QMP Template Forms | |
A-Z Forms | |
Form changes from the Wisconsin Department of Natural Resources - Handling Waste from Demolished Structures web page | Posted an updated copy of the Notification for Demolition and/or Renovation (Form 4500-113) |
CurbRampComplianceForm.pdf. | Posted an updated copy of the form. |
IRIRideProfileNotificationTemplate.docx | Used by contractors to notify WisDOT staff when IRI ride Profiling is taking place on a contract. |
DT Forms | |
File name |
Description of change(s) |
---|---|
All Statewide Forms | |
QMP Template Forms | |
A-Z Forms | |
CurbRampComplianceForm.pdf | Updated in 2022, Curb Ramp Compliance Post Construction Report Instructions |
Form changes | Moved the HMA PWL Pre-Pave Meeting and the HMA Pre-Pave Meeting forms from QMP Template Forms to Forms beginning with G-L. |
DT Forms | |
Posted the Buy America Certification (Contracts let prior to the November 2022 letting) |
File name |
Description of change(s) |
---|---|
All Statewide Forms | |
QMP Template Forms | |
A-Z Forms | |
BenchMarks.docm | Updated in 2021, new format |
DT2075 - Final Construction Project Record Checklist |
DT2075 form updated for AWP Construction. Go to Statewide Manuals and Guides for the FieldManager version of this checklist. |
File name |
Description of change(s) |
---|---|
All Statewide Forms | Reformatted using tables and added a description to each form to help staff using the AWPKB search feature to locate forms. |
QMP Template Forms | |
BADCmpctSum.docx | This form replaces BaseAggCompactionTemplate.dotm |
BaseAggEx.pdf | Removed form |
BadSmallQtySum.docx | New form |
BADSum.docx | This form replaces BaseAggTemplate.pdf |
BGQVSum.docx | This form replaces BeamGuardQVSum.dotm |
BeamGuardSumEx.pdf | Removed form |
ConcAncQVSum.docx | This form replaces PCCAncSumTemplate.dotm |
ConcPvmtSum.docx | This form replaces PCCPvmtSumTemplate.dotm |
ConcPvmtThickSum.docx | New form |
ConcStrucSum.docx | This form replaces PCCStrucSumTemplate.dotm |
HMAMixtureSumEx.pdf | Removed form |
HMAMixDensitySum.docx | This form replaces HMAMixtureSumTemplate.dotm |
HMANucDensitySumTemplate.dotm | Removed form |
IRISummary.ex.pdf | Removed form |
IRISum.docx | This form replaces IRISummaryTemplate.dotm |
MSEWallNucDensitySum.docx | New form |
NonConformance_NonPerformanceAddendum.docx and NonPerformance_NonConformanceConcurrence.docx | These forms replace NonPerformanceQMP.docm |
PCCAncSumEx.pdf | Removed form |
PCCPvmtSumEx.pdf | Removed form |
PCCStrucSumEx.pdf | Removed form |
A-Z Forms | |
DT4567 - Buy America Certification |
Removed link to the Buy America Cert form - WS4567 replacing with the new Buy America Certification form - DT4567. |
ConcBrdgDeckPrePourAgenda.docm | This form replaces ConcBrdgDeckPrePourMtg.dotm |
ConcBrdgSubStrucPrePourAgenda.docm | This form replaces ConcBrdgStructurePrePourMtg.dotm |
ConcreteDeckPourAuthorization(StructureNo).doc | Updated form |
CurbRampComplianceForm.pdf | Updated form |
RandNoBAD1.xlsx | New form |
RecycledAsphalticBinderChangeRequest.xlsx | New form |
Yield Calc&Asphalt Paving Diary Example.xlsx | New form |
DT2337 - Contractor's Field Welding Plan | This form has been posted on the Pantry Statewide forms page under DT Forms. |
DT2320 - Field Welding Inspection Checklist |
This form has been posted on the Pantry Statewide forms page under DT Forms. |
DT1072 - Erosion And Sediment Inspection | The DT1072 Erosion And Sediment Inspection form has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
DT1074 - Erosion Control Order | The DT1074 Erosion Control Order form has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
DT2075 - Finals Construction Project Checklist | The DT2075 Finals Construction Project Checklist has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
DT2355 - Contract Modification Justification | The Pantry CMJ form has been replaced with the new DT2355 Contract Modification Justification and is posted on the Pantry Statewide forms page under DT Forms. |
Damaged Girder Incident Report |
This form has been posted on the Pantry Statewide forms page under A-F Forms. |
DT1011- DBE Commercially Userful Function Review and Certification | This form has been posted on the Pantry Statewide forms page under DT Forms. |
File name |
Description of change(s) |
---|---|
DT Forms |
Note: All DT form links updated to the official WisDOT Forms page on the Wisconsin Department of Transportation web site. |
New Erosion Control Implementation Plan (ECIP) - DT1073 | Replaced the Erosion Control Implementation Plan (ECIP) Worksheet - WS1073.dotm with the new Erosion Control Implementation Plan (ECIP) - DT1073 |
FaxTransmittalDT1455.dotm |
Removed from AWPKB Pantry Statewide Forms DT Forms - Folks don't fax anymore, regions have their own if needed. |
ConstrPermitREDT1732.dotm |
Removed DT1732 which is now RE1732 (Real Estate form), use ConstrPermit.dotm in A-F (PDS PM/PE use in Constr) |
General Material Sample Tag - DT1499 | Added DT1499 per Chris Fredrick; This is a general sample tag used in construction when submitting materials to be tested. BTS is no longer printing these tags for projects to use and requires each project to print them. |
QMP Forms (All TSS Forms - Matls/Labs) | |
