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~7~eVvuevuweec National Ru Format for information to QM fe rastructure Development Agency Ministry of Rural Development, Govern nent of India Format QB Version 2021.0- Part I nspection of Ongoing/Completed Bridge Wark PART J- Work Information (Zo be filled:up by PLL ERAL: L Work: (check any one bax) Completed | UL. Date of inspection: 25-04-2022 MON of quali xe [ex l. Name of quality monitor (QM) ‘i quality (QM): S+ Rejerdn Pruad ST soar If coved Eas WW. Sute: [clan gana Distt maabi Bragat] Block: [ Qhoels pat | 4 5 V. Name of bridge & Location VL. Packagenumber: [TS O24) BHWIRLBOF VII. Sanctioned length of the bridge. 4a Deviation in length of the bridge (If any): m VIL. Reasons for deviation (ifany): IX, Estimated cost (as cleared by GOD: Rs. 307-44 Lakh X. Technical sanction cost: Rs 01-44 Lakh XI. Awarded cost: Rs. 20¢-1% Lakh XII Expenditure: (if work is ongoing) a. Expenditure done: [ Rs, Lakh b.Bills pending: = [Rs. Lakh Total expenditure =(atb) Rs. Lakh XIII, Completion cost: (if work is completed) Rs. Takh Scanned with CamScanner XIV. Date of award of work: (date/ month’ year) Sa Wwe XV. Date of start of work:(tate/ month’ year) _| XVI Stiputated date of completion:(date/ month/year) |___ ‘] L—] |__| XVIL Actual date of completion: (date! month? 26 II Ot }[202% vear)(in case of completed work): 2, PHYSICAL PROGRESS: (Ong: ng/Completed) Construction programme and Physical progress (Strike off whichever not applicable): Ktemofwork | Units | Quantity [Quantity | Completed Fill in start and completion dates [Delay in| s perDPR| executed | percentage ; Ten omielon months ogress | Sta “ompletion often ‘status Date Date a Q) ) 4) ©) ) 2 ie 1 (9) 5 Due aalower | acloqlet ) Layout ley oT | $250 “Asha ostoile talosl Due aortas | eof ute ') Foundation me | 595-4 Actual [eclohe| el oak D trifay | gotezke ii) Substructure r® | cao] Dee —_as fe Due eter] eotecky +) Superstructure wm | ue. le Achat 2 f Due atlostarf zoloslre )Proteetion works | mm? | tq.gy al Due. etlostu-] of nha i) Approaches mht] 3-t0-.| al ii) Mandatory boards/ . Due en hes aefetes Signage etc. Ne) s ‘Actual ~ PARTICULARS OF THE BRIDGE: 3.1 Type ofthe bridge (according to HFL) [_ Submersible omaubmeniblel (according to Material) RCC Steel [Composite Pre-Stress 3.2 Type of foundation [ Open Raft Pile Well 3.3. Length of bridge Th G5 34 Number of spans and spans length 4 P “1Venks af & ym Scanned with CamScanner aaa 38 3.6 37 38 39 3.10 3.12 3.13, 3.14 3.15 3.16 3.17 3.18 Width of the bridge Footpaths provided Ifprovided, width of footpath Formation Level (F.L.) Highest Flood Level (IIFL)/Ordinary Flood Level (OF Bed level (Lowest) Catchment area Linear waterway at HEL Design discharge Design velocity Foundation levels (a) Piers (b) Abutments (©) Retums Foundation Strata Safe Bearing Capacity (SBC) River protection works provided or not if provided Type of Substructure @) Piers — ©) Abutments — (nl Yes No 46450 m 1) [tol S00 _m m 7141. 650 120 ken? 6 m 5 62-2 Qocumec’ pi ae) [po [ea pa PES [Ps GGat| P7 m| [Ps m| | P9 m far FOF [Ri PE] [Re 5 Sard Is tons/m? Yes No 7 Big toate pron pate aca Solid circular Hollow circular Wall type pier Any other type: Gravity type Spill through | Counter fort type Box type Any other type: Scanned with CamScanner © Returns - 3.19 Type of bear 3.20. Test report of bearings available or not 3.21, Type of superstructure 3.22. Type of expansion joints 3.23. Type of wearing coat 3.24. Type of drainage spouts ecine [tantra |__Vied returns Cantilever type Any other type: Hlastomeric Pot PTFE Rocker & Roller] Any other type iL Yes No | RCC Solid slab T Beam slab_| Voided slab Box girder Any other type: Steel Plate girder _ | Truss frame _| Arch bridges Cable stayed Suspension [ Bailey bridges : Buried Copper plate [| Bituminous Strip seal Modular Finger type Any other type: Mastic pad Vee Bituminous V | As per IRC SP As per Design 042 Scanned with