Download as xls, pdf, or txt
Download as xls, pdf, or txt
You are on page 1of 1

Form : 4B

ORIGIN-DESTINATION SURVEY

LOCATION: DAY/DATE:

ROAD NAME/ DISTRICT: WEATHER: Clear /Foggy /Cloudy /Drizzling /Rainy

DIRECTION: ENUMERATOR:

Sl. Time of Vehicle Vehicle Reg. No. Year of O r i g i n D e s t i n a t i o n Commodity Occupancy Trip 2 Purpose Code
No. Interview Type Manufacture Place 2 District State Zone No.3 Place 2 District State Zone No.3 Type 4 Weight (MT) including driver
Code1

Vehicle Type Code1 Trip Code 2 Commodity Type Code 4 Commodity Type Code 4
Purpose
Passenger Car/Jeep 01 Bus 0 Coal /Ash 1 Timber 12 2 Please note in detail clearly
Utilility Vehicle (Jeep,Van) 02 To/from work 1 Agricultural Produce 2 Electrical and identifying the area/nearby landmark
LCV (Passenger) 03 Education 2 Manufactured Products 3 Electronic Goods 13 3 Please follow zone map
LCV (Freight) 04 Family/social 3 Machinery Parts 4 Motor Vehicles 14 4 Please follow list of commodities
MCV 05 Medical 4 Building Materials & Minerals 5 Pharmaceuticals 15
HCV 06 Shopping 5 Iron & Other Metals 6 Miscellaneous & Raw 16
MAV(Semi-articulated) 07 Recreation 6 Petroleum Products/ Gas Cylinders 7 Plastic Materials
MAV(Articulated) 08 Other 7 Chemical & Fertiliser 8 Passenger 17
Standard Bus 09 Fish/Food Products/Poultry/Dairy 9 Animal & Livestock 18
Mini Bus 10 Tea 10 Empty 19
Three Wheeler 11 Fruit 11
Two Wheeler 12

Client :

Signature of Enumerator Sheet No. / Signature of Supervisor

You might also like