=e GOVERNMENT OF TELANGANA PR Circles: Mahabubnagar PRADHAN MANIRI GRAM SADAK YOJANA INSPECTION OF PMGSY-III Batch-tI Bridge CConstroction of bigs on R/F MALLE: Hanwedafo Gudimekkopu vio Nome of Work Tanova of 0/400 kr 60/800 kr In Hanwada Mandal PAGKAGENO, ‘socnamoisos [EXECUTING DEPARTMENT Panchayat Rj Engineering Dept stare cost 417528 Lakhs (Cond. 17109..Mai 428 ) DATE OFMsPECTION 25-04-2002 pistict Mohebuonogar sae THANGANA By 8. Rayne feNational Rural Infrastructure Development Agency , Ministry of Rural Development, Government of India Format QB Version 2021.0- Part I Format for information to QM for Inspection of Ongoing/Completed Bridge Work 1. GENERAL: 1. Work: (check “any one bax) Date of inspection Name of quality monitor (QM): | [Completa AS-ou = Crewe] S: Qienidra Rosed (Faeroe hes State: District: [TELANG ANA Mauarupe nate) Block: [Honcudon | V. Name of bridge & Location Vi. Package number: FTS0uyanigumed Vl Sanctioned length ofthe bridge Qobb m Deviation in length ofthe bridge (If'any). San VIL. Reasons for deviation (any) = IX. Estimated cost (as cleared by GON; Rs. \ASR8 Lakh = 5 Takh X, Technical sanetion cost R538 XI. Awarded cost: Rs MMO BLES op Lakh XI Expenditure: (if work is ongoing) a. Expenditure done: [Rs = Tak b. Bills pending: TR: = Taki oval expenditure (a+b) [Rs = Tah XIll. Completion cost: (//wark is completed) Re 5 Tak enshed Bridge om RIE MBL IL = Lrwoocka fo Gpadinnll purr ce VOTomlavacd olG fy ole lenXIV. Date of award of work: (date/ month’ year) XV, Date ofsart of work:(date/ month/year) XVL Stipulated date of eompletion:(date/ month’ year) XVI, Actual dat of comple (date! month! _vear)(in case of completed work) a |r b=) 2. PHYSICAL PROGRESS: (Ongoing/Completed) Construction programme and Physical progress (Strike off whichever not applicable): [WemaFwonk | Onis [anit [Cuan [ ComeleeO] pin insajtaneampleon dts [DS 0 perDPR| executed | percentage a ea Spicion _ jo ‘status Date ~~ Date oO ae a @ © @, @. o p Tae [eStore aotoenal estas Asal pst [ila [Due] [patents ) Foundason Com [aataa | (32.03) tov. [Pe Tralee Petes sy [Due Fasted|aa_| vba lao ii) Substructure Cur [eset [25259 8% peut feblar|- ~ Due aes] wha is) Supersouctre — ley |SBhm) eat : = ra Dae alas aes 1) Protection Works wre} | + aaa = = Due rath = fos toils vivapproaches §— [Qd- frssvoo] — | - RES she’ vi) Mandatory Boards! = ‘Due pofataa | ONlo thas sinageete. awl | S00 | — ‘Acad = — 3. PARTICULARS OF THE BRIDGE: 3.1 Typeofthe bridge (according to HFL) Submersible] [SNon-sobmersible] (eccording to Material) [Rec Stee! Composite Pre Suess 3.2. Type of foundation Open Raft Pile Well 3.3. Length of bridge Wrobel 344 Number of spans and spans length Gath wen dee38 36 37 38 39 3.0 3.12 33 3a 3s 3.16 3.17 3.18, Width of the bridge asp 8 Footpaths provided Yes Te If provided, width of footpath Formation Level (F.L.) 4550200 m ‘Highest Flood Level (HFL)/Ordinary Flood Level (OFL) | SU8 1295 m Sua 65m Bed level (Lowest) Supers m Catchment area Sooo kn Linear waterway at HFL UO0? | Design discharge DPS) cumec Design velocity woo ms] Foundation evels () Pins Pah ES bp Ex [—=] [rs [oe] [rs Ew ora [Sal (a Se) (eee (b) Abutments a Papa Peay (@) Returns R Pape: [ap Foundation Strata SDR ond boulders Safe Bearing Capacity (SBC) 733 tons River protection works provided or not Yes 71 Ne itprovided Ti lee esti tla] Type of Substructure (Piers Solid eireular Hollow cxcular Wall type pier Any other type: ©) Abutments— Gravity type Spill trough Box type Counter for ype ‘Any other type© Reums- 3.19 Type of bearings 3.20 Test report of bearings available or not 321 Type of superstructure 3.22 Type of expansion joints 3.23. Type of wearing cos 3.24. Type of drainage spouts oa Counter fort Tied returns Cantilever type Any othor pe lastomeric Pot PTFE. Rocker & Roller] | Any other type: Yes [he T_rce | _ Solid slab T Beam slab Voided stab Box girder ‘Any oer type Stee Plate girder Truss fame ‘Arch bridges Cable stayed Suspension Dailey bridges Buried Copper pate Bituminous Strip seal Modular Finger type YT Any other type: Mashtc pach romestt [ec (Bituminous asperinc | [67] Asper Design~vwvvuvuuvvvVvVN NV Uwe weUUUVUVYUYUNwYYwrwee er 3.25. Design loading 3.26 327 3.28 Whether approaches are in cutting or in filing ‘Type of pitching in approaches Whether bench marks and alignment are established Yes a | ‘ear the bridge site (give locations and RLs) 3.29 Type of Railings 4 QUALITY CONTROL: 1. Location of Field Laboratory I. Geo-tagged photograph of laboratory uploaded on: (date month’ year):[ 23 | WV 202) I, Reason for delay in establishment of field laboratory (iso): Single lane IRC Class “AA* loading or double lane IRC class “A” loading which ever produces severe stresses. IRC class “B” loading [Single lane IRC class “70R* loading or double lane IRC class “A” loading which ever produces severe stresses. ‘Any other type: 7] Cuts Filling cutting and filing Concrete block *[ Location: OF) Wer