Checklist for PMGSY III – DPR Checking

District …………Block (Gen/Tribal)……….……….. Number of Habitations connected …………

Name of candidate Road…………………………… Length…………km

Cost (Excluding Maintenance) Rs. ………lakhs Maintenance cost Rs. ………lakhs

Name of Terminating Village …………….. Name of on the way

village(s)……………………..

Total Population Benefited/served Passenger Car Unit (PCU)……………………..

(as per year 2011 census).……………….

Proposed Width of carriageway………...(m)

S. Items Description/fill up Remarks

N appropriate related
o. information

1. (a) Is DPR Prepared on New DPR Template Yes/No

(b) Indexing & paging done

2. Cost per km (Excluding maintenance Rs……..lakh per km)

3. CD Details :-
(a) Nos of existing CDs
(b) Condition of existing CDs
(c) Photographs attached of existing CDs (both U/S & D/S Yes/No
Side)
(d) Are New CD required and proposed (List may be
attached)
Nos of required New CD, if yes, location at -
Chainage………………
Size……………………
Type…………………..
(e) Are any modification, protection work or additional Yes/No/Not Required
work on existing CD required (List may be attached)

(f) If required, Cost and no. of CD where provided

Rs. …………….Lakh,………..Nos.

4. (a) Length of BT surface…………..km Proposed Pavement

details –
--------------------
GSB…………..mm
WBM G-2…… mm,
WBM G-3….... mm,
( or WMM)---------------
BT Surface---------------
-----------------------------
-----------------------------
----

Conti….

----2---
District ……………………Block……….……….. Name of
Road……………………………………..
S. Items Description/fill up Remarks
No. appropriate related
information
(b) Length of CC pavement
 New proposed ……………km
 Existing……………………km Rigid pavement of
 Total……………………….km M30 CC…….mm
 CC pavement in habitation area along with paved  Yes/No/Not GSB …..……mm
width………….m
shoulder & side drain provided Required
(d) Total of a+b ……….km

5. Width of existing Road way (Top formation width available)

(a) Maximum ……………………meter
(b) Minimum…………………….meter
(c) Average………………………meter

Proposed Width of Road way ………………meter

Proposed Carriageway Width ……………..meter

6. Is 3% additional quantity for G-2, G-3, BT, CC taken for extra Yes/No
width.
7. Junction with main Road (T Junction) Yes/No/Not Required
(a) Flared Junction has been developed at Start Point

(b) Start point at Junction CD available or proposed

(c) Speed brakers provided with sign Board at starting point and Yes/No/Not Required
Board for T junction.
8. Speed brakers and sign board at school/at habitation area/or Yes/No/Not Required
critical places where required are provided & total Nos of speed
brakers.
9. (a) Habitation/Village name board provided Yes/No
(b) Curve signage at sharp curves provided Yes/No
(c) guard stones on outer side of curve and at high embankment Yes/No
provided

(d) Warning/ Cautionary Board provided before VCW

(e) Any accident prone/black spot is found like blind and sharp Yes/No
curves open well without parapet wall just side of the road,
electric pole/ hand pump/tree at road way, CD without wheel
guard, steep gradient etc.
If yes, location and type …………
Kind of mitigation measured proposed (like speed limit board,
parapet, guard stones, painting on obstruction like tree, pole etc.,
raising/shifting electric line. )……give note on it

Conti….

----3---
 District ……………………Block……….……….. Name of
Road……………………………………..
S. Items Description/fill up Remarks
No. appropriate related
information
10. Is private land required Yes/No/Not Required
(a) Land owner willing to donate land
(b) If “yes” MOU from private land owner for voluntary donation Yes/No
obtained in prescribed format.
11. Is ECOP (Environment Checklist (IEE) format and Road specific Yes/No
EMP filled up)
12. Is on the way kaccha road Junction with side roads developed for Yes/No/Not Required
5-6 m by earthen ramp in proper gradient and pipes for drain
crossing provided
13. Is road passes through forest
(a) If ‘Yes’ forest land width available in forest area……...m Yes/No
(b) Forest permission obtained. Yes/No/Not Required
(c) Is road passes through wild life/sanctuary/National park/other Yes/No/Not Required
sensitive area
14. Is irrigation crossing pipes (CC Hume pipe) provided at 200 m C/C Yes/No/Not Required
at agriculture area.
15. (a) Is Transect walk done Yes/No
(b) Female representative involved
16. Is community consultation done and social screen format filled up. Yes/No Female representative from
village to be included in
consultation compulsorily
17. Suggestions given by community incorporated in design if yes then
give description
18. Photographs (taken and attached)
Yes/No
 @ 100 meter
 Transect walk Yes/No
 Existing CD Yes/No
 New CD location Yes/No/Not Required
19. Is Transect Walk strip plan prepared which capturing features 10 m Yes/No
both side of centre line showing on strip plan MAP and attached
duly signed.
20. Is Road Safety Audit done/ Road Safety Checklist duly filled up. Yes/No
21. Is design brief duly filled up. Yes/No
22 Is permanent BM & TBM marked at site and shown on drawing. Yes/No
23. Is L – Section and cross section attached Yes/No
24. Is below Social COMMUNITY PARTICIPATION
FRAMEWORK report format annexure (CPF document)
1 to 6 filled up
(a) Format annexure 1 TO 6 (CPF document) Yes/No

(b) Land requirement and impacts

(c) Proposed ROW
(d) Additional land requirement
(e) Summary of impacts
(f) Outcomes of Consultation/Incorporation in design

Conti….

----4---
 District ……………………Block……….……….. Name of
Road……………………………………..

25 Utility Shifting (para 13)

(a) Electric line, water supply pipe line, sewage pipe line, Yes/No/Not Required
community structures /utilities relocation considered and taken
in estimate
(b) Hand Pumps and others Yes/No/Not Required
26. (a) CBR Test and Soil test at existing Sub-Grade at required
frequency done and and attached.
(b) Average of CBR of existing Sub-Grade
(c) Average Thickness available ………mm
27. 7 days traffic survey done and sheet attached Yes/No
28 Traffic volume ESAL…………………………………………..

29. Passenger Car Unit (PCU)………………………………..

30. Pavement Design B.T./C.C. attached Yes/No
31. Design of the horizontal Curves and speed limit, extra width, super Yes/No
elevation is tabulated
32. Is the DPR CHECKLIST prepared and attached Yes/No
33. Is the Community Consultation Checklist – Engineering Yes/No
34. 10 Photographs of Transect walk and Photographs of community Yes/No
consultation.
35. Carriageway width of Joining start point Road and End point Road
36. a) Innovative Technology used ---------------- Yes/No
b) If used, type of Innovative Technology ----------------
Length --------------------------
37. Any other information, if required ----------- Yes/No

(Signature) (Signature) (Signature)

DPR Consultant Assistant Manager General

(Name of Firm) /sub Engineer Manager
……………………………… PIU........................ PIU..........................

Note :

1. Please initial in each page

2. Please prepare this format on the basis of DPR of respective road and relevant information to be filled
up correctly and realistic.

Remark by DPR checking authority - OK / Needs improvement /Not acceptable

1. OK/Acceptable
2. Needs improvement (Please Specify)
...…………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
…………
3. Not acceptable (Please Specify)
………………………………………………………....................................
…………………………………………………………………………………………………………………
…
…………………………………………………………………………………………………………………
…