Format for information for inspection of Ongoing /Completed Work

Panchayat (R&B) Sub Division

Valsad
Panchayat (R&B) Division :
Valsad
PART 1-Work Information(To be filled by) : )

1.1 GENERAL Workis: ONGOING COMPLETE

1.2 Date of inspection : 20/03/2020

1.3 Name Of Quality Monitor: N. C. Patel

1.4 NameofRoad: Bhagod Navinagri Naykiwad Road. Ta. & Dist.Valsad.

1.5 Start chainage: 0

1.5.a End chainage: 1.20

1.6 Package No: M.M.G.S.Y. 2018-19

1.7 Length: 1.20 Km,FlexiblePavement,0.00 Km.C.C./OtherPavement=Total 1.20 KM

1.8 Technical Sanction Cost: Rs 25,00,000/-

1.9 NameofAgency : Jayesh B. Padhiyar

1.10 DateofStartoftheWork: 01-10-2019

1.11 Stipulated Date of Completion: 30-06-2020

1.12ActualDateofCompletion(IfWorkCompleted): Work in Progress

1.13Name of officerPresent: N.B. Naik (DEE), A. M. Chaudhari (A.E)

1.14 Stage : Stage 2

2.0 Provision Made

PART 'A' PROVISION MADE IN THE ABOVE WORK

GSB C.D. Work
WMM Road Furniture
BBC
Carpet
Sealcoat
Asphalt Paint

PART 'B' POSIOTION OF WORK AT THE TIME OF INSPECTION

Work completed up to BT Surface

3.0INSPECTIONBYQA/QCORSENIOROFFICERSandACTIONTAKEN
(if provision inspection isdone)

Action Taken By Office

Date Of Visit Inspected by Observation
With Date

NA
PART-II- Observation of QM for Ongoing/Completed work
1.0QUALITYARRANGEMENT-Observations(InCaseOfOngingWorkOnly)

Observations:

Engineer Present or NOT

Whether
Whether Field Whether
Necessary
Laboratory Equipments
Sr No Equipments
Establishment have been
At Plant Site At Paver Site Available
(Y/N) Used(Y/N)
(Y/N)

1 - Y Y Y Y

*IfEngineerofAgencyisNotPresentonSiteThenProposedDissectionasperTenderClause(i.eRs1650
0/-Month)

Grading : “S”

2.0 ATTENTION TO QUALITY:(in Case Of Ongoing Works Only)

Observation - item 2a:Maintenance Of QC Registers:

Based on executed quantities WhetherQCRegisterpart|

whether all mandatory tests maintained as per
Sr No
conducts provisions
(YES/PARTLY/NO) (YES/PARTLY/NO)

1 YES YES

* Observation -item 2b:verification of test Results(P-Conforms,F-Does Not Conform);

Results of the TestResultasperQC Whether the test

test conducted Registeratthesame result recorded
Sr No Name Of Tests by QM at a location.(Mention the in QC register
defined location PageNo.ofQCRegister found correct?
(P / F / (N/A)) Also(P/F/(N/A))) (P / F / (N/A)

- - - - -

Grading : “NA”
 3.0GEOMETRICS:TheQMShouldTakeatleasttwomeasurementsin1KMlengthandiffoundthat
theRoadwayandCarriagewayisinadequate QMmaytakemoreobservation.
Observation -item 3 a:Roadway width & Carriageway.

Sr Carriageway Super Extra Junction

Chainage Camber Remarks
No Width(m) Elevation Widening improvement

1 0/170 3.00 OK OK NA NA
-
2 0/10 0/10 3.00 OK OK NA NA
Section 2 -

OBSERVATION REGARDING THE QUALITY OF ITEM OF WORK; “NA”

4.0 EARTHWORK :
OBSERVATION -item 4 a:Quality of Material for Embankment/Sub Grade:

On Visual Classification
Location Identifythegroupsymbol&Write Quality of Material is acceptable(Y/N)
(Type of soll)

N.A N.A N.A

Grading : N.A
OBSERVATION -item 4 b:Workmanship for Embankment and sub Grade Construction:

LABTEST(ASPerRecord) Engineer Present or NOT

Field
Moisture
Sr No Field
MDD Content Dry Density Compaction
CBR OMC % (%) Density
gm/cc gm/cc Adequate(Y/N)
gm/cc

N.A N.A N.A N.A N.A N.A N.A N.A

Grading :N.A

N.A.