CamScanner a > D 3.25. Design loading > , » 3.26 327 3.28 3.29 4, L. Location of Field Laboratory IIL, Reason for delay in establishment of field laboratory (if so): IRC class “18” loading Single lane IRC Class "AA" loading or| double lane IRC class “A” loading which ever produces severe stresses. Whether approaches are in cutting or in filling ‘Type of pitching in approaches Whether bench marks and alignment are established near the bridge site (give locations and RLs) Type of Railings QUALITY CONTROL: Inne IRC class “OR™ loading oF double lane IRC class “A” loading which ever produces severe stresses, ‘Any other type: | WL Filling | Lcuting i Partly cutting and filling [Boulder pitching] [ Concrete block | x Yes { No Location: RL: m Location: RL: ™ Location: RL: m {A Rec as per Pipe railings standard pitching Steel Collapsible pitching : ak ete Fuse Geo-tagged photograph of laboratory uploaded on: (date/ month/ year): I IV. Details of contractor, executing the work: 24-ol-2our, Name of contractor | _ PAN number E-mail ID. Crimvada eck Fle pri ial dell ik AACCSe zioy [Mobile number | i ~ Seanned with CamScanner ‘ i aH a V- Details of contractor's engincer available at ste: (Responsible for maintaining quality control register part SE TW. tractor’s | Duration of posting at site 0 erica" T identity number | Mobile wumber LP on 7a 1} achok 1315.44 2.9%| Shov1754.on} |_| |. £0 | VL B.oihvas | FSE5e6UY VI. Details of head of PIU supervising the work: SI. 2 ; a 7 Head of PIU . i Duration of posting at site ©.) Executive Engincer) | Employee number | Mobile number — To M_ Maule tall, wousar | a gu3sazeq VI. Details of assistant engineer supervising the work and maintaining quality control register Part ‘Name of assistant - Duration of posting at site si engineer Employee number | Mobile number | To Abhi 16 3534 Sosnarag VII. Details of the junior engineer supervising the work: Sl. nk a a a, no.| Name ofiunior | ersptoyeenumber | Mobile number | Duration of posting at ste engineer From To IX. List of equipment available in field lab: abhadwnd Proida Available equipment that are in working condition @ Available equipment that are not in working condition (2) X. List of equipment not available in field lab: Scanned with CamScanner XI. Reasons put forth by PIU for non-availability of equipment in field lab: NIL. Details of calibrations of equipment done: XII. Equipment, documents and drawings ready to be made available to QM before or during the inspection Sew ae te Aube let 3 ctn te Redo ned §. DETAILS OF MIX DESIGNG): [si Tipe Average | Details of Institute/ Details of Mix No. Daa Mix laboratory where mix | Design approving Design design was done | PMGSY Authority Strength i. | Cement Concrete M20 26 Noy” | Civil Teck [abe] 20 N[ mm ii, | Cement Concrete M25 log N [ow CIC Tech lal 965 N [may ‘Cement Concrete M30 iv. | Cement Concrete M35 v. | Cement Concrete M40 vi. | Wet Mix Macadam (WMM) vii. | Dense Bituminous Macadam viii. | Semi Dense Bituminous Concrete | ix. | Bituminous Concrete Scanned with CamScanner © 6. ONS DY NOM, SOM or SENIOR DEPARTMENTAL © Fs) AND AC’ “< © Date fi ‘of work at the time | “Retiontaken by PIU | aaa of of inspection with date « La © © = © © © c ~ ~— —_ e € a ~~ — i Signature of the Head’ of PIU. Executive Engi Seal of PIU Name and Designation of the HRWA OMATUN. Matatahoadse. Mobile Number of the Head of PIU.. E-mail of the Head of PIU.. Address of the PIU... Date: eer (FRY FRUBS324 6 ‘Scanned with CamScanner National Rural Infrastructure Development Agency Ministry of Rural Development, Government of India Format QB Version 2021.0- Part I Report of National Quality Monitor (NQMy/State Quality Monitor (SQM) (To be filled-up by QM) 1, GENERAL DETAILS: 1. Date of inspection: 2S. 04. 