ANNEXURE-2

DOCUMENTS TO BE MAINTAINED BY PROGRAM COORDINATOR/HOD

(Documents to be submitted at the time of Inspection)
Sl.No Ref No Particulars INS FORMAT
No

1 INS/PC/001/001 Vision of theDepartment, Mission of department, Program

educational objectives of program, Program out comes, Program
------
curriculum copy of all semesters (Syllabus book) and the
Curriculum structure of the program.

2 INS/PC/001/002 Academic calendar of the Department. 1 (A)

3 INS/PC/001/002 Academic calendar of the Polytechnic. 1 (B)

4 INS/ PC 001/002 List of teaching/Non teaching/Part-Time faculty of Department. ------

5 INS/ PC /002/001 Individual class time table 2

6 INS/ PC /002/003 Personal Time Table of all teaching/Work-shop Instructional 3

Staff/Part-Time faculty.

7 INS/LEC/002/003 Lab Time table indicating Name of the practical, 4

Batch number & staff name.
8 INS/ PC /002/002 Master time table of program 5

9 INS/ PC /006/001 Course Plan of all the teaching staff members including part time 6
staff.

10 INS/ PC /007/001 Details of Theory and Practical portions covered at the end of every 8(A)
month of all the faculty including part time staff.

11 INS/ PC /007/002 Details of Theory and Practical portions covered as on the date of 8(B)
Inspection including part time staff.
12 INS/ PC /011/001 Student’s Mid semester Feedback analysis Form for all 9(A )
semesters and the Corrective action taken
13 INS/ PC /011/002 Student’s End semester Feedback analysis Form for all 9(B )
semesters and the Corrective action taken
14 INS/PC/008/001 Course outcome/Program outcome Attainment sheet. 10
15 INS/ PC /004/002 Student Enrollment ratio. 12

16 INS/ PC /004/003 Student performance.. 13

17 INS/ PC /004/004 Success index of batch with in stipulated period. 14

18 INS/ PC /003/002 Result analysis- a) Program wise 15

Page 1 of 2
 b) Subject/staff wise 16

19 INS/ PC /005/001 Consolidated Attendance Register (with R.R.No.) 17

20 INS/ PC /005/002 Copy of the Shortage of attendance displayed on the Notice board 18
with Date of all the semesters .

21 INS/ PC /005/003 Copy of the Consolidated Final attendance report sent to SBTE with 19
Date of notification for all the semesters .

22 INS/ PC /005/006 Consolidated I.A. Marks Register (with R.R.No.) 20

23 INS/ PC /004/005 Placement Index. 21

24 INS/ PC 009/001 Lab- wise Equipment List. 22

25 INS/ PC /008/001 Details of the remedial classes conducted for students with poor
------
academic performance.

26 INS/ PC /010/001 Department meeting minutes Register. ------

27 INS/ PC /010/001 Records of meeting & discussions held with all Stake holders. ------

28 INS/ PC /012/001 Record Of additional Duties entrusted to faculty (NSS, NCC, CCTEK,
------
etc.) to faculty

Page 2 of 2
 INS FORMAT-1(A)
Institution Name: Ins.code: Academic Year 20- -_20-
- ACADEMIC CALENDER OF THE INSTITUTION.
Week DAY DATE ACTIVITES

Morning Session Afternoon Session

Monday
Tuesday
Wednesday
1
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
2
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
3
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
4
Thursday
Friday
Saturday
Sunday

Note: 1. All the Co-Curricular & Extra Curricular activities of both odd & even Semester are to be planned at the
commencement the academic year as per the BTE academic calendar of events in the given format.

Date: Signature of the Principal & Seal

 INS FORMAT-1(B)
Institution Name: Ins.code: Academic Year 20- -_20- -
Department Name:
ACADEMIC CALENDER OF THE DEPARTMENT.

