Format for Information for Inspection of Ongoing / Completed Work

R & B Sub Division : Rajkot

R & B Division : Rajkot
Part - I - Work Information ( To be Filled by )
Work is Ongoing Completed

1.0 GENERAL
1.1 Date of Inspection: 22-12-2018
1.2 Name of Quality Monitor: J.N. Joshi
1.3 Name of Road: Vadali to lapasari road Ch. 4/600 to 6/000 km.
1.4 Package No: MMGSY/BUJ/16-17/P.04
1.5 Length: 1.380 Km.,Flexible Pavement, 0.020 Km.,C.C. / Other Pavement = Total 1.40 km
1.6 Technical Sanctioned Cost: Rs 4823900
1.7 Name of Agency: Madhuram construction - Junagadh
1.8 Date of Start of the Work: 11-06-2018
1.9 Stipulated Date of Completion: 15-06-2019
1.10 Actual Date of Completion ( If Work Completed ): Work in progress
1.11 Name of Officer Present: M.R. Parmar

2.0 Provision Made:

PART "A" PROVISION MADE IN THE ABOVE WORK

> Clearing and grubbing
> WBM: 150 mm thick
> Carpet: 25 mm thick
> Seal coat: 0.18 cu.mt/10 sq.mt
> Repairing of Minor bridge
> CD works: Box culvert of 2 nos. 1.5x.5 mt, Protection wall
> Side shoulder
> Road Furniture.
PART "B" POSITION OF WORK AT THE TIME OF INSPECTION
> Work completed upto WBM layer.

3.0 INSPECTION BY QM / QC or SENIOR OFFICERS and ACTION TAKEN

( If Previous Inspection is done )
Action taken By Office with
Inspected by Observation
Date of Visit Date
N.A N.A N.A N.A
PART - II - Observation of QM for Ongoing / Completed Work
QUALITY ARRANGEMENTS - OBSERVATIONS ( In case of Ongoing Work Only )

Observations:
Engineer Present or NOT Whether
Whether Field Whether Necessary
Sr. Equipments
Laboratory Equipments
No. At Plant Site At Paver Site have been
Establishment (Y/N) Available ( Y/N )
used (Y/N)
1 N.A N.A N.A N.A N.A

*If Engineer of Agency is Not present on site than Proposed Dissection as per Tender Clause. (i.e. Rs 16500/-
Month)
Grading: Grade: S SRI U

If this item is graded U, write clear reason and suggestion for Improvement.

2.0 ATTENTION TO QUALITY: (In Case of Ongoing works only)

Observation - Item 2a: Maintenance of QC Registers:
Based on executed quantities
Sr. No. whether all mandatory tests
conduct (YES/PARTLY/NO)
Whether QC Register
Whether QC Register part I part II maintained &
maintained as per provisions test results monitored
(YES/PARTLY/NO) as per provisions
(YES/PARTLY/NO)

1 YES YES YES

Observation - Item 2b: Verification of test Results ( P - Conforms, F - Does Not Conform ):
Test result as per QC
Results of the test
Register at the same Whether the test result
conducted by QM
Sr. No. Name of tests location. (Mention the recorded in QC register
at a defined
page No. of QC Register found correct? (Y/N)
location. (P/F)
also ) (P/F)
1 WBM Gradation test P/ P/110 Y
 Grading: Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.

3.0 GEOMETRICS: The QM should take at least two measurements in 1km length and if found that the
Roadway and Carraigeway is inadequate QM may take more observation:

Observations - Item 3 a: Roadway width & Carraigeway.

Sr. Carraigeway Extra Junction
Chainage Camber Superelevation Remarks
No. width Widening Improvement
1 4/700 3.80m N.A N.A N.A N.A N.A
Only WBM
2 5/200 3.78m N.A 5.180 mt N.A N.A N.A work
completed
3 5/800 3.79m N.A 5.150 mt N.A N.A N.A

OBSERVATION REGARDING THE QUALITY OF ITEM OF WORK:

4.0 EARTHWORK:
Observations: Item - 4 a : Quality of Material for Embankment / Sub Grade:
On Visual Classification Identify
Location the group symbol & write (Type Quality of material is acceptable. (Y/N)
of Soil )

5/000 Non plastic material Y

Grading: Grade: S SRI U

If this item is Graded, Write clear reasons and Suggestions for Improvement.
Observation - Item no. 4 b: Workmanship for Embankment and Sub Grade Construction:

LAB TEST
Degree of Compaction
(As Per Record) Field
Location
Moisture
(Km) Compaction
MDD OMC Content Field Density Dry Density
CBR Adequate.
gm/cc % gm/cc gm/cc
(Y/N)
N.A N.A N.A N.A N.A N.A N.A N.A

Grading : Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement

Observations - Item No. 4c, Side, Slope and Profile:

1. Layer thickness of Spreading not Greater than 200mm. YES NO
2. Rolling done by vibratory roller. YES NO
3. Field Test, FDD, & FMC is done or not. YES NO
4. Register of Earthwork is Maintained or not. YES NO
5. Line Level, Profile, Camber & Side slope is maintained or not. YES NO

Grading : Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement
5.0 Sub - Base (GSB)
Observation - Quality of material and Workmanship:
● If Mix material is used ( Mix Design is done or not )

Lab Test Whether

Suitable
( As Per Record ) Compaction is Observed Prescribed
Confirms from
Location Adequate Thickness Thickness
to grading Plasticity
(Km) (Y/N) of Layer Provided
MDD OMC (Y/N) angle PI &
CBR (in mm) (Y/N)
(gm/cc) % LL (Y/N) FDD FMC

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

Grading: Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.