RLASUITO m_] Teese ORME. RSA Location: RL: m Location: RL: m of CF rec as per Pipe railings standard pitching Stee! Collapsible pitching, ‘Any other type: todo village wal O]dler IV. Details of conrctor, exeeuting the work: ane of comttor PAN number | _ Mobile number Email [NeAmarnalh-Recldy [Av yprs9937/%8uqousA 39 [Orediyamacadh alamail: tomronsibe for maintaining quality control register part \. Deas of contractor’ enginer available a st: Res 5 Duration of poning site SL TNane ofconmtor's | ignity umber | Mobilemamber Fron “2 0. | engineer ts = = Aka) [ab {Peasy Basel | = fisted 2 | U.Pagha Vi. Details of hed of PIU supevising the work: ot Duuation of posting a site Heed of :mployee number | Mobile number 0. | (Executive Engineer) Eaunloy es ‘From To r S 1 fa. NawsnelorPacay [1u0us Si [Peuss asat8 Talesfose [al Bexead- VIL Details of asistant enginer supervising the work end maintaining quality control register Part-I: Duration of posting ase si] Namcofasistnt | grployee number | | Motile amber |—"Eo ‘- [eh Vichow Tudou eoawmagae [aialane| ad Nene | VIL, Details ofthe junior engineer supervising the work: x SE] Name otjuior | smpiyse umber | Mobile mmber | Putin of posting a site ninest a [Pr Gwech Wumar [ib 3980 [Ss05290183 loln|rne [at Reet | 1X. List of equipment available in field lab: sHeeT Encode, ea ee X. List of equipment not available in field lab: Available equipment iat aren working Condition | Available cquipmeat that are notin working o condition (2) Ate — NPL5 XI, Reasons put forth by PIU for non-availability of equipment infield lab: XAl. Details of eal ions of equipment done: yes~ XII Equipment, documents and davings ready tobe made avaiable o QM before or dring the inspection: CeVkPPENT LEST, TBM LOST, DPR, ABREEMENT, MEX DESPGMS, STEEL esr ReperTs, OC: Reqitfor, DETAILS OF MIX DESIGN: 7 | Average | Dota oftnetintey | Details of Mix No Mix Deion Ma” | uberstory where mix | Design sppoving Design | "designwasdone | PMOSY Author sient Cement Conerets M20 ogo pecans bbs a wsfown | Sea NS ‘Cement Conerete M25 6D Eo eap By ‘Cement Conerete M30 35 Sa (Cement Concrete M35 ‘Cement Concrete Mé0 ‘Wet Mix Macadam (WM_M) Dense Bituminous Macadam ‘Semi Dense Bituminous Conerete Bituminous Concrete6. EARLIER INSPECTIONS BY NQM, SQM or SENIOR DEPARTMENTAL OFFICERS (SEs & CEs) AND ACTION TAKEN STATEMENT: (Please indicate chronologically name and designation ofthe officer who had inspected the work): Date Name and Designation) Stage of work atthe time] Major observations Action taken by PIU of | ofinspecting officer of inspection with date visit_|(WQM/SOMICE/SE) a @ & G) P.Revindor? | Stor} » | Red tab ee ee pe (sen) ond oqo board: Foundden combed}. Footy] bah, | eradarattem | Fourshbinut Aba] 279 Mass anc Plays ae and pietere sshaul] vaalll« se ewevewrseoeweeouvvweeuveuws Pers Signatur of the Head of PIU Seal of PIU ‘Nu id Bicea fame and Designation ofthe Head of PIU nib 0 ‘Mobile Number of the Head of PIU, -STF-mail of the Head of PIU... BbUusveevvvcvdceNational Rural Infrastructure Develo, pment Agency Ministry of Rur: Development, Government of India Format QB Version 2021.0- Part IL Report of National Quality Monitor (NQMY/S fe anon Quality Monitor (SQM) (Zo be filled-up by OM) 1. GENERAL DETAILS: , 1. Date of inspection Se , ' Tl. Name of Quality Monitor (QM) Nom ][ cou] — ° pee RATEVDRA PRASAD ~ D(Check reevant bax and cote) |S ¥sow Loos Fele2- ’ ML sue: [Seeongens_] Dinu Block ’ Mchebutnege] [| Henwans] » age on mueHenwede © Div, Name orpridge& Location, [U0 @AAge oF Bie MALT Mim atecapey wee Jannarce top > DV. Package number: Tsoy HAM @LBOS ’ DVL. Piysical stats of work tae Conn | eck’ arene as 2 VIL Presents of work heck boas as appa) a Layout Foindion Frances > ; Suorstuce Prato werk ronan > Fishing see > bse all Hidden tems ike enforcement of foundations sub VIII, Photographic o video-sraphic records (option ofall hidden tems ike reiforcem 9 stuctey super source kp MU left aly pad ieee ise 3 moter Chk va ecb CI] Tre > y ’ > ’ 2 ’~VeEUVUVUUUUUUUUUSVUUUTVVVCYVEwwvuvvwe rn QUALITY ARRANGEMENTS-OBSERVATIONS (in case of ongoing works only): (Geo-tagged photograph of the laboratory showing the a L. Whether field laboratory establisheds(check ¥ any one box) TI. Whether location of field laboratory is same as indicated by PIU in format part-I: (check any one box) Whether necessary equipment as indicated in part-1 are actually ‘available; (check v any one box) TV. Whether equipment’s have been used: (check V anyone bes) V. fall necessary equipment is not available, whether you have verified them with the list of deficient equipment’s provided by PIU in format Part (elieck any one box) VI. Calibration of equipment done or not: (checkv“any one box) VIL. Whether contractor's engineer as per Part-I of this format is available at site: (check Zany one bos) VITT. If contractor's engineer as per Part ofthis report is nat available, [— ‘whether you are satisfied