NonPerformanceQMP.docm | Added NonPerformanceQMP form |
HMA_PWL_PrePaveAgenda.docm | Updated form from Anne Wallace provided with statewide approval |
HMAPrePaveAgenda.docm | Updated form from Anne Wallace provided with statewide approval |
WS Forms | |
Erosion Control Implementation Plan (ECIP) Worksheet replacement | Replaced the Erosion Control Implementation Plan (ECIP) Worksheet - WS1073.dotm with the new Erosion Control Implementation Plan (ECIP) - DT1073 |
All WS forms | Renamed using the Construction & Materials Manual naming standard of WS#### where #### is the form number. |
BuyAmericaExcemption.xls | Added BuyAmericaExcemption form, Change PL to PM on form |
ConcPvmtThicknessLogWS5019.xltm | Removed form |
PlacementTestSiteSampleLocationsWS3013.dotm | Removed form |
PreconMtgAgendaWS1030.dotm | Added one more agenda topic regarding curb ramps to the Precon Meeting agenda |
Statewide Forms beginning with A-F | |
BenchMarks.dotm | Updated for 2019 |
CMJ.dotm | Updated for 2019 |
CorrespondenceMemo.dotm | Removed form |
ClaimSubmittalForm.dotm | Removed form |
CRIConceptEvaluation.docx | Added this new form for Cost Reduction Incentive (CRI) validation process for review of all CRI concepts submitted by contractors. Updated 5/29/2019 |
CurbRampComplianceForm.pdf | New form added May 2019; Updated 5/22/2019; Updated 9/14/2020; Updated 11/25/2020 |
Statewide Forms beginning with G-L |
|
GuardrailPostSamplingDataForm.xlsx | Added the Guardrail Post Sampling sheet to align with SS 614.3.2.1(4) to sample guardrail posts after installation. |
Statewide Forms beginning with M-R | |
RRPreconChecklist.docx | Updated form from SWR Matls Supr Anne Wallce with statewide approval |
SuspensionofWork.dotm | Removed form |
Statewide Forms beginning with S-Z | |
WPDESNoticeofTerminationForm3400162 |
Replaced form with link to new DNR process on their website |
WPDESNoticeofTerminationInstructions | Replaced with link to new DNR guidance |
WisDOT HMA PWL Guide | This guide was added on the Statewide Manual and Guides page to accompany the HMA PWL spreadsheets posted on the site. |
File name |
Description of change(s) |
---|---|
Statewide Forms | |
BrdgVertHrzClear |
Project Leader to Project Engineer & revision date |
BrdgVertHrzClearDividedHwy | Project Leader to Project Engineer & revision date |
ClaimSubmittalForm | Project Leader to Project Engineer & revision date |
CMJ | Project Leader to Project Engineer & revision date |
ConcBrdgDeckPrePourMtg | Project Leader to Project Engineer & revision date |
ConcBrdgSubStructurePrePourMtg | Project Leader to Project Engineer & revision date |
ConcPavingPrePourMtg | Project Leader to Project Engineer & revision date |
ElastoExpDeviceInstallData | Project Leader to Project Engineer & revision date |
HMAPrePaveMtg | Spelled out engineer vs eng. & revision date |
LineOfCommunication | Project Leader to Project Engineer & fixed formatting & revision date |
MtgNotes | Project Leader to Project Engineer & revision date |
RRChklst | Project Leader to Project Engineer & revision date |
SignBrdgVertClear | Project Leader to Project Engineer & reversed cantilever structure picture & revision date |
SignStrucSignalLeftVertClear | Project Leader to Project Engineer & revision date |
SignStrucSignalRightVertClear | Project Leader to Project Engineer & revision date |
UtilConflictRptProjMgr | Project Leader to Project Engineer & revision date |
UtilConflictRptUtilCo | Project Leader to Project Engineer & revision date |
WeeklyProgressMtgAgenda | Project Leader to Project Engineer & removed highighting & revision date |
WPDESNoticeofTerminationForm3400162 |
New form added |
WPDESNoticeofTerminationInstructions | Instructions for new form added |
DT Forms | |
AncStrucPreInstallVerifTestOfHighStrengthBoltsDT2322 |
File opened as a blank document, replaced with file from DOTNET |
ConcCylinderTestData28DayBreakCardDT1308 | Requested owner to fix formatting, no issues found. Had others try, no issues. Not sure why 3 of us statewide in different regions had issues when we tried? Left as is. |
ConstrPermitREDT1732 | NO longer a DT form - removed |
ContRFILogDT2501 | Project Leader to Project Engineer & revision date |
FinalConstrProjRecChklstDT2075 | Project Leader to Project Engineer & revision date |
HMASampleTagDT1352 | New version |
ProjTeamsEvalOfTheContrDT2510 | Project Leader to Project Engineer & revision date |
RFIDT2502 | Project Leader to Project Engineer & revision date |
SubletRequesteDBESubletPurchaseRepDT1925 | Removed |
WS Forms | |
BuyAmericaCertWS4567 | Project Leader to Project Engineer & revision date |
ConcMixDesignWS5014 | Project Leader to Project Engineer & revision date |
ECDiaryInspectionFormWS1072 | Spelled out engineer vs eng. & revision date |
ECIPWkstWS1073 | Project Leader to Project Engineer & revision date |
PlacementTestSiteSampleLocationsWS3013 | Form came up blank - replaced with an older version |
PreconMtgAgendaWS1030 | Project Leader to Project Engineer & added reminder to enter production rates & revision date |
ProdSampleLocationsWS3011 | Form came up blank - replaced with an older version |
ProgressMtgNotesWS1050 | Fixed formatting |
SieveAnalysisForConcAggWS5015 | Changed Ws to Ww and #16 1.16 to 1.18 |