Addis Ababa Science & Technology University

Unpaved Road Condition Survey Form

District Name : ------------------------Segment: From ---------------------to ------------ Road Length:---------
Assessed by :------------------------ Sign: ------------ Assessment Date:---------------

Carriageway Drainage Condition Shoulder Condition

Road Sec.

Road Section Improper

Loose Remark
Chainages (km) Pot Holes Rutting Corrugation Dustiness Gullies Stoniness Crown
No

Left Right Left Right

Gravel
Shape
Start End Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex Sv Ex