272 1 ey Moat now Jf coal = Name of Quality Motor (QM) [Ss RAevone PRR | RRIeUbAA PAanAD ] (checkv relevant box and fill code) cFeom |[ coe] FS IIL. State: | Yatengons _ | District: Block: naar} TV. Name of Bridge & Location: ‘V.. Package number: VIL. Physical status of work: 4 (check anyone box) Ongoing Completed VII. Present status of work: (check boxes as applicable) Layout \{(Foundation Substructure Superstructure Protection work Approaches Finishing stage VIII. Photographic or video-graphic records (optional) of all hidden items like reinforeements of foundations! sub structures/ super structures etc. are kept by PIU, till Defect liability period is over for bridge for any Future reference or not: (Check V any one box) lies | [ No Scanned with CamScanner 2, QUALITY ARRANGEM (Geo-tagged photograph of the “OBSERVATIONS (In case of ongoing works only): laboratory showing the avaitabte eq) ment's to be uploaded) oe 1. Whether field taboratory established:(check ¥ any one hax) Aves Partly No] we MH. Whether location of field laboratory i 7 v a eld laboratory is same as 7 indicated by PIU in format pattl:(eheekV any ome hs) xe[Yex N « « II. Whether necessary equipments indicated in patel are actually [CF Vex Party | [ [ro available: (cheek ¥ any one box) « TW. Whether equipments have been used: (check ¥ any one box) Ula Partly No] @ Ve all necessary equipment is not available, whether you have © Verified them with the list of deficient equipment's provided —|res | [—] ro é by PIU in format Part-| (check any one box) ‘VI. Calibration of equipment done or not: (check any one box) [Yes No & e VIF. Whether contractor's engineer as per Part-l of this format, is Ares | No available at site: (check any one box) e « VIII. If contractor's engineer as per Part- ofthis repor is not available, [Tye] [ Panty |{—[No Lat whether you are satisfied with alternative arrangement made to « maintain QCR-I: (check any one box) a 4 IX. Whether lab technician and other staff is available for testing in the Tes No ‘ laboratory: (check any one box) ( Guiding note: IF the field laboratory is not established, overall item grading shall be Uc Fanyone or more ‘ sub-items are graded partly or no, overall itgm grading shal be Si Item Grading-2: Ts aa U ‘ (Check / any one box) hectine i 1 If this item is graded SRUU, write clear reasons and suggestions for improvement, indicating important deficient equipments: S 3. ATTENTION TO QUALITY (in case of ongoing works only): I. Maintenance of Quality Control Test Registers: 4 (@) Based on executed quantities, whether all mandatory px ae 7 tests conducted: (chech any one box) (b) Whether Quality control test register maintained as We ray wo per provisions: (check / any one box) (©) Whether QC register part II maintained and test results < = = monitored as per provisions: (check v any one box) 0 Scanned with CamScanner I. (a): Adequacy of quality control tests, as per quality control test register: ltem of Work | Quantity | Quantity | Name ofthe | Number of | Numbaror [Testing] ‘asper | executed test tests required tests adequate DPR Casper execured | getually | (Yes/No) quantity) conducted mo | @ @ “ () © a) Foundation Carmmnpreremnas work S A300 [SSL | at * & 7 Substructure. work me S _ io _ — Superstructure work Approach Slab and fixed items (Railing, kerb, Crash barrier ete.) ‘Approach work () testing foun adequate, the reason for less testing: (Check v one or more box) : Negligence . Lack of equipment in lab . Lack of knowledge . Angee plense epecipe [ (©) Verification of test results: (C: conforming, N: non-conforming) ‘Quality control tests to be conducted by QM and the results to be matched with test results previously recorded in Quality control test register, at the same component of the structure. Tem of | Nameof | Results ofthe | Testresultsas per [Results of the test| Whether the test Work Test test Quality Control test | conducted | results recorded in conducted by | register at the same |previously by QM] Quality control QM at the location. at defined test register and component of |(Mention the Page no.