Page 280

ANNEXURE - 37
Refer Clause 2.1.14.1(c)

MODEL FORM FOR MEASUREMENT BOOK

MEASUREMENT CONTENTS
/AREA
DATE PARTICULARS
Total WITH
NO. L B D/H Qty
Qty SKETCH
 Page 281

ANNEXURE - 38
Refer Clause 2.1.14.1(g)

MODEL FORMAT FOR LOOSE LEAF MEASUREMENT SHEETS

Sheet No.----------------

Name of work ----------------------------------- Contract No. ------------------------------

Name of Contractor -----------------------------------------------

R.A. Bill No ; ___________________ Date of Measurement:__________________

S. Item No. Descripti Page No. of Remarks

No. on as per MB from
Total
Schedule where qty L B D/H Qty
Qty
brought
forward

Signature of Contractor Signature of Engineer Recording &

Accepting Measurements

Date :________ Date : ________

 Page 282

ANNEXURE - 39
Refer Clause 2.1.17.3

MODEL FORMS FOR SITE REGISTERS

HINDRANCE REGISTER

Name of the Contractor :

Name of Work :

Work Order Ref. & Date :

S Nature Date of Date Period Overlap Net Exte Signatu Signat Remar
N of Occurre of of ping Exte nsio re of ure of ks
Hindra nce Remo Hindra Period nsio n Contrac Site-
nce val nce n reco tor in-
mme Charg
nde e
d
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
 Page 283

TEST CHECK STATEMENT

Name of the Contractor :

Name of Works :

Work Order Ref. & Date :

Item Brief Ref. of Gross Gross Name and Signature Remarks

No. Description Bill/M.B Amount Amount Signature of Site
of Item of Work of Test of In-charge
Executed Check Inspecting
upto this Exercised Official
Bill upto this
Bill
(1) (2) (3) (4) (5) (6) (7) (8)
 Page 284

CEMENT CONSUMPTION REGISTER

Name of the Contractor :

Name of Work :

Work Order Ref. & Date :

S Item Brief Qty. Unit Co- Qty. Qty Signatu Signat Remar
N No. Descrip Execu efficient of . re of ure of ks
tion ted Conside Cem act Contrac Site-
red ent uall tor in-
(Theo y Charg
retic con e
al) su
me
d
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
 Page 285

PART RATE STATEMENT

Name of the Contractor :

Name of Works :

Work Order Ref. & Date :

Ite Brief Full Par Par Remarks/Reaso Signatur Signatu Remar

m Descripti Rat Rate in t ns & e of the re of ks
No. on of Item e previou rat Deficiencies in Contract Site In-
s Bill e the Work for or charge
in allowing Part
thi Rate
s
Bill
(1) (2) (3) (4) (5) (6) (7) (8) (9)
 Page 286

CEMENT REGISTER

Name of the Contractor :

Name of Works :

Work Order Ref. & Date :

S Da Recei Cumulat Consump Cumulati Balan Signatu Signat Remar

N te pt ive tion on ve ce re of ure of ks
(No. Receipt (No. of consumpt (No. the Site In-
of (No. of bags) ion (No. of Contrac charge
bags) bags) of bags) Bags) tor
(1 (2) (3) (4) (5) (6) (7) (8) (9) (10)
)