6.0 Base Course:

Observation - Item No. 6: Quality of Material and Workmanship of WBM:
Filler
Thickness material is
Thicknes Aggregate Whether
of each non- Volume of filler
Location is confirms to Adequate
layer of plastic to material percent of Remarks
(km) adequate Grading compaction is
WBM desired coarse aggregate
(Y/N) (Y/N) done (Y/N)
(mm) extent
(Y/N)
4/700 152 Y Y Y 22.40% Y -

5/200 150 Y Y Y 22.40% Y -

5/500 155 Y Y Y 22.40% Y -

Grading: Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.
 7.0 Bituminous Course : Premix Carpet / Surface Dressing / BM / BUSG / Seal Coat / MSS:
Quality of material and workmanship of BT Layer (In case of Ongoing works ):

Whether Coarse Whether the binder is Write mixing temperature

Sr.
Location aggregate confirms to of approved grade. and whether it is in
No.
grading. (Y/N) (Y/N) Permissible limits. (Y/N)

NA

7.0 A Plant site:

Yes No
1.0 Laboratory at plant site Established
2.0 Test Perform at plant site Lab
2.1 Binder Content with Gradation
2.2 Dry Mix Gradation
2.3 Aggregate Test
2.4 Bitumen Test
2.5 Regular Temperature check / Record
NA
3.0 Calibration of Asphalt tank is done.
4.0 Temperature for Asphalt Mix Material
4.1 Temperature for Asphalt Tank
5.0 Technical Person for Testing Available or not
6.0 Vibrator Sensor plate for over size material

7.0 B Paver site:

Yes No
1.0 Required roller is available on site
2.0 Temperature of Mix Material at Laying
2.1 Camber Board available or not
2.2 Site cleaning is Properly done
NA
2.3 Technical Staff / Sufficient Labour Available
2.4 Spreading of Tack Coat

7.0 C Bitumen Extraction Tests Performed at Plant site at the time of Inspection:
Wt. of mix
% Asphalt % Asphalt
with Wt. of mix without Wt. of % Asphalt Remarks
w.r.t reqd as per
Asphalt Asphalt (gm) Asphalt w.r.t Mix Pass/Fail
Aggregate Specification
(gm)

NA
 Grading : Grade: S SRI U
If this item is Graded U, Write clear reasons and Suggestions for Improvement.

8.0 Observations - Workmanship of BT layer ( In case of completed works ): ( Paver Site)

Thickness Whether surface Write laying and

Remarks
Sr. Location Whether evenness is within whether it is in
Thickness in (BSG+BM+MSS)
No. (km) Thickness is acceptable limits permissible limit
mm (Y/N) (Y/N)
adquate. (Y/N)

NA

Grading : Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.

9.0 Observations - Item No.8, Quality of Shoulders (In case of completed works)

Whether Quality of
Sr. Whether Camber is
Location Shoulder Material Material is as per
No. maintained. (Y/N)
Specification

NA
10.0 Cross Drainage Works:
Whether General Whether general
Sr. Quality of the quality of
Location Type of CD
No. material is workmanship is
acceptable. (Y/N) acceptable. (Y/N)

N.A

Grading Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.

11.0 C.C. Pavements

Thickness General quality of
Sr. General quality of material is
Location Thickness in Acceptable Workmanship
No. acceptable. (Y/N)
mm (Y/N) acceptable. (Y/N)

NA

Grading Grade: S SRI U

If this item is Graded U, Write clear reasons and Suggestions for Improvement.

12.0 Road Furniture & Markings:

(b) Quality as per
(a) Fixed or Not
Specification
1. Village Name Board: Yes No Yes No
2. Road Sign Board: Yes No Yes No
3. Junction Board: Yes No Yes No
4. Guard stone / Indicator Stone: Yes No Yes No
5. 200m Stone fixed: Yes No Yes No
6. Km stone Fixed: Yes No Yes No
7. Main information Board: Yes No Yes No
8. Citizen information Board: Yes No Yes No
9. Logo board: Yes No Yes No
 Grading Grade: S SRI U
If this item is Graded U, Write clear reasons and Suggestions for Improvement.

Road furniture yet to be done.

13.0 Other Observation, If any:

>> QC register is maintained regularly.

>> Work is in progress.
>> WBM layer is completed.
>> Main information board is fixed.

14.0 COMPLIANCE FOR FOLLOWING OBSERVATIONS ARE REQUIRED:

(1) Para Nos. -

(2) Para Nos. -

(3) Para Nos. -

(4) Para Nos. -

 General Observation of SQM (including the observations made during the interaction with PIU staff
15.0
and Contractor's / Consultant's Engineers):

PIU staff and contractor's engineers were present at road site and they
were checked all measurements.
Observations about deficiency in project preparation (Give detailed observations about deficiencies
in general and items which have been left but are required as per site conditions ):

No deficiencies found.

Whether the work has been complete or is in progress as per work program or delay has occurred. If
15.2
delay has occurred, whether the liquidated damages have been withhold or recovered.

Work is in progress.

Whether the work has been completed within the sanctioned cost, if not, what is the action taken by
15.3
the PIU (In case of Complete works).

Work is in progress and no extra cost claimed.

Observations about the action taken by the PIU on the inspecting officers including SQM's and NQMs.
15.4 (Clearly offer comments about the action on the observations of Departmental Officers, State Quality
Monitors).

NA

Comments about difference in observations made by NQMs/SQMs in earlier inspection (the NQM
15.5 shall study earlier inspection reports of NQMs/SQMs, if any and offer his clear comments about the
differences in observations, if any).

NA
 SITE PHOTOGRAPHS

Main information board Measuring width of road

Measuring width of road Checking thickness of road

Checking thickness of road Measuring width of road

Geo test house