| location. as conducted by the structure. of Register) (CN) QMare in (cm) conformity? Cube tert (Yes No) a) @ @) @) 6) © Rape |Compenree LeaMhic Stren sty ee ly aaaus [Ou ay = c en ‘ arg, 00 |o 294 Fy = Sa pr] " c2a-sd |e 2q0y ae | — q = Feo Ley pare (650. To} = ey gap CIE G ° “ WW Scanned with CamScanner — (@ Whether non-conformities recorded in QCR-I by AE have been rectified and recorded in Quality control test register again as conformities, after conducting necessary tests: (Cheek Zany one box) No [ves |} (©) Imorder to assess the quality of concrete in case of doubt, if any Non Destructive Test (NDT) such as Rebound Hanuner test, Ultra Sonic Pulse Velocity (UPY) etc. has been conducted: (Check any one box) re | No ‘Guiding note: If the QC registers are not maintained or verification of test results are not conforming, overall item grading shall be U. Ifanyone or more sub-items are graded partly or no, overall item grading shall be SRI. Item Grading-3: a (Check any one box) Ss SRI U If this item is graded SRUU, write clear reasons and suggestions for improvement, are to be recorded: vA S Scanned with CamScanner ~ ere ewvue 4. FOUNDATION; ———— 0 Sma He Fa we wap taal + A) Ongoing (Work In progress) cp progress as on date uf inepeetion-in Ya putments and Ret 1, Foundation Pi Abutments: [AL Me AL Yo Vers r_ mm %)] Py _%) _%) Ps _%) m7] PO) So Pe Ret mM) «(ee Grade of | Quality of material Ts adequate as per quality | “Testing | Grade Item of | concrete control register of (si) work Cement | Coarse Fine Steel_| concrete aggregate | aggregate cubes by NQM ‘if any) a 2 @) @ () © | m | ® Location’ | Grade | Form work | Reinforcement | Workabitity | Compaction | Curing | Grade Itemof | of | quality and | checked by Of | arrangement | arrangements | (Sy) work | conerete | arrangements | competent} Concrete authority a) @ QB) 4 (5) 6) @. (8) II. Whether Cement and Steel tests (other than those provided by supplier), got conducted by independent laboratories: (CheekV/any one box) Yes No f bored III, Whether flushing of bore before and after placement of reinforcement done in case of uneased cast-insitu piles. (CheckVany one box) Yes No a Scanned with CamScanner IV. Whether nt least GOOMM extra length af pill casted beyond ent off fevel, to he dismantled for nitance effect (Cheek Zam ane boo) | Ve Whether bottom plugging: | M nt Jom pluggling in case of well foundation earried out hy v ly (heekJany rie bor) No B) Completed work Location | Grade] Compressive | Testing of ‘Surface ize and | Quality Grade Memof | of | strength of ) concrete | acceptability | shape as | assessment | (S/t) work [concrete] Conerete | cubes by and per | by personal | cubes as per | NQM(if | workmanship | design judgment Quatity any) Control Test Register a) Q) a (7) are Q) 4) © © @ oe Po | mas 2q.us7 | 22-us7 [urceeptese | 6-u. [SrSfeetny| S Pa ‘ 29 24-0 y oe 9 2 es » 29.04 16-50 4 one. Ld &, Foo lm, e| P35. map | (6-s> Isso u Ove u Ss I. Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Check/any one box) Kes No Il. In order to assess the quality of concrete in case of doubt, if any, Non Destructive Test (NDT) such as Rebound hammer test, Ultra Sonie Pulse Velocity (UPV) ete. has been conducted: (CheckVany one box) res No Guiding note: If quality of either material or workmanship is U, the overall tem shall be graded as Item Grading-4: As Tu (check J any one box) (this item is graded as U, clear reasons and suggestions for improvement are to be recorded) + S Scanned with CamScanner $. SUBSTRUCTURE no —— A) Ongoing (Work in progress) (Location? | Gmde of Quality of material is adequate as Grade Hem of | concrete eonteal re (SIU) ‘work ‘Cement Contse Steel | concrete oggregate | nggrepate cubes by NOM _ | Gtany) © 2 Q a 5) G) 0) (8) Location | Grade Form work | Reinforcement | Workability [ Compaction ‘Curing Grade Item of of quality and | checked by or arrangement | arrangements } (57. work | concrete | arrangements | competent | Concrete authority o) @) 3) 4 (S) 9) o] 8) Whether