D.O. No.

___, series of 2016 ANNEX B

DA-BOD Form No. 1
Date: September 21, 2016, Issue No. 1
Page 20 of 45

Republic of the Philippines

DEPARTMENT OF PUBLIC OF WORKS AND HIGHWAYS
BUREAU OF DESIGN
Manila

PROJECT DESIGN AUDIT REPORT

1. Project Information:

Name of Project:

Location:  
Contractor (if any):  
Project Cost:  
Implementing Office (if any):  
Design Engineer:  
Reviewed/Checked:  
Approved:  

2. Findings/Observations:

3. Recommendations:

4. Annexes

Prepared by:

   
Team Leader Member
 D.O. No. ___, series of 2016 ANNEX B
DA-BOD Form No. 1
Date: September 21, 2016, Issue No. 1
Page 20 of 45
Republic of the Philippines
DEPARTMENT OF PUBLIC OF WORKS AND HIGHWAYS
BUREAU OF DESIGN
Manila
CHECKLISTS FOR VARIATION ORDER
(HIGHWAY PROJECT)
Regional Office No.   Dist. Engineering Office No  
Name of Project :

I. Variation from the Original Plan (5%) Yes No   Remarks

Select One of the Following:    

  1. Compliance (same scope of work) 5.0%      

• Same Project Limits/Stations and Length  
  • Same Items of Work      

  2. Compliance (with deviation from scope of work) 2.5%      

• Within +/- 5% Adjustments in Project Limits/Stations
• Within +/- 5% Decrease/Increase in Project Length  
  • Within +/- 5% change in quantity for major items of work      
• New Work Items are introduced/ work items deleted
* Major Items = 20% of Project Cost

  3. Non-Compliance 0.0%      
• Different Project Limits/Station (Outside the Original Project Limits)
• Change in Type of Surface Pavement (e.g. conc. to asphalt)  
  • More than +/- 5% Adjustments in Project Limits/Stations      
• More than +/- 5% Decrease/Increase in Project Length

Rating 0.00  

II. Cost (5%) Yes No   Remarks

Select One of the Following:    

1. No change in cost (same scope of work) 5.0%        

2. No change in cost (with deviation in scope of work) 3.0%        

3. With change in cost up to +/-10% (same scope of work) 2.0%        

  1.0%
4. With change in cost up to +/-10% (with deviation in
       
scope of work)

5. With change in cost of more than 10% and/or negative 0.0%

       
change in cost due to deviation of scope of work
Rating 0.00  

_______Name_______ _______Name_______ _______Name_______

MM/DD/YYYY
Designation Designation Designation

Team Leader Team Member Regional Team Leader Date