Week DAY DATE ACTIVITES

Morning Session Afternoon Session

Monday
Tuesday
Wednesday
1
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
2
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
3
Thursday
Friday
Saturday
Sunday

Monday
Tuesday
Wednesday
4
Thursday
Friday
Saturday
Sunday

Note:1. All the Co-Curricular & Extra Curricular activities of both odd & even Semester are to be planned at the
commencement the academic year as per the BTE academic calendar of events in the given format.

Date: Signature of thePC /(HOD) Signature of the Principal & Seal

 INS FORMAT-2

CLASS TIME TABLE FOR THE YEAR 201 _ _ - 201 _ _ With effect from _ _ _ _ _

Name Of Institution : Class : I/II/III/IV/V/VI Sem.

Name Of The Program/Branch : L.H.No. _ _ DH No. _ _ Lab. Name .:

DAY PERIOD 1 2 3 4 5 6 7

TIME

MON

LUNCH BREAK
TUE

WED

THU

FRI

SAT

Note :1) Duration of each period is one hour.

2) Monday to Friday contact hours - 7 Hours
3) Saturday Contact Hours – 4 hours
4) Total Contact Hours / week – 39 Hours.

Signature of HOD /PC with Seal Signature of Principal with Seal

 INS FORMAT-3

PERSONAL TIME TABLE 201 -201 .

[ODD SEM/EVEN SEM]

NAME OF THE COURSE CO ORDINATOR: DESIGNATION: PROGRAM/DEPT:

Time-
Sl. No. of Week Room
Subjects Class Time €
No. Students Day No.
Day

Mon

Tue

Wed

Thur

Fri

Sat

Note: 1) Shade the hours engaged. Use different indication for theory and practical.
2) Where a class is handled jointly with another staffs indicate the name of the joint staff in ‘Subject” column.
3) For calculating work load treat - Theory: 1 hr =1Hr. , Practical/Drawing/Workshop: 2 Hr. = 1 Hr.
Theory Practical Drawing Project Total in contact hours
……… hrs. ……….. hrs. ……….. hrs. ….hrs ……… hrs.

SIGN. OF COURSE Co-Ordinator SIGN. OF PROGRAM Co-Ordinator SIGN. OF PRINCIPAL

 INS FORMAT-4

LAB TIME TABLE FOR THE YEAR 201 _ _ - 201 _ _ With effect from _ _ _ _ _
Name Of Institution : Class : I/II/III/IV/V/VI Sem.

Name Of The Program/Branch

Name of LABORATORY:

DAY PERIOD 1 2 3 4 5 6 7

TIME

MON

LUNCH BREAK
TUE

WED

THU

FRI

SAT

Note :1)Display lab Time Table in all the LABORATORIES.indicating name of the lab conducted & Batches as per Scheme of Studies.
2) Duration of each lab is three hours, 3)In case of SECOND SHIFT Institutions, Clearly Display separate Lab Time table for BOTH the Engineering College &
Polytechnic Students.
3) Monday to Friday contact hours - 7 Hours
4) Saturday Contact Hours – 4 hours
5) Total Contact Hours / week –39 hours

Signature of Foremen/Workshop Superintendent Signature of HOD with Seal Signature of Principal with Seal
 INS FORMAT-5

MASTER SECTION TIME TABLE

Name Of Institution : SEM: I/II/III/IV/V/VI
With effect from _ _ _ _
Name Of The program : L.H.No. _ _ DH No. _ _ Lab. Name

PERIOD 1 2 3 4 5 6 7
DAY CLASS
TIME

I / II Sem

MON III/IVSem

V/VISem

I / II Sem

TUE III/IVSem

V/VISem

I / II Sem

LUNCH BREAK
WED III/IVSem

V/VISem

I / II Sem

THU III/IVSem

V/VISem

I / II Sem

FRI III/IVSem

V/VISem

I / II Sem

SAT III/IVSem

V/VISem
Note: Master time table should be prepared separately for ODD / EVEN semester and to be displayed on Department Notice board.