granular/ sandy filling behind the abutments and returns done properly: (Check¥any one box) Yes No Whether marking with paint is done on bridge components with date of casting for concrete: (CheckVany one box) ves }[ [no Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (CheckVany one box) Yes | No Scanned with CamScanner B) Completed work Location Festina] Swtice | Sine n/ tem Quality “| Weep] Ridien [Gr rere oF Concrete Yemnrete | ity ant | Shape [ty perma] Adeqine cubesa ceubes hy | workmay a i me eee an | ns per jalan om | per Ona {NOM aE | akin Pein airs | Control | any) bss | vest and | | fees: return) | | Qo |e Se { @ © |@ | o I. Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Checkv any one box) Yes No In 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 (UPV) ete. has been conducted: (Check/any one box) Yes No Guiding note: Item Grading-5: (check J any one box) (if this item is graded as U, cle nNe— Smu aw tem vs te ot ——_ s u | exe ee: quality of ether material or workmanship is U, the overall item shall be graded as“U" ‘ar reasons and suggestions for improvement are to be recorded). aan mannan aeees Scanned with CamScanner 6. SUPERSTRUCTURE (RCC Superstructure A) Ongoing (Work in progress) Quallty of moteriat Els a 3 i a 3 3] a, Ale Veegs dae 2i|3 Eletl el] bls delisel ai] 2 | ia }4 gieé|elele Pepe) ob) & | ca | 3 = Ele ByeH a’) és aie O) Q) QG | @ |e) (8) @ [a9 Tay tT oz [03 Whether Cement independent laboratories: (Checky any one box) nd Steel tests other than provided by supplier, got conducted by Yes No Guiding note: If quality of either material ot workmanship is U, the overall item shall be graded as “U™. Item Grading-6 A: (check / any one box) s [u (fthis item is graded as U, clear reasons and suggestions for improvement are to be recorded). _— She te erential’ Tow re & Ge, Scanned with CamScanner B) Completed work ' 2 ‘ # 3 1 Bled stds esa] elal lelelal,|3la Peel Haale ela; lal alelal i pled earl b) a2 ele al eyala PRAHA Tear PELL Ey a OTe 2 ae] KO EN CY ES WL I. Whether Cement and Steel tests other than provided by supplier, got conducted by independent laboratories: (Check any one box) Yes No |. In order to assess the quality of concrete in case of doubt, Non Destructive Test (NDT) such as Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) ete. has been conducted if any: (Check¥ any one box) Yes No Item Grading-6 B: s] Llu (check J any one box) (If this item is graded as U, clear reasons and suggestions for improvement are to be recorded). He— Sma du tom me rot senee tid Scanned with CamScanner (i) Steet Suporstructure, gy A) Ongoing (Work in progress) Quality of Material . 8 |_ Workmanship as § 3 a fe » |e 2 25 Si; (ele 4 g.\2 | 2. (23.5 é/ 2/4) lee] Be 23 |22-| 23, | #242 sla] f|a| ee] fola3 22 ies) be [epee 2/8) 2) 2)s2) 42 86 |s22| 252 |g27° 3 ei\3le |a> se leer) Ba- | as 3 Sls|2 | & ev |e a ge Fle le 16 Be \é 2 bE q@ | @ |e) | @ | © @) | @ @) (9) (10) (uy) I. Presence of water spray or moisture in the vicinity of bridge such as waterfall or marshy wet Iand? (Check/any one box) Yes ‘No IL, Presence of industrial units nearby, which emit corrosive fumes or discharge chemical effluents? (Check/any one box) Yes No IIL. Presence of salinity in the atmosphere? __(CheckVany one box) ‘Yes No Guiding note: If quality of either material or workmanship is U, the overall tem shall be graded as “U". Item Grading-6A: : U (check ¥ any one box) (Uf this item is graded as U, clear reasons and suggestions for improvement are to be recorded). Ne Smee thee TR no Pv UN i pon Pr I TO 1» Scanned with CamScanner B) Completed Work Welding i -¢ af Corrosto ~| _|4% (Yes! No) g/e Wes, type of els corsion and specific ‘Any change in Ss] i resence of | trecence of load i g vite Buckling | _¢lassifiation a ec le | Fracture (Yes/No) = Es |gsl] 8] cen (Yes! No) : PEE EE £ £5 /o8)%S O1O)O TOT So [ola ©) © 0) _| L. Presence of water spray or moisture in the vicinity of bridge such