OBSERVATION -item 4 c:Side,Slope And Profile:

YES NO N.A

1.Layer thickness of Spreading not Greater than 200mm. N.A

2.Rolling done by vibratory roller. N.A

3.Field Test, FDD ,& FMC is done or not. N.A

4.Register of Earthwork is Maintained or not N.A

5.LineLevel,Profile,Camber& Side slope is maintained or not N.A

Grading :N.A
5. Sub-Base(GSB)
Observation-QualityofmaterialandWorkmanship:
IfMixmaterialisused(MixDesignisdoneornot)NO

Whether
LAB TEST (AS Per
Suitable Compaction is
Record)
Confirms form Adequate(Y/N) Observed
Prescribed
Sr to plasticity Thickness
Thickness
No Grading angle of Layer(In
Provided(Y/N)
(Y/N) PI&LL( mm)
Y/N)

MDD OM
CBR FDD FMC
gm/cc C
%

NA

Grading :NA

6.0 Base Course

Observation - item No 6. Quality of material and Workmanship of WBM;

Filler
Volume of
material Whethe
Thickness filler
Aggregate is non- r
Location of each Thickness material
confirms to plastic Adequat Remarks
(Km) layer of is percent of
Grading(Y/N to e
WBM(MM) adequate(Y/N coarse
) desired compacti
) aggregate
extent onis
(Y/N) done
(Y/N)
NA NA NA NA NA NA NA -

Grading : NA

Observation - item No 6.(b) Quality of material and Workmanship of WMM;

• IfMixmaterialisused(MixDesignisdoneornot)NO

Filler
Volume of
material Whethe
Thickness filler
Aggregate is non- r
Location of each Thicknes material
confirms to plastic to Adequat Remarks
(Km) layer of s is percent of
Grading(Y/N) desired e
WMM adequate( coarse
extent compacti
Y/N) aggregate
(Y/N) onis
done
(Y/N)
NA

Grading : “NA”
7.0.BituminousCourse:PremixCarpet/SurfaceDressing/BM/BUSG/SealCoat/MSS;
QualityofMaterialAndWorkmanshipofBTLayer(InCaseofongoingWorks):

Whether Coarse
Write Mixing Temperature
Aggregate WhethertheBinderisof
Sr No Location and Whether it is in
confirm to approvedgrade(Y/N)
Permissible limits.(Y/N)
Grading(Y/N)

1 NA

7.0A Plant Site

YES NO N/A

1.0 Laboratory at plant Site Established N.A

2.0 Test Perform at Plant Site Lab N.A

2.1 Binder Content With Gradation N.A

2.2 Dry Mix Gradation N.A

2.3 Aggregate Test N.A

2.4 Bitumen Test N.A

2.5 Regular Temperature Check/Record N.A

3.0 Calibration of Asphalt Tank is done N.A

4.0 Temperature for Asphalt Mix Material N.A

4.1 Temperature for Asphalt Tank N.A

5.0 Technical Person for Testing Available or Not N.A

6.0 Vibrator Sensor Plate for Over Size Material N.A

 7.0 B : Paver Site

YES NO N/A

1.Required Roller is Available on site N.A

2.Temperature Of Mix Material at Laying N.A

Y
2.1 Camber Board Available or Not

Y
2.2 Site Cleaning is Properly Done

Y
2.3 Technical Staff / Sufficient Labour Available

2.4 Spreading of Tack Coat N.A

7.0 C : Bitumen Extraction Tests Performed at Plant Site at the time inspection:

Wt of
%
Mix Wt of Mix % Asphalt % Asphalt
Wt.ofAs Asphalt Remarks
with Without w.r.tAggr reqd.asper
phalt(gm) w.r.t Pass/Fail
Asphalt Asphalt(gm) egate Specification
Mix
(gm)

275 262.65 12. 4.49 4.71 4.50 Pass

35

Grading : S

8.1 Observations-WorkmanshipofBTlayer(Incaseofcompletedworks):(PaverSite)FOR
: BBC

Thick Whether
Write laying
ness Surface
andwhether
evennessis
Sr Location it is in
within Remarks
No (km) Whether permissible
Thickne acceptable
Thickness limit
ss in limit
is (Y/N)
mm (Y/N)
adequate(
Y/N)
1 0/170 37.50 Y Y Y -

2 0/10 37.50 Y Y Y -
Section 2

Grading : “S”
 8.1.BObservations - Workmanship of BT layer(In case of completed works):(Paver Site)
FOR :Carpet