with aierative arrangement made to ‘maintain QCR-1 (cheeks any one box) TX. Whether lab technician and other tats avalabe for testing inthe laboratory (check any one bos) ‘Galdng now: Whe Heid a ‘Sub-items are graded partly or 0, overall jf grading shall be SR. lable equipment’s to be uploaded) Fe] =e] [Fes | [ [Panty | [Tse Are wo | Aes ||] eaniy | [DS No oratery Tot eatlished, overall item grading shal Item Grading-2: (Check any one bax) s] [ [sa U —Jres | [= Fre No ves No ves |{—[ranty | [-fN0 Fives No dlfctnt equipment: aa s ATTENTION TO QUALITY (in case of ongoing works omy): 1. Maintenance of Quality Contr Test Registers: {fu em is graded SRUU, write clear reasons and suggestions for inprovemen, Indicating Inporiam Tbe U: IFanyone oF more (@) Based on executed quantities, whether all mandatory Yves Part No tests conducted (chech/any ome bes) af (6) Whether Quality control test register maintained as [es a Re, per provisions: (check ¥ any ome bos) (<) Whether QC register part If maintained and test results © QC register ps ra a m monitored as per provisions: (check ¥ any ome box) " nenTL, (a: Adequacy of quality control tests, as per quality control test register: ‘of Work [Quantity | Quantity | Name ofthe] Numberof | Numberof ] Testing DPR (asperexecued | actually | (YevNo) ena) | conducted w @ ® @ © © o Foundation sal se 291-93 [172.03 |orreree 1 ee Stream) 44 6 oY Subaiaete work lesz.0g Jasz.se | ay 26 Y Superstractare work “Approach Slab and fixed items (Railing, er, Crash barrier ete.) Approach work ) Westing found inadequate, the reason for ess tet + 1 eatgene = 1 Hit ofeqeipewniniss + Lack or knowiedge + [Any other, please specif: (0 Verification of test results: (C: conforming, N: non-conforming) Quality control tests o be conducted by QM and the results to be matched with test results previously sscorded in Quality control test register, a the same component of the structure, : (Check V one or more bax) Temof | Nane of | Resulis ofthe | Testresulias per Reso of he tel] Whether the est Work | Test test | Quality Control test | conducted | results ecorded in conducted by | register atthe same [previously by QM| "Quality contol ‘QM at the Tocation atdefined | test register and component of |(Mention he Page no.| location. | as conducted by the structure, of Register) (cm) QM are in cn conformity? (Yes (No) a @ 8 @ 6) © a Al sap Sheng tn 2S-00| C Aw 6 a 7 Plime 9 GC wle aso ex] ¥ a Be ro es Y Pane C mw! eo aye 6F| 7 2) AM 4, C ree © 22006e y a eswe. ~vreuvveNvUUUUUEUeeVUeTTYLOUUUVBUVYUuUYUYY @ © Whether non-conformities recorded in QCR-HI by AE have been rectified and recorded in Quality control test register necessary tests: ‘again as conformities, after conducting (Check Yany one box) [ fre —]No An order to assess the quality of concrete in case of doubt, if any Non Destructive Test (NDT) such as Rebound Hammer test, Ultra Sonic Pulse Velocity (UPY) etc. ‘has been conducted: ‘Guiding note: TF the OC re ‘overall tem gradin shal be SRI Item Grading-3: (Check? any one box) Wiis item ts graded SRUU, esters te not maintained or verification of test resulls are not conforming, 18 shall be U. IFanyone or more sub-items are graded arly or no, overall item grading (Check Zany ome box) Fre: No s] Coser] [Te re lr so ond eos ingen rb reared 4 ses 4. FOUNDATION: ———— ~* ‘A) Ongoing (Work in progress) te of inspection-in % 1. Foundation Piers, Abutments and Returas progress as on date of Inspet Piers: es es ewes Ee %. Returns: = [RI_%] (R2_*] Tocaon ] Grade of | Quality of material adequate as per quality | Testing | Grade emer conerte cones sre | (su) work Cement | Coase | Fine | Stet | concrete aggregate | aggregate cubes y NOM (itany) a @ @ iO} o) @ | o ®) Tocation | Grade | Form work | Reinforcement | Worabiliy | Compaction | — Curing] Grade item of | of | quality and | checked by | Of | arrangement | arrangements | ($7) work | concrete | arangements | competent | Concrete authority o 2) o) 5 (3) ©. @ @) II, Whether Cement and Steel tests (other than those provided by supplier), got conducted by independent laboratories: (Check /any one box) Yes No IIL. Whether flushing of bore before and after placement of reinforcemer nt done in ease of boret uuncased cast-insitu piles. jone in case of bored (Cheek /any one box) va na RRA LR ALPE EL OCE PD DDD ae PII PDweer rere wr mr wrwrwwrvewewrwwewewre Vv. v. ‘Whether at least 600MM extra length of pile casted beyond cut off level, to be dismantled for ince effect (Checkany one bas) Yes No. ‘Whether bottom plugging in ease of well foundation carried out by using tremie method only (Cheek any one bax) Yes No 8) Completed work Tocaiion!] Grade | Compressive | Texting of | —Surfice —] Staeand | Quality “| Grade ttemof | of | strenghor | concrete | acceptability shape as | assessment | (SU) work }eonerte] Concrete | cubes by | and per | by porsonal cubes as per | NOM (it | workmanship] design | judgment Quality | any) Control