Signature of PC/ HOD with Seal Signature of Principal

 INS FORMAT-6
COURSE PLAN
Program/Branch………………………….. Course/Subject …… Semester……. Year: 20 - -_20 - -

Name of course coordinator: Sri/Smt-------------------------

Hours Teaching aids

Methodology
Planned allotted and resources
Unit Title and Covered date Learning adopted to Remarks by
date for for used for
course Planned content delivery of content outcomes validate the Program
Sl.No content planned planned
outcomes delivery achieved course coordinator
delivery content content
outcomes
delivery delivery

52 52

Course- coordinator/faculty Program Coordinator/HOD Principal

 INS FORMAT-8 (A)

DETAILS OF THEORY & PRACTICAL PORTIONS COVERED BY THE END EVERY MONTH

Total hrs. No. of No. of

Name of the No. of No. of Total No. of % of
Sl. required as classes chapters to
Course Co-ordinator Subject Semester classe no. of chapters Portion
No. per hrs./week to be be
s chapters completed Covered
(staff) syllabus taken completed
taken

SIGN. OF THE STAFF/CC SIGN. OF HOD/PC SIGN. OF PRINCIPAL

 INS FORMAT-8 (B)

DETAILS OF THEORY & PRACTICAL PORTIONS COVERED AS ON DATE OF INSPECTION.

Total hrs. No. of No. of

Name of the No. of No. of Total No. of % of
Sl. required as classes chapters to
Course Co-ordinator Subject Semester classe no. of chapters Portion
No. per hrs./week to be be
s chapters completed Covered
(staff) syllabus taken completed
taken

SIGN. OF THE STAFF/CC SIGN. OF HOD/PC SIGN. OF PRINCIPAL

 INS-FORMAT 9 (A)
INTERNAL QUALITY ASSURANCE CELL
STUDENT MID SEMESTER FEED BACK ANALYSIS FORM
(need to be translated to kannada)
Note: Soft copy of the feedback should be available both in kannada and English.

Name Of Institution Inst. Code CAY:------ SEM: DATE

Name Of the Program Name of the Course

COURSE OORDINATOR

STUDENT FEED BACK ANALYSIS

Rating: A: Excellent(5), B: Very Good(4), C : Good(3), D : Satisfactory(2), E : Poor(1) 1 2 3 4 5

A. About Course :

1 Fundamentals aspects covered

2 Distribution of the contents in Course

3 Coverage of modern / advanced topics

4 Benefit you derived from the course

5 Enhancement of skill base

6 Availability of text books / study materials/E-Content

7 Course outcomes as per the curriculum achieved.

B. Delivery of Instructions

1 Delivery of lecture by focusing on curriculum

 2 Clarity in course content instructions delivery

3 Pace of the Teaching

4 Use of innovative teaching methods

5 Skills of linking the topics to practical situations

6 Conducting the class room discussions

7 Accessibility of teacher for clearing the doubts

8 Availability of teacher/instructor in the whole duration of laboratory hours/work shop

practice
9 Helping the students in conducting experiments/shop practices through set of instructions or
demonstrations
C. Assessment

1 Periodical assessments were conducted as per schedule

2 Test paper covers all the topics in the Course content

3 The teacher pays attention to academically weaker and less scored students in
test and conduct remedial drill

4 The teacher was fair and unbiased in the evaluation of test blue books

5 Regularity in checking of laboratory log books/ practical records/work shop records.

6 Student activity sheets were evaluated properly

Action taken : 1 2 3 4

Signature of faculty Sign. Of Program Co-Ordinator Sign. Of Chairman/IQAC

 INS-FORMAT 9 (B)
INTERNAL QUALITY ASSURANCE CELL
STUDENT END SEMESTER FEED BACK ANALYSIS FORM
(need to be translated to kannada)
Note: Soft copy of the feedback should be available both in kannada and English.