Thickn Whether
Write laying
ess Surface
andwhether
evenness is
Sr Location it is in
within Remarks
No (km) Whether permissible
Thicknes acceptable
Thickness limit
s in limits
is (Y/N)
mm (Y/N)
adequate(Y/
N)
1 0/170 25 Y Y Y -

2 0/10 25 Y Y Y -
Section 2

Grading : “S”

Observations-WorkmanshipofBTlayer(Incaseofcompletedworks):(PaverSite)FOR:Sealcoat

Thickne Whether Write laying

ss Surface andwhether
Sr Location evenness is it is in
Remarks
No (km) Whether within permissible
Thickne
Thickness is acceptable limit
ss in
adequate(Y/N) (Y/N) (Y/N)
mm

1 0/170 12 Y Y Y

2 0/10 12 Y Y Y
Section 2

Grading : “S”

9.0 Observations - item No.8,Quality of Shoulders(In Case of completed Works.)

Whether Quality of Material Whether Camber is

Sr No Location Shoulder Material
is as Per Specification Maintained(Y/N)

NA
1
10.0 Cross Drainage Works:

Whether general Whether general Quality of

Quality of the Workmanship is
Sr No Location Type of CD
material is Acceptable.
acceptable (Y/N) (Y/N)

Grading :S

11.0 CC Pavements

Thickness

General Quality of General Quality of

Location
Sr No material is acceptable. workmanship
(km) Thickness Acceptable (Y/N) acceptable(Y/N)
in mm (Y/N)

N.A N.A N.A N.A N.A N.A

Grading : N.A
12.0 Road Furniture and Marking:

A Fixed Or Not Quality as per Specification

Village Name Board YES YES

Road Sign Board No

Junction Board No

Guard Stone/indicator Stone: No

200M Stone Fixed: No

Km Stone Fixed No

Logo Board YES YES

Main Information Board YES YES

Citizen Informatory Board NO

Grading : “S”

13.0 Other Observation,if Any:

-Work is completed with satisfaction.

14. COMPLIANCEFORFOLLOWINGOBSERVATIONAREREQUIRES

1) Para Nos. N.A

 15.0 GeneralObservationofSQL(Including the observations made during the interaction with
PIU Staff and contractor's/Consultant's Engineers):
-Work completed up to BT surface.

15.1 Observation about deficiency in project preparation (Give details observation about
deficiencies in generalanditems
whichhavebeenleftbutarerequiredaspersitecondition)
->NA

15.2 Whether the work has been complete or is in progress as perwork program or delay has
occurred.if delay has occurred,whether the liquidated damages have beenwithhold or recovered
->yes

15.3Whethertheworkhasbeencompletedwithinthesanctioncost,ifnotwhatistheactiontakenbythe
PIU(incaseofcompleteworks).
->yes

15.4Observation about the action taken by PIU on the inspecting officers including SQMs and
NQMs.(Clearly offer comments about the action on the observation f Department officers,State
Quality Monitors)
->NA

15.5CommentaboutdifferenceinobservationmadebyNQMs/SQMsinearlierinspection(theNQMShall
StudyearlierinspectionreportofNOMs/SQMs.ifAnyadnhisClearCommentsaboutthedifferencesin
observation,if any)
->NA

Grading : “S” :

Agency Rating : A
 - Overall Grading ofWork
The overall grading calculated on the basis of item and sub item wise grading is given below:

Awarded
Sr.no Item Sub Item
Grading

1 Quality Arrangements ------- S

(a) Maintenance of QC register S

2 Attention to Quality
(b) Verification of tests results N.A

3 Geometric (a) Roadway width & Carriageway S

(a) Quality of Material N.A

4 Earthwork (b) Testing of Material N.A

(c) Workmanship N.A

5 Sub Base - GSB ----- N.A.

(a) Base Course - WBM N.A

6 Base Course
(b)Base Course - WMM N.A.

Quality of Material S
S
(a) Information and tests at plant site
7 Bituminous Course
(b) Information and tests at paver site
S

(c) Bitumen Extraction test

S

S
(a) Bituminous Course A

(b) Bituminous Course B

S
8 Bituminous Course

S
(c)Bituminous Course C

9 Side shoulder ------- N.A

10 Cross Drainage Works ------- N.A.

11 C.C. Pavements ------- N.A

12 Road Furniture ------- S

Overall Grading S