Test Register Oe e @ o a O @ @ IL. Whether Cement and Steel tess other than provided by supplier, got conducted by independent abi TL. In order to assess the quality of concrete in case of doubt, i sue yorataries: (Cheek/any one bos) Yes No xy, Non Destructive Test (NDT) ‘has Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) etc. has been conducted: (Check/any one box) Yes No Gardin mae qualiy of er material or workmanship U, te ove em sal be graded a5 “U. Item Grading-4: Cts] U (oheck Zany one box) (Wise is graded as U, clear reasons and suggestions for improvement are to be record). me tte 665 wee crtelyL IL AL PI, PL, AD RI as — Sup seen © 5. SUBSTRUCTURE cf A) Ongoing (Work in progress) we beat bloees te be Rote ee lene Tocation” | Grade of | — Quality of materials adequate as perqualiy | Testing ] Orade item of | concrete contro register of | (SU) work Cement] Coarse | Fine | S21 | concrete aggregate. | aggregate eee y NOM (fan oO @ @ @ o |oloatls ai [wae | s s s isis ei_| mae | s s [s | sods en [mse | s s s | soa s [es [mao | s ‘s Se ES ax | mols ES s s |= [is Tosa’ | Grade | Form wack Renfoenent | Waray] Compaction | — Cara | Grade tiemaf | “of | qualiyand | chekedty | of | agement | arangemens | (ety work [concrete | rangement | conpetent | Concrete auth o [ato o | o | o te aeelms[ on | ey | on | ow | om |S ese] msl ow. y ow [ow [oe [5 P98] mas | ove. ow Jou [ow | on. Dae] on pieiWi-ees— (Pater [Re ‘Whether granular sandy filing behind the abutments and returas done properly: ig, (Cheeky one bo) ~[v¥es | [ =]Ne Jame Tome & oe ‘Whether marking with paintis done on bridge components with date of casting for sonercte ex (Chesk/ay one bo) Fre] [re Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Cohen) Re] [pene — Se he Wee oS wen ovals ] Grade [ Compresiv | Taxing | Surate | Size] Qualiy ] Weep [ Riding | Grade item | of | estenghh | of | aceptbil| & | assesment] holes | retums | (S/U) ofwork | concret | of Conerete | concrete | iiyand | Shape | by personal] Adequne B) Completed work © | cubesas | cates by | workman | asper | judgment | y For per Qualiy | NOM Gr] "sip | esen statment Cone” | any) od ‘Test return) Register ote ea Te Toe Teta | @ fo} oo I. Whether Cement and Steel {ests other than provided by supplier, got conducted by independent laboratories: (Check any one box) Yes xo Im order to assess the quality of conerete in case of doubt, if any Non Destructive Test (NDT) such as Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) ete. has been conducted: (Cheek any one box) ves No Gang noe qa oar material opyorkmansip Ts U, he overall Wem sal be graded as "U™ Item Grading-5: fs | a (eheck f any one box) (this item i graded as U, clear reasons and suggestions for improvement are fo be recorded) tN Ssa 6. SuPERSTRUCTURE ————_ N® (© RCC Superstructure A) Ongoing (Work in progress) < _f, iF 2 = a| fhe a Aya) HR: Sl el algae x : lag i aoa a poo bp Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Check/any one box) Yes No ‘Guiding note I quality of ether material or workmanship U, the overall em shall be graded as“U™ Item Grading-6 A: 7 U (check / any one bax) (fis tem s graded as U, clear reasons and suggestions for improvement are to be recorded) We — Sma che Gh MUS ot cue ence-~ ww vv vw YEE EEE OSU YUUYUCUYEUVYEVOEUUUUwwe B) Completed work = —_____ met Conpeesive seengh ofan Ses pe ay Cont Tet ‘Sbesby NOM fp] x denen Grie wi 1. Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Check’/any one box) Yes No IL, In order to assess the quality of concrete in ease of doubt, Non Destructive Test (NDT) such ‘8 Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) etc. has been conducted if any: (Checks/any one box) Yes No. Tem Grading-6 B: 5 u (check ¥ any one box) (if ths iter is graded as U,elar reasons and suggestion for improvement ae to be recorded) nNa—— enewteel » Sma di em fe oe(ii) Stee! Superstructure wr A) Ongoing (Work in progress) Quay of Material Workman | 3 i Sale in valle ; Ee Ela|é 2 [8 2 3 a|2\2 i ii! ae |2 ag | eaee i) )3 bg| 42 ze | 382] | zFs3 2| 2 a| 83) 22 £2 19 Z By 2 | gids 3) 2/8) 8) 28] 23 32/3 23 | 3222 a) 62] bl s8) sé 34/522) 22e | 22 gy] alale |i ee] eet] bee | Flajpda jee je [av [a miele tet ete} eo ami I, Presence of water spray or moisture inthe visinity of bridge such as waterfall or marshy’ wetland? | (Check ay one box) Che] P= I, Presence of industrial units nearby, which emit corrosive fumes or discharge chemical efMuents? (Check/any one bos) Yes m3 | IIL Presence of salinity in the atmosphere? (Checkany one box) Yer No ang wa Ta of er lel or workmanship Ue Overal Rem al be Pade ag Tem Grading-64: s} Cle (check Hany one box) (fis tam is grade aU, lar reasons and suggestion fo improvement are tobe recorded) LANMNMNAMHMMAPHMOHOMNMMAMMAHHARHRNDM ENN NAas pe Sma Mae RL ne Bretton om pee fer Se Tne| Welling Material « 2 |e | Presence of Comosion : 3 t \2 (¥ewNo) ali 2 | itvenupeot in 3] 2] 5 |S] consion and