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MINISTRY OF ROADS AND HIGHWAYS

DEPARTMENT OF URBAN ROADS


POTHOLE MEASUREMENT SHEET
CITY: KUMASI

ROAD WIDTH: ......

ROAD NAME: ...............

DATE: ...................

ROAD LENGTH: ...............

SHEET:

CHAINAGE/ LAND
MARK

SKIN PATCH

MEDIUM PATCH

OF

DEEP PATCH

REMARKS

TOTAL AREA OF SKIN PATCH: ....


TOTAL AREA OF MEDIUM PATCH: ....
TOTAL AREA DEEP PATCH:..................................................
GRAND TOTAL: .
..........
.

Sub Metro Engineers Signature


Signature

..........
.
Date

Contractors

Date

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