Format for Information for Inspection of Ongoing / Completed Work

R & B Pan Sub Division : Umergaon

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

1.0 GENERAL
1.1 Date of Inspection: 03-03-2020

1.2 Name of Quality Monitor: N.C.Patel

1.3 Name of Road: Valvada desaiwad to Patel falia to joining N.H.08 Road
1.4 Package No: (Package-2) MMGSY-2018-19
1.5 Length: 1.500 Km.,Flexible Pavement, - Km.,C.C. / Other Pavement = Total 1.500 km
1.6 Technical Sanctioned Cost: Rs 3131000
1.7 Name of Agency: Ajay H. Thakur of Vapi
1.8 Date of Start of the Work: 02-03-2019
1.9 Stipulated Date of Completion: 01-12-2019
1.10 Actual Date of Completion ( If Work Completed ): 29-11-2019

1.11 Name of Officer Present: T.A. Patel (AE)

2.0

PART "A" PROVISION MADE IN THE ABOVE WORK

> Clearing and Grubbing
> WMM - 150mm
> BUSG - 37.50m
> Seal coat 0.18cum/ 10sqmt
> GSB side shoulder
> Road Furniture.
> Carpet - 25mm
> Ashphalt paint
PART "B" POSITION OF WORK AT THE TIME OF INSPECTION

> Work is completed

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

( If Previous Inspection is done )
Action taken By Office with
Date of Visit Inspected by Observation
Date
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
Equipments
Sr. No. Laboratory Equipments
At Plant Site At Paver Site have been
Establishment (Y/N) Available ( Y/N ) used (Y/N)

1 - Yes Y Y N

*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:

Whether QC Register
Based on executed quantities Whether QC Register part I part II maintained &
Sr. No. whether all mandatory tests maintained as per provisions test results monitored
conduct (YES/PARTLY/NO) (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)

NA

Y
 Grading: Grade: S SRI U

If this item is Graded, 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 0/660 3.00m OK OK - - Sec-1
2 0/120 3.00m OK OK - - Sec-2

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 )

NA

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)

NA

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: NA

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

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

NA

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 WMM:

Filler
material is
Thicknes Aggregate Whether
Thickness of non- Volume of filler
Location is confirms to Adequate
each layer of plastic to material percent of Remarks
(km)
WMM (mm) adequate Grading
compaction is
desired coarse aggregate
(Y/N) (Y/N) done (Y/N)
extent
(Y/N)

Sec-1- 0/660 150 Y Y Y 33.25 Y -

Sec-2- 0/120 150 Y Y Y - 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)

1 0/660 (Sec-1) Y Y Y
2 0/120 (Sec-2) Y Y Y

7.0 A Plant site: NA

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 - -
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 Yes -
2.2 Site cleaning is Properly done Yes -
2.3 Technical Staff / Sufficient Labour Available Yes -
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)

450 430.8 19.2 4.47 4.46% 4.50% P

 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) for (Carpet+BBC+SC)

Thickness
Whether surface Write laying and Remarks
Location Whether evenness is within whether it is in (BBC+Carpet+Seal
Sr.No. Thickness in
(km) Thickness is acceptable limits permissible limit coat)
mm (Y/N) (Y/N)
adquate. (Y/N)

1 Sec-1 0/660 74.50mm Y Y Y -

2 Sec-2 0/120 74.50mm Y Y Y -

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

1 0/830 (Sec-1) Hard Murrum Y Y

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)

NA

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

13.0 Other Observation, If any:

>> Work is completed

14.0 COMPLIANCE FOR FOLLOWING OBSERVATIONS ARE REQUIRED:

(1) Para Nos. _

(2) Para Nos. _

(3) Para Nos. _

(4) Para Nos. _

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

N.A

Observations about deficiency in project preparation (Give detailed observations about deficiencies
15.1
in general and items which have been left but are required as per site conditions ):

N.A

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.

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

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

N.A

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).

N.A
 SITE PHOTOGRAPHS

Village name board Main Information board

Kilometer stone Hectometer stone

Measurement of thickness at ch 0/660 km Measurement of width at ch 0/120 km

Geo test house

16.0 Overall Grading of Work:

The overall grading calculated on the basis of item and sub item wise grading is given below:

Sr. No. Item Sub Item Awarded Grading

1 Quality Arrangements -----

(a) Maintenance of QC register

2 Attention to Quality
(b) Verification of tests results

3 Geometric (a) Roadway width & Carriageway

(a) Quality of Material

4 Earthwork (b) Testing of Material

( c ) Workmanship

5 Sub Base - GSB -----

6 Base Course - WMM -----

Quality of Material

(a) Information and tests at plant site

7 Bituminous Course
(b) Information and tests at paver site

(c)Bitumen Extraction test

8 Bituminous Course Workmanship of BT Layer

9 Side shoulder -----

10 Cross Drainage Works -----

11 C.C. Pavements -----

12 Road Furniture -----

Overall Grading

Signature: Signature:

( Officer Present ) ( QM / ALQM /LQM )

QM -Pravin Panchal
D.E.E.