specie ;: Any cia §)}$|2s| as location Presence of | Presence of | ¢ 2 Z| 22 Brittle lr classification 1 2/2] A2/ 2) Fracture | Buckling | “Cyes/No} ' 3|°|Se| Se] £5 | zal os] conn | vN Sy VE VEL EE VAH Es ' BIE | 28/83/78 ' |OT@®Toe Teo Toloa ® o 0) _ I. Presence of water spray or moisture inthe vicinity of bridge such as waterfall or marshy wet land? {(Cheeks/any one box) = fe I. Presence of industrial units nearby, which emit corrosive fumes or discharge chemical eMuents? (Check/any one box) Pa ae TTL. Presence of salinity in the atmosphere? (Cheekv/any one box) ves No. Ttem Grading-6B: 5 77 (check 7 any one box) (afths item is graded as U, clear reasons and suggestions for improvement are fo be recorded), Ne —— Sma duet th no praststns fp ee Oe m DPM(lil) Bailey Bridge Suporstructure —————_ vs ——~ A) Ongoing (Work in progress) ‘Quality of Material | Workmanship T gs ad 22 % | #35 23/9 gE € | 32> i 2 Ei 2 | 827] gs le g if Fe He 2 | 522] 22 | eg |e, /882| 3. gagz & | 32] 92 | bef |se2]22. a2 geaa 3 | S83] Bs | £23 |ea2/ESe| 222 ag7c a | £22) Fe | 26 |g*2) 282] 23> EE S |es*) 22/2 3 Jes? /2* é g 4+ 18 = ce a a) Q) GB) @ G) (6) @ (8) 1. Any tlt anor rakes ade plates re misng or los”(CheehVany ne bon] ]¥e] [ —] No 1, Any say braces and/or transom clamps are msg ot ose? ve] [pe (Check/any one bos) sence of any crockinginthe Bile bridge? (Checkanyone box) [[¥e=] [ [No IV, Presence of ny tends in bridge members? (Cheekany one box) [Tyee] [] so ‘Gang oe any of el PIN ng oo ie ora tam aD RT Item Grading-6A: ; ii (check / any one box) (tite s graded a U,clerressos and suggestion for mprovenenare to Be recorded N&é— Sma die no pristitay dra TO m DenB) Completed Work §—§ —————— Welling Maer q 3 a f g Presence of Corrosion £eg é 2 g 3 (Yes/No) & 5 2 | 2 |B | arvenpenteonason and hg 25 E Rl 8s = specific location 2 Be Hei) BE gua | at & 2 2 & est 2 z 2(s&| 5& | ig | ag|,3| See | 2 TRIPLE EMT HE) 4 PB] EB | a8) so /"s) zee | 3 OTe 0) @ o @ wu) ® @) 1 Any borane st pata misigonst(Chech/any oe bx) | [¥m] [ [No ee ee ve] Ps Tcbionroasen IL Pateoe of any raking a ee? —_(Cansevaryeneteny- [hee] [iw IV, Peccrocfiny ink ntiiboramind ——Caatvanyouesey [ea] [i RAs a ln Item Grading-6B: [s iG abt eiroerte) (nso a a lr ee ght igen ee cay Na ——> Sma tes Hone prastiim m9 Gs - pp pw detLOAD TEST ———- 7» 1. Results of Load Test attached or not (check any one bax) {If yes, comments required and copy of test results shall be enclosed. ‘Guiding noe: Toad vest snot don oF not satisTaetory, overall em grading shall b= U. s Item Grading-7: { (Check ¢ any one box) fe] pee I this item is graded U, write clear reasons and suggestions for improvement we — Sere te Wee BEARINGS _____ re A) “Types of Bearing (Tick “appropriate oer and Roce ang some Beng Pot am PTFE Bearing Spa ewig Crt Beng ny ape 5) Condition ot Bearings (© Metalic earings ‘i General Condition- any rusting / ceasing of plates cleanliness or not 4 u i Futoning-ay exec moaned thi jig of pies [|e i.e bah etd be rn ore fl 7 ics siping ener Abin cap, Pap, Pade ay 7 a ¥. Eten factor ot wh nein nd igh ra : a vi. Report any other defet or observation found ‘ AARARAAADAAHHHARANDRHHHHDHOMRANRANDRHDOBAA os(©) Blastomeric Bearings i. Report condition of pads Oxidation Creep, Flatening, Bulging, Splitting, Displacement if any £ ii, Report Bearings are clean and free or not e fil Report any other defect o observation found (©) Any type other than ‘a’ and ‘b’ above Report - Any other defect or observation found 1. Whether test results of bearings are available or 1 (Check any one box) Yes No Galdng notes IF anyone of the sub-Toms av graded as U, overall item grading shall be U. Item Grading-8: 5 U (check any one box) (this item i graded as U, clear reasons and suggestions for improvement are to be recorded) xt — per fy tes few Sma dusts tine pression m9= 9, EXPANSION JOINTS. ———— A) Types of Expansion joint (tick appropriate) Buried Expansion joint Filler Joint with Copper Plate ‘Asphalie Plug Joint ‘Compression Seal Joint ‘Single Strip /Box Seal Joint Reinforced lastomeri¢ Joint Modular Sip / Box Seal joint Finger Joint Reinforced Coupled Elastomeric Joint B) Condition of Expansion joints i. Is there any crack inthe wearing coat ii Whetberexstng gaps improper ii, Any hardening cracking observed in bitumen filer iv. Any spliting/ oxidation ree bulging observed in neoprene sealing material ¥. Coresion/ damage ro weld is visible vi. Presence of debris in he joint vi, Report any other defect or observation found Yes No Yes No Yes No ves No Yes No Yes No ves Ne oe Item Grading.9: a 7 (check ¢ any one box) a ‘Guiding note Fay response of questions tn sub em 9B ie "Ve he overall em shall be raded os (Af this item is graded as U, clear reasons and suggestions fr improvement are to be recorded)~vewewvvuevuvve vw eer Eee ww errr re 10. APPROACHES, 10.1 Embankment ea ey Tocation | Suitbilty oFs0il | Compaction | Sideslopes | Shoulders Grade (S/SRVU) oD a @ @, & o 102 Sub Base (6.5.8) ovation] Conforms] Material Diy PeComp] Whether [Thickness] Me awured | Prescribed (RD) | to | Suitable | density | ‘ction Jcompaction fis per DPR| ‘Thickness | Thickness Grading | from | kN ‘sadequate | (in | (inmm) | provided CHM | pasty wm | mm) wy) angle | @ ome! |o | © o. ® ) 103 Base Course (Non Bituminous (WMM) and Bituminous Macadam (BM) Tocation | Grading of] Platciy | Volume of | Compaction | Design | Thikness [Thickness rep) | Atarceates| ofFillr | filer” | tasedon| thickness | ofeach [adequate (RD) | SE) | material | material | volumetric fs per DPR| layer of |” (SIU) (S/U) | percent of |analysis’ sand] WBM/ ‘coarse replacement | (mm) | WMM Aggregate method (mm) (su) 1 © 0 @ 3) o 6) o ®,104 Wearing Course a] Observed thickness] Sure [Location [Grading of] Taying | Bitumen [Bitumen] “Observes an unevenness ae | Coarse | Temper [content %, as eonent 4 a Agertene | aureot | per0CR! | (SU) reac — SAT (Su) | the mix > sper NoMisoM oe ” ® ole o | ® |o | @ | o 10. Protection Work: EWI yete nt tein yl pete tere [a a (| 8 (check/anyone bax) 11. Typo of protection work checkv baxes ax applicable) eng wal Bras val Parapet wall ‘ay ater ype of Preecon werk 6 IL Quality of Materials: [Cecation7] Structure Type | Type of Protecion [General quality of] Stas and Quality assessment] RD | Retaining Wall} work (RCC/CC/ |material conforms] shape as by personal Breast Wall/ Masonry/ wire | tospecifications | per design] judgement Parapets) crate) (YesiNo) | (Yes/No) wo e o ® © © ae a a aIV. Workmanship of Retaining structures: tecation 7] "Workmanship of Whether] Have weephokes | Adequacy of ‘iainngstractues | honeycomtingaay | been provided | weep holes cihordefedsae | (YeuNo) | (ifprovided) . ‘bserved (YAN) (Feu) o ® @) ® ® V. Incase, Stone masonry is used in retaining structure: a ‘Workmanship of stone masonry is aceptable: (check any one bx) ee be » Bond stone has been provided in stone masonry: Yer No (check any one box) Guiding note sub em TOD, 103,104 ae graded as Ute veal tem salle Item Grading-10: (check ¥ any one box) . = : (Ufthis tem is graded SRIU, write clear reasons and suggestion for improvement) NA ~ Smee te Gh wm & be erecta et11. BRIDGE FURNITURE AND MARKINGS: 11. Observations: Quality of Bridge Furniture and Markings: (Ongoing / Completed works) 4 (Main Information Board Fed Hs su] v Gi) Citizen information Board sri] u Fixed: {Wem Grading-1ite (Check? any ane bas) us SRI U this item is graded SRI/U, write clear reasons and suggestions for improvement: %,N § aera Ge 4) | 11.2 Observations: Quality of Bridge Furniture end Markings 3 € € ‘ § ‘ € é : € Gil) Guard stones fixed on NA Ss approaches s SR Wo] Ch otseme (is), Mandatory and caution > pre Seage 5 sa} (Te rg (anon [fs] [yse v Yihis em is graitsd SRI/U, write clear reasons and suggestions for improvement Po & AAAKRAKDHHHAOOOHwvwevuevvuvvvvvuVv Eee weve eee wee eww 12, General Observations of QM, (including the observations made during the interaction with PIU staff and Contractor/Consultant Engineers): A. Observations about detii ' about deficiency in project preparat Aficiencies in general and items which have been left but are required as per site conditions) (check Vari) tej Aeficieney in project preparation noticed during the interaction with PIU Staff and ‘Contractor/Consultant engineers: (Ja: peteleaes ober: (ee enor ati bet) (7 Nomenctature of BOQ ems is ot clearly stated suchas what tye of binder (VG Grade/Emulsion) bas to be wed and the quantity of such tems [[] Number oF spans ar insufficient as pr the st’ hyéroogialcondion [5 Wo provision of protective wok n DPR bua er sie conditions itis required. [5] Hicrauie Design a clelation for ridge design not provisioned in DPR. [7 citar stone Crash brie Rond studs on approche are required tobe provisioned in DPR. 71 deviation fom proposed Alignment : ‘Any other comment: Ne 1B. Whether the work has been completediis in progress as per work programme or the delay has occurred. If delay has occurred, whether the liquidated damages have been withhold or recovered: (check vreevant box andl details) [Tecnica ae Water thee war ny geo ye] Cine] | [aspera Telon oa av coneion Aye bso dtl eatin ost dt below els Peto of delay noni) Peto ofetnion (a mons) smnixis [Tine] [toma || wittateaconreaciee = CT¥e] [Lie Aout (iat Amant (nk) ean fo dln oe comment Aves yxy enema Reason for delayany other commentC. Whether the work. taken by the PIU (in ease of complete wor! thas been completed within the sanctioned cost, if not, what isthe action (lech vrelevant bax and fl details) ‘Whether the work is completed within the sanctioned cost [T Yes I no, fill the below details D. Observations abi Sanctioned cost (in lakh) Completion cost in lak we] =| wh Sue de too 1h 0 Pasay? ‘Reason for extra cost ‘Action taken by PIU. i the action taken by the PIU on the observations of inspecting officers including SQMs and NOMS. (clearly offer comments about