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Form: 4D

PEDESTRIAN / ANIMAL CROSSING COUNT SURVEY

LOCATION OF SURVEY STATION: DAY/DATE:

NAME OF ROAD: WEATHER: Clear /Foggy /Cloudy /Drizzling /Rainy

FLOW DIRECTION / NO.: ENUMERATOR:

Animals (Cattle/ Animals (Cattle/ Animals (Cattle/ Animals (Cattle/


Time Period Pedestrians (Nos.) Buffalow/ Goat/ Sheep Time Period Pedestrians (Nos.) Buffalow/ Goat/ Sheep Time Period Pedestrians (Nos.) Buffalow/ Goat/ Time Period Pedestrians (Nos.) Buffalow/ Goat/
etc) (Nos.) etc) (Nos.) Sheep etc) (Nos.) Sheep etc) (Nos.)

From From From From


____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

To To To To
____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

From From From From


____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

To To To To
____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

From From From From


____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

To To To To
____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

From From From From

____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

To To To To

____ : 00 hrs ____ : 00 hrs ____ : 00 hrs ____ : 00 hrs

TOTAL TOTAL TOTAL TOTAL

Client :
Shet No. /
Signature of Enumerator Signature of Supervisor

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