as waterfall or marshy wet land? (Check any one box) [ [ves No Il. Presence of industrial units nearby, which emit corrosive fumes or discharge chemical effluents? (Check/any one box) Yes I No sh IIL. Presence of salinity in the atmosphere? __(CheekVany one box) Yes No Ttem Grading-6B: S| U (check Y any one box) Yn ppt fu (f this item is graded as U, elear reasons and suggestions for improvement are to be recorded). pra —— Sa SRew PE 0 Pprwtsen ren Scanned with CamScanner (iii) Bailey Bridge Suporstructure no —— A) Ongoing (Work in progress) r Gaal a ats 3 Warton 2/7) .5/, |e [eels [42 3 2] 22 . = a 2205 E Ss] 23 | ¢8s/8.> gas Be £242 3 & gs ge eae2\|28 Bas bse 3 S| 2S | 823 |we3/ESe | 22 £232 ; Z| 82 | S6e |gee Bie | eee gho~ 3 z2 | 2 a |£e5/2 ne A 24° (8 é3 2 |@ oe a a) ® @ Co @ @ A. Any bolt andi or rakers and tie plates are missing or loose?%(CheckVany one box) | Yes. ‘No Tl. Any sway braces and/ or transom clamps are missing or loose? Yes No (Check/any one box) TIL. Presence of any cracking in the Bailey bridge? (Check¥any one box) Yes No IV. Presence of any bends in bridge members? (Check/any one box) Yes No Guiding note: If any of panel PIN is missing or loose, the overall item shall be graded as “U™ Item Grading-6A: CTs] U (check / any one box) Uf this item is graded as U, clear reasons and suggestions for improvement are to be recorded). wa — Sma drew no prestige Ona Tar - ™ perme fy Scanned with CamScanner B) Completed Work Welding Material *€ 2 2 Presence of Corrosion Lee 3 3 3 (Yes! No) Bz Ss e & IFYes, type of corrosion and ae8 5 43] 3s specific Incation pat = ol 33 238 5 gE & a2] €2 | ¢. 3| Efe 3 ¢ | 3° | £8 a3) 2E3 3 ple |t Be) a2 é é ao O| 282 oO, ® ® @ ) © | @® @® I. Any bolt and/ or rakers and tie plates are missing or toose?(CheckVany one box)| | Yes, No II. Any sway braces and/ or transom clamps are missing or loose? Yes No (Check any one box) III. Presence of any cracking in the Bailey bridge? (Check/any one box) Yes No TV. Presence of any bends in bridge members? (Check/any one box) Yes No Guiding note: [fany of panel PIN is missing or loose, the overall item shall be graded as “U" Item Grading-6B: s { U (check J any one box) (if this item is graded as U, clear reasons and suggestions for improvement are to be recorded). Ne— ame drew fh ne Py etsten Hy peu fir nb Tee? Scanned with CamScanner ny 7. LOAD TEST =————~ a _ 1. Results of Load Test attached of not (check Zany ane box) CJ ves | 7 [xe] { Iryes, comments required and copy’ of test results shall he enclosed Guiding none! Toad 168 Fe not dane or wal salfsfietary, Avera ten Ts] Cie] U this itenr is graded U. write clear reasons and suggestions for improvement ial be U. rr Smee Ihe ever fh wy ‘2 Sree oy. — 8. BEARINGS ot A) Types of Bearing (Tick Vappropriate) Roller and Rocker Bearing Elastomerie Bearing Pot cum PTFE Bearing Spherical Bearing Cylindrical Bearing ‘Any other type pn B) Condition of Bearings (@) Metallic Bearings i. General Condition- any rusting / ceasing of plates/ cleanliness or not s u ii, Functioning ~any excessive movement tilting/ jumping off guides | s uU reasing/ oil bath required to be redone or not [ s U iv. Cracks in supporting member- Abutment cap, Pier cap, Pedestal, if any s U ¥. Effectiveness of anchor bolts, whether in position and tight or not s U vi, Report any other defect or observation found 2 Scanned with CamScanner () Elastomerie Hearings i. Report conn of pads Oslin, Cee Fates Bulging, Spliting, Displacement ifany ii, Report — Bearings are elean anu fee or not Report any other dofect or observation found (©) Any type other than ‘a’ and ‘b’ above Report - Any other defect or observat found 1. Whether test results of bearings are available or not: (CheckVany one box) im Yes Guiding note: IF anyone of the sub-items are graded as U, overall item grading shail be U. Item Grading-8: (check J any one box) Ss [uv (this item is graded as U, clear reasons and suggestions for improvement