the action taken on the observations of Departmental Officers, State Quality Monitors and National Quality Monitors). a ey PT Your dewaion aba ! ‘ore PiU saction i Designation non | ‘sox ! Do SOUT [Wespatic Renee | wo acco We cate | Buaded Sgrade| veytwd Oy PFO | mplred oy PS SAU [Ne specie Rema Wreaa> |howded Sl qvede. “ 4 DOPMPH ARP MPLPPLOP OCP PPL DP. ARARAHHAHAON OOD5 —} ww een ue eTeSSeeEUUEUSYUESTOSeESEGE E. Comments about Siference in observations made by NQM/SQMs in earlier inspections (he NQM/SQM shall stu ie ‘comments about the dif ‘Whether any difference found in previous observations of OMs [FY =[Ne. yes, your comment on difference in observation Tony and offers ear the earlier inspection reports of NQMS/SQMs, if any anc ferences in obervations any). neck relent aan deta) F. Other observations, itany: Ney ————_ Ao Seo13, OVERALL GRADING OF BRIDGE WORK 5 Syardable | Awarded ia Tens Desrpton Arvardable [Avarde No. 1 | Generat Deals 2 | Quality Arangements sew |S 3 | Autention vo Quality or | g 4_| Foundation ( Stage D) su 5 | Sub-Structure (Stage It) En 3 | Superstructare( Stage It) S10 = 7 | Toad Test 0 = Tearing = = ® | Grading to be same as for condition of Bearing) sili ‘A. Type of Bearing- Roller and Rocker Bearing, Elstomeric Bearing, Pot cum PTFE Bearing, Spherical Bearing, ee | oe Cylindrical Bearing Any other Bearing) 1B. Condition of bearing smu = 9] Expansion Joint a (Grading 10 be same as for conition of Expansion joints) ai “Type of Expansion Joint- Buried Expansion joint, Fille Joint with Copper Plate, Asphaltic Plug J Compression Seal Joint, Single Strip / Box Seal Joint, = Reinforced Elastomer Joint, Modular Stip / Box Seal it, Finger Joimt, Reinforced Coupled Elastomeric Joint. B. Condition of Expansion Joint U = T0_ | Approaches (To be U, ifany of the sub items (ii), ene i (@ Embankment sar | Gi) Sub Base (GSB) sav [ Gi) Base Course - (Non Bituminous (WBM) and Bituminous(BM)) sf ~ (i) Wearing Course saRT | (@) Proteation Work SSRIU PROPER RE 7 a RMHHAHDRANM MOONE ARAYA 7[a] Beige Fae and as (to be U, if any of the sub items are U) aii s (i) Main information Board ced 2 (ii) Citizen Information Board ‘S/SRIU Zs (iii) Guard stone on approaches oon ee (iv) Mandatory and Caution signage SISRIAT co Overall Grading Sanlu. Ss Guiding notes for overall grading: ‘+ Ifall work items are “S”, the overall quality of work shall be “S” + Ifitems at I. nos. 4,5, 6,7 and 8 are “S” and other items are either “SRI” or the overall quality of work shall be “SRI” ‘+ Hany item at sr. nos. 4, $, 6,7 and 8 are “U", the overall quality of work shall be “U", irespective ofthe quality grading of other items, agaievngn = SAO Name of QM SAAT En Dew prasad Des aha14. QUALITY GRADING OF ITEMS OF BRIDGE WORK‘ ia ‘Awardable | Awarded Tem No. Tem for abservat wares tne TemNo1 | General Details TemNo2 | Quality Control Arangements 7sRU [= Tem No.3 | Aention io Qualigy S/SRI7U s Tem Not] Foundation 370 = Sit Tem Nes [Sob srctare =) Tem Ne-6 | Soper siroctare 370 _ Trem No.7 Load Test Ss/U — Trem No" 88 — | Condition of Bearing 370 = TemNe9 | Expansion ont 370 Zs Tem No. 10 | Approaches Stage Wand Ty a Trem No. 11 Bridge famiture & marking S7SRI7U 3 Overall Grading sisnv0_ |g Signature of QM. Name of QM Date A OMAHA OOODADAO DMD DDO PPP ODOR AR RSGPUCUGOUOUOHOHOHOKECGOSSECECHECECECCSSHHCUHTwvwwe Quality Control Lab Equipments [Name of the Work :Construction of Bridge on RIF MRL1G- Hanwada to Gudimalkapur via Tankara at ovs00 km to 0/800 km in Hanwada Mandal, Mahabubnaga Dist. [Grant PMGSY -, Batch Package No: TSO4HAIIBLBOS Eine cane E28 aGonst | anda Hanwada | Disit = Mahabubngar SIN List of Equipments o's 4+ [is Stoves Set wit Lid pan ‘ne set 2 [auto Leveling instrument wih sta and Stand One set 3 [Sand Replacement Method Apparatus One set 4 [Rebound Hammer One set &_[Agoregate impact test Apparatus ‘One st © _[Fakiness and Elongation Guage ne set 7 [electronic weighing Machines 30K, 19 Each 1 No 2. [Measurement tape, Rodometr, Spit Level Glass Jar Zee 9 [Stump test Device 1No 10 [Rapid Moisture meter No 41 [abe mods of 150 mm x 160 mm eNO 12 [Proctor Denelty Apparatus No 73 [cember Board & straight Edge Device Each 1 No 74 [numen Exractin ost 1 No 46 |CoreCutor with Moule 1No 75 [own TH = per BNR Cae Zeeqcy a anew on “h 38 eae wa Bupzon oscars + TH ’ TV AGOS LU3A7ND NO ege'urs + 1S-ZweL osorzest al ozserceorn| z TM 3 + 0s60'1661 ‘AOS LY3ATND NO SHY sre te Rae so'16643| ozO'ZZOLN| ‘suonds2seq ssewiey ‘epny6u07| ‘epmyner| ON IS : (raz ries 00'bLE aeBeugnqeyew : 3919510 epemuey :lepueW ohana ae SORTSIIVHPOSL ‘ON eBeHed Ti U5veg “I= ASOWd = eID) aeBeugnqeyew ‘lepuEW EPEMUEH UI WD} 00B/0 o> WH OOSIO} qe eiequey, 21a undeyrewpng 03 ePeMUeH -9L TIN Ae WO eBPH4a JO WORENASVOD: HOM atp Jo OUreN sisi WEL —_ ma mamma mOAAAMAAARAAANRADADANANAHANAHNNDAHAHAwueeuvuvTsevuevseuvesevsuuvuevuvwwewneowwwrwoere Form No, SBST-31 Test for Sub structure ‘Cube Strength Test of Concrete (as