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Agency
BET
GT
RET
GT
ICBR
LTPP-I
LTPP-II
Other GS
Achvt
New
Alignment
Project_______________
Upgrad
to
NDHL
BE
TGT
Tot
al
RE
TGT
Resurfacing (Km)
Achvt
New
Alignment
Upgrad
to
NDHL
BE
TGT
RE
TGT
Permanent
Works (Rs.in
Lacs)
Achvt
BE
TGT
RE
TGT
Ach
vt
Total
Total GS
1
ITBP
Roads
MoRT&H
Other
Roads
Total
G/Total
Signature of Ratee
Name
Appointment
Countersignature by IO
Name
Appointment
Appx B
Nomenclature
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
BD -50
BD-80
Excavator Cum Loader
Hyd Excavator
Wheel Loader
Air Compressor
Stone Crusher
Road Roller All Type
Hot Mix Plant
WMM Plant
Paver Finisher
Concrete Mixer
Water Pump
Segregator
Crawler RockDrill
Tipper/Dumper
Other Eqpt
Qty Held in
No.
Utilization Norms
per Annum
Signature of Ratee
Countersignature by IO
% Utilization
Appx C
FUEL CONSUMPTION (2013-14)
Unit :________ Wksp/SSTC: __________ BRTF, _________, Project___________
S/No.
1
2
3
4
5
6
7
8
9
Month
Apr 12
Apr 13
May 12
May 13
Jun 12
Jun 13
Jul 12
Jul 13
Aug 12
Aug13
Sep 12
Sep 13
Oct 12
Oct 13
Nov 12
Nov 13
Dec 12
HSD (KL)
SKO (KL)
MS-87/88 (KL)
Dec 13
Jan 12
Jan 13
11
Feb 12
Feb 13
12
Mar 12
Mar 13
Total
FY 2012-13
FY 2013-14
Rate Per KL
Cost of POL
consumed
10
Signature of Ratee
LDO (KL)
Countersignature by IO
Appx D
CONSTRUCTIONAL STORE CONSUMPTION FY 2013-14
Unit :________ RCC : __________ BRTF, _________, Project___________
Bitumen Consumption
S/ Store
Receipt (MT)
No
Bal B/F on Recd in
Total
.
1st Apr
current
2013
FY
1
Bitumen
2
Bitumen
Emulsion
Cement Consumption
S/ Grade
Receipt (MT)
No
Bal B/F on Recd
Total
.
st
1 Apr
in
2013
curren
t FY
1
Consumption (MT)
Original
works
Maint
Other
Maint
Other
Total
consumption
Signature of Ratee
Countersignature by IO
Rate per MT
(Rs Lacs)
Total
consumption
Consumption (MT)
Original
work
Rate per MT
(Rs Lacs)
Appx E
Details Of Eqpt Working With Km Cable Broken/Hrs Meter Not Working During FY 2013-14
Unit :________ Wksp/SSTC: __________ BRTF, _________, Project___________
S/
No
BA No
Type of Eqpt
Hrs Run/Km
Run with
broken Hrs
meter/Techo
meter
No. and
Name of
Pl Cdr
No.& Name of
Operator
1
2
3
4
5
6
7
8
9
10
Signature of Ratee
Countersignature by IO
No & Name of JE
under which Eqpt held