are to be recorded). ——— NB Smee daewoo prretiten 1 pn fer PS Tee u Scanned with CamScanner 9. EXPANSION JOINT A) Types of xpanston joint (tek appropriate) ied Expansion joint Joint - ~ Modular Strip 7 Box Seal joint ——j——— Finger Joint Reinforced Coupled Elastomeric Joint B) Condition of Expansion joints i. Is there any crack in the wearing coat Yes No fi, Whether existing gap is improper Yes No iii, Any hardening / cracking observed in bitumen filler Yoo No iv. Any splitting/ oxidation/ creep/ bulging observed in neoprene Yes [xo sealing material ¥. Corrosion/ damage to welds is visible Yes No L vi. Presence of debris in the joint ]¥es LTre vi Report - any other defect or observation found [rs Ne rer o Item Grading-9: (check ¥ any one box) ing note: IF any response of questions in sub item 9 B is "Yes", the overall tem shail be graded as S u | (Uf this item is graded as U, clear reasons and suggestions for improvement are to be recorded). — Smue drew vs ne prenn m pon for cde ten: Scanned with CamScanner 10. APPROACHES WA 10.1 Embankment Cocation | Suitability of soil | Compaction Side stapes Grade (s/ SRIU) © ® @ | (Gy 10.2 Sub Base (G.S.B.) Location) Conforms] Material | Dry JYeComp.] Whether [Thickness | Measured [Prescribed (RD) to Suitable | density | action |compaction jas per DPR| ‘Thickness Thickness Grading | from kN/m? is adequate (in (in mm) provided. (YN) | plasticity (YN) mm) (YIN) angle @ @ ym) o) | Oy © @ @) 9) 10.3 Base Course (Non Bituminous (WMM) and Bituminous Macadam (BM)) Location | Grading of | Plasticity | Volume of | Compaction | Design ‘Thickness |Thickness Aggregates} of Filler fill based on | thickness | ofeach | adequate RD) | Gu) | material | material | volumetric las per DPR} layer of | (S/U) (S/U) | percent of _|analysis/ sandl WBM/ coarse | replacement | (mm) | WMM Ageregate | method (mm) (SU) a) 6) @) Q 4 © (ay ) * Scanned with CamScanner Grading of | Laying Surface Coarse | Temper {eontent % as eantent of layer unevenness Aggregate | ature ot | per Qcwed | git | Ot sill) wruy the mis JAs measured) Sti as per by OCR} NoM/soM @ @ “ “0 6 a ay 10.5 Protection Work: 1. Whether sanctioned DPR has the provision of protection works: yes | [___[no | (check/any one box) Tl. Type of protection work: (check V boxes as applicable) [ Retaining wall_} Breast wall Parapet wall | Any other type of Protection work a b. TH. Quality of Materials: [Location /] Structure Type | Type of Protection |General quality of] Size 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) (Yes/No) | (Yes/No) @) @) GB) (4) G) (6) n Scanned with CamScanner IV, Workmanship of Retaining structures Location? | Workmansh forkmanship ot Whether Tiave weep holes [ Adequacy of RD J retaining structures | honeycembingfany | | been provided sweep holes ‘other defects are (Yes/No) (if provided) observed (Y/N) (YesiNo) wo @ @) «@ (3) Incase, Stone masonry is used in retaining structure: a) ‘Workmanship of stone masonry is acceptable: Pe] No (check Many one box) b) Bond stone has been provided in stone masonry: [ves | No (check any one box) Guiding note: If sub item 10.2, 10.3, 10.4 are graded as U, the overall item shall be U. Item Grading-10: (check V any one box) s SRL U (Uf this item is graded SRUU, write clear reasons and suggestions for improvement). —— NA erect * Sma dw eS ls be, 8 nat ‘Scanned with CamScanner 1. BRIDGE FURNITURE AND MARKINGS: 11.4 Observations: Quali of Bridge Furniture and Markings : (Ongoing / Completed works) Ww Main Information Board Fixed : (X prtekayyrte aba /ln, 4 fs 7 . : Mrenaat 2] Rakend boalam key i platires » ackage No. vale TEOURHMIRER OF > ~ Date of Inspection: O5-O04- Ir) > Chainage:, Fdays Prag © poe mee He Bk. Feat Mire” better feb . w _ « a3 at Sh (se) 1s 4 » ig = Shy 2 ste 30 20 23 14 1a is ered. » = au | 33 | 20 1s 13 1S ° L 2 > dew tt > Po tp footy > > 16 is | ts > a haat 14 1s \6 ) vl ) (F 14 is ’ ) 4 :

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