Name Of Institution Inst. Code CAY:------ SEM: DATE

Name Of the Program Name of the Course

COURSE
COORDINATOR
STUDENT FEED BACK ANALYSIS

Rating: A: Excellent(5), B: Very Good(4), C : Good(3), D : Satisfactory(2), E : Poor(1) 1 2 3 4 5

A. About Course (After undergoing)

1 Fundamentals aspects covered

2 Distribution of the contents in Course

3 Coverage of modern / advanced topics

4 Benefit you derived from the course

5 Enhancement of skill base

6 Availability of text books / study materials/E-Content

7 Course outcomes as per the curriculum achieved.

B. Delivery of Instructions

1 Delivery of lecture by focusing on curriculum

2 Clarity in course content instructions delivery

 3 Pace of the Teaching

4 Use of innovative teaching methods

5 Skills of linking the topics to practical situations

6 Conducting the class room discussions

7 Accessibility of teacher for clearing the doubts

8 Availability of teacher/instructor in the whole duration of laboratory hours/work shop

practice
9 Helping the students in conducting experiments/shop practices through set of instructions or
demonstrations
C. Assessment

1 Periodical assessments were conducted as per schedule

2 Test paper covers all the topics in the Course content

3 The teacher pays attention to academically weaker and less scored students in
test and conduct remedial drill

4 The teacher was fair and unbiased in the evaluation of test blue books

5 Regularity in checking of laboratory log books/ practical records/work shop records.

6 Student activity sheets were evaluated properly

Action taken : 1 2 3 4

Signature of faculty Sign. Of Program Co-Ordinator Sign. Of Chairman/IQAC

 INS-FORMAT 10

A. COURSE OUTCOME ATTAINMENT SHEET

Name of the course: --------------------------------- Name of the course coordinator: ------------------------ SEM: ---------- Year:20 --_ 20--
Action
Name of the Course CIE SEE Course outcome attainment Adopted Gap initialed
course out comes 25 100 (0.40 CIE +0.60 SEE) target (if any) to fill
the gap

CO1

CO n
Note: Theory/laboratory/drawing/Work shop courses CO may be varied accordingly
B. PROGRAME OUTCOME ATTAINMENT SHEET

Name of the course: ----------------------------- Name of the course coordinator: ------------------------ SEM: ---------- Year: ------------

Name of the course PO1 PO2 PO3 PO4 PO5 PO6 PO7 PO8 PO9 PO10
Mapping
level

PO
attainment

Signature of course coordinator HOD SIGN. OF PRINCIPAL

WITH SEAL WITH SEAL

 INS- FORMAT-12

STUDENT ENROLLMENT RATIO

Item I Year II Year III Year

Sanctioned intake strength of the program (N)

Total number of students, admitted through state level

counseling(N1)/Admitted
to Next level

Number of students, admitted through off line counseling(N2)

Number of students, admitted through lateral entry (N3)

Total number of students admitted in the Program (N1 + N2+N3)

Enrollment ratio
(N1+N2+N3)/N

Sign.Of Program Co-Ordinator Sign. Of Principal

 INS-FORMAT 13
STUDENT PERFORMANCE

First Year Second Year Third Year

No. of No. of No. of

student student student
who have who have who have
Year of Student Student Student
passed Academic passed Academic passed Academic
Entry Admitted Succes Admitted Succes Admitted Succes
successful Performan successful Performan successful Performan
N=(N1 s rate N=N1 s rate N=N1 s rate
ly with ce Index ly with ce Index ly with ce Index
+N2+N3+N Y/N +N2+N3+ Y/N +N2+N3+ Y/N
permissibl (API) permissibl (API) permissibl (API)
4) N4 N4
e e e
backlog(Y backlog(Y backlog(Y
) ) )

CAY

CAYm1

CAYm2

*CAY =Current Academic year, means the year of inspection and CAYm1 & CAYm2 indicates Current Academic Year Minus one year and Minus 2 years
respectively
N1=No. of student admitted through state level counseling
N2=No. of students admitted at Institution level (offline counseling)
N3=No. of student admitted as a repeater
N4=No. of student admitted through lateral entry
Academic Performance Index (API)=(Average percentage of marks of all successful student)X (total No. of successful student/N)

Sign.Of Program Co-Ordinator Sign.Of Chairman/IQAC. Principal

 INS-FORMAT-14
SUCCESS INDEX
Latest Passed BatchLPB Latest passed batch Latest Passed batch
Item
minus 1LPBm1 minus 2LPBm2

*****
Number of students admitted
(N1+N2+N3+N4)

Numbers of students passed in the

stipulated period

Success Index

Average SI

Success rate

SI= (Number of students who have passed from the program in the stipulated period of course duration)/ (Number of students admitted
in the first year of that batch and admitted in 2nd year via lateral entry).

Average SI = mean of success index (SI) for past three batches.

*LPB =latest passes batch, means the batch passes in the year of inspection and LPBm1 &LPB m2 indicates latest passes batch Year Minus one year
and Minus 2 years respectively

*****N1=No. of student admitted through state level counseling of that batch

N2=No. of students admitted at Institution level (offline counseling) of that batch
N3=No. of student admitted as a repeater in that batch
N4=No. of student admitted through lateral entry of that batch

Sign.Of Program Co-Ordinator Sign.Of Chairman/IQAC .Principal .

 INS-FORMAT-15
ANALYSIS OF RESULT –PROGRAMWISE
SEMESTER EXAMINATION HELD DURING ………………..
NAME OF THE INSTITUTION: Name of program: DATE OF INSPECTION....................20….

SEMESTER NO OF No of No No No % PASSED EXCEPT IN No of %age of SMP/

DISTINCTIO of I of of age students promote Withhel
STUDENT N clas II Tota of promote d d
S s clas l pas d Includin cases
s Pass s including g total
APPEARE total pass pass
D
ODD EVE 1 2 3 4 TOTA
SEM N SU SU SU SU L
SEM B B B B
St
1 Se
m
3
SEM
5
SEM
2nd
4th
6th
Total % Total %
Avg% Avg%

SIGN.OF PC/HOD WITH SEAL SIGN. OF PRINCIPAL WITH SEAL

 INS-FORMAT 16
RESULT ANALYSIS SUBJECTWISE

NAME OF INSTITUTION : NAME OF PROGRAM Semester Examination Held During ……../20-- --

Course:
Sl no Name of the subject Name of the staff Handled No of students passed
Sri/Smt
Appeared Passed %age
A I/II SEM
1
2
3
4
5
6
7
B III/IV SEM
1
2
3
4
5
6
7
C V/VI SEM
1
2
3
4
5
6
7

Signature of PC/ HOD Signature of the principal

 INS-FORMAT- 17

CONSOLIDATED ATTENDANCE REGISTER FOR THE SEMESTER I/II/III/IV/V/IV DURING 201 _ - 201 _
Name of the Institution Institute Code :

Program : Program Code :

ROLL NO NAME OF SUBJECT 1 2 3 4 5 6 7 Total % REMARKS

THE NO OF CLASSES HELD

STUDENT MINM ATTENDANCE REQUIRED

[75% of No of classes held]

Initials of the Concerned Staff

Initials Of HOD

Note:- 1.Shortage of attendance to be Mentioned in remarks Column ,If there is a shortage of attendance [Less than 75%]either in

Individual Subject or in aggregate.

2. No of Classes held should be cumulative.

Signature of PC/HOD IA Verifying officer Signature of the principal

 INS-FORMAT -18

STATEMENT SHOWING THE SHORTAGE OF ATTENDANCE FOR THE SEMESTER I/II/III/IV/V/IV DURING 201 _ - 201 _

NAME OF THE INST; INST. CODE

Program: DATE OF ANNOUNCEMENT:

MINIMUM ATTENDANCE REQD IN EACH SUBJECT :-75%

MINIMUM AGGREGATE ATTENDANCE REQD. :-75%

ROLL NO SUBJECT TOTAL %age

No of c lasses held. 100
No of classes 75
Required=75% No of c
lasses held.

Name of the Student

Signature of PC/HOD Signature of the principal

 INS-FORMAT -19

FINAL ATTENDANCE REPORT TO BTE FOR THE YEAR 201 -201

NAME OF THE INST: INST CODE:

PROGRAM: PROGRAM CODE:

SEMESTER I/II/III/IV/V/IV
SL NO CANDIDATE NAME REGISTER NO PERCENTAGE OF ATTENDANCE OBTAINED IN AGGREGATE REMARKS
EACH SUBJECT PERCENTAGE

1 2 3 4 5 6 7

Initial of the staff member in charge

Date; - -201
Note :1) 01,02,03 etc. indicates Sl. No. of the subjects as per the BTE subject Dictionary
2) Attendance Details of all the students of each class Should be announced separately
3) If there is any shortage it should be mentioned in remarks column
4) To the Secretary BTE Bangalore for information 5) To be announced in the students Notice Board

Signature of PC/HOD Signature of the principal

 INS-FORMAT -20

CONSOLIDATED I.A MARKS REGISTER FOR THE SEMESTER I/II/III/IV/V/IV DURING 201 _ - 201 _

Name of the Institution Institute Code :

Program : Program Code :

Lab / W.S Practicals

Similarly for other

Similarly for other

Similarly for other

Sl. Reg
Candidat Subject
No . Theory Drawing Lab. /Workshop Practical Project Work CASP Lab Ind. Visit
e Name s
. No.

Average of three

Max. I.A. Marks

Max. I.A. Marks

Max. I.A. Marks

Max. I.A. Marks

Max. I.A. Marks

Max. I.A. Marks

Report Record
Parame

Average of TI

Presentation
Attendance.

Attendance.

Attendance.
Proj. Report
T1 T2 T3 T1 T2
ters
Activites

Activites
Graded .

Graded .

Seminar

Seminar
Report
Max. 10 10 10 20 05 25 20 05 25 10 10 10 10 05 25 10 1 05 25 10 10 05 25 10 15 25
0
Marks

Total

Initials with date of the

concerned staff

Initials of HOD

Initials of the Principal

Note : 1. In the row of subjects write the name of subject with their codes in ascending order as per BTE dictionary
2. In the case of theory T1, T2 & T3 indicates Test-1,Test-2 & Test-3 Conduction of Test

Test No.
Conduction of Test
Portions for the Test
1 2 3
th
During Sixth Week During Tenth Week During 14 week
th
Portions covered upto Sixth Week Portions covered during Sixth to Tenth Week Portions covered during Tenth to 14 Week

Signature of PC/HOD IA Verifying officer Signature of the principal

 INS-FORMAT- 21

PLACEMENT INDEX

latest passed batch latest passed Batch

Item latest passed batch
minus1 minus2

No. of Final Year Students successfully completed the

programme (N)

No. of students placed in Government or private Sector (X)

No. of students admitted to higher studies (Y)

Total No of students placed (X + Y)

Placement Index : (1.25X + Y)/N

*LPB =latest passes batch, means the batch passes in the year of inspection and LPBm1 & LPB m2 indicates latest passes batch Year Minus one year and Minus
2 years respectively
N1=No. of student admitted through state level counselling of that batch
N2=No. of students admitted at Institution level (offline counselling) of that batch
N3=No. of student admitted as a repeater in that batch
N4=No. of student admitted through lateral entry of that batch

Signature of Placement Officer Signature of PC/HOD Signature of the principal

 INS-FORMAT-22 STATEMENT

SHOWING LIST OF EQUIPMENT AVAILABLE – LAB WISE

[AS PER SEMESTER CURRICULUM- AS ON DATE OF INSPECTION]