per 1S:516-1959 ) trem: Aer — Test No. Date of Casting 2Alvr|re>r Grade of Concrete: Wy Sample Na Size of Cube: (S0%15 0mm i) 7 days strength Date of Testing: asloulrers Salk Compress] AE. COmD | perm | Mager | oy \ ‘ceort | ‘orem | eminble c Némen? Némm? x £ z 3 4 s s 1 he reslt does not confirm to de pense value, Non conformance report will be issued by the PIU. The reference ofthe poptNo.of the QC Register Pat Ion which [Non conformance reprt copy is preserved, Page Teed by Cesk by 1) 28 days strengah Dae of Testing: 25\94\20 v2 al Tamprenive ] AvRCOMD. |p cate) wiotet T soasan | tae | segs | Permit | same ig Nae | Sete | alae, Nim i z z < = é per} Saul eso | sees oh sl 826 | 680 | aay faaiy | aoc u ns 30 | 64D) adou whether confirms tothe permissible value ( Yes’ No) TF thc reslt doesnot confi fo the permissible value, Non conformance report wil be issued by the PIU. The reference ofthe page No. ofthe QC Register Pat Ilan which INon conformance report copy i preserved. [Page No......Dateof issue... Tested by wen Mesarc Form No, SBST-31 Test for Sub structure Cube Strength Test of Concrete (as per 1S:516-1959) tem: Rey 0, Tetho ue stcating Balvafons oe Size of Cube: (S0.Xx1S Ome Cube | Weight of ‘Compressive ] Avg.Comp. | perrnissible 1 2 3 4 5 6 ‘whether confirms to the permissible value ( Yes! No) Tf he result does not confirm tothe permissible value, Non conformance report will be issued by the PIU. The reference of the page No.of the QC Register Part It on which Non conformance report copy is preserved, [Page No. on. Date Of 8846 enn _ whether confirms tothe permissible value (Yes! No) ‘value, Non conformance report will be issued by the PIU. The reference ofthe poge No of the QC Register Part Il on which Non conformance report copy is preserved. fe NO nate of isu. [Fhe result doesnot confirm vo the permissible ieasiw Checked by: cay (3X re a YIBNR, Tested by Checked by: i) 28 days strength Dateof Testing: 25|04]292~ Compressive | AvECOMP- | permisible Cube | weizntot | pasa, | strength, | strengt, | Fm, No. | sample, ke Ree :Rebound Hammer Test Guadien) kopeer Name of the road :Cera}-of Bide 9 RE RL (petaensods to Gadi ten Nias Tonkaves: c} ol6 {00 [8 kim: PackageNo: “T Sou HAWBLBOS Date of inspection : 9-55 \04|202> RD: Plav-P, on wal aide po: Per Pronéed side: Mao -quecle, Mao gree. ar | ar | xe as | ace | as 33 33. 33 sz Ss 34 a5 | as |3a as | 3> [34 Bey BBN SESH — AWE Nwm™ Aq RB BAO — LEONA CBs pesopaphrype-B) Ospecrepotype-8) RO: Atubmest~ Ao. on ase RD vno-aynde \ a2 ak as 35 34 7% 34 | 33 | 32 | Arg) BB Ne-33.99— 24:0N|mm™ as percqophrype-8) | a. YBNRebound Hammer Test Name of the 06d Consol Gidquen Ale MaLit- Hanecad fy Geadtion kepee’ ME Tanker: ad ole fy olaoln, Package No. ors ou tans BLgOS Dae ot nspecion: 25104) x035. RD: Naser A\y on wal side RO: Pler-B, on West ide, Maw-qudde toneve Mrangecde noe fe. aS Sa a5 By ay 219. BB 34 33 Bu | 34 Bu ay | 3s ae as | 34 | 3) Avy RENO. 3355 — 25.0 4|mo MYR No- 300 - AwWO wim Us pergpoph Type-B) Gs per qpeph Type: 3) ea RD: Sy LA een SePRSD veNRSS ‘Quality Control Register «Part 1 Section 2 : Test for Sub Structure —_ Absent o Tes Conducted s. : Test No, esutt, | 1rNo,Page | Page Nod ol catheter | raun| Baer] heme, | Usenrae | mena > Tet 1 cyewnoy | ofNCR | Test Quatined| Tafes ea z z Abuses Be Hots and dy was omy oreconstrction | fea se of — 84 te s Ter hase a Tea? | Tet Tes? 35COREE Eee eee eee eee eee ree eee eee ee) — 1 Resa, arto, Page | Page Now Nameatiteten | rey yy | Dae ot uated | No. and Date | Date on whieh a4 Tet | (vewsay | otcie | Tea Quaid = Sestag | Was ahsonineottag +L . z # ——|-Aswepne aT Tex ~ mcs S009 THR lo Con Se oes, ror abel a | sastaig | Soundness of Coane Psbbs = | Attrepte | | | | —_ Teo ae Tea 1 um | sostan | Aa Sites Resin of - i —| Cone gree | if — (Tet) a tea Gradation o Fine Agrgate | os 7 — as + Tet ayia Yay | Siar tc ten? |athn Yer = — Tei sostais | Mates iagrian 75. i — = | SST? | lve of Pe Z — Tea | wel tea | J = he a3 - ae | spst-ia | Debts mati or Fie j { [eee | | I {_ =e os = eee ~ | susras | Weert ofFas r = - — at ~ Tet | Reactivity of —, Fine Asgregte sosraiy | Ph th No 720_|"SibRon of te bars | etaiing of Reiatoreonent Miz Digna Coca 3p | Giehing ot Fon Wark sosrn | (ets oe PeNR,SeGeeeeeee YVORVODHOHOHTHOHOHEECECSSSSGCUESCEHEHSS Resa, ran hex TetNe 1 Nameotteter — | ren | Dateot uatitca Daten which | Tes rato] Patol | uatic ee cl phen Test Quali] i 2 z as z z -[ Te Ghecls daring comiraniog t | | Moisture Con 7 - cRepiehas, | susr.24 ‘ont in Coase 35 sh! —} Ate OO | ES ae +——| Tebler pula} Yat sust-2s | Moistre Cnn ia Fag } eee | Auer | = Tie ae y ca — Checking of Far Work pe | 2) Sirenth of clamps end — i Stability of Ferm work, | ii) Mortar tightness —_t I ‘i Height of panels LC '8) sae access nto and about 72 "he fem work | Table - on | Tate Cheeking of Consreting Wb of Cones a1 | Cibe Sing Te of Leah) oe Test? (gal Tes iphul “Tet? [test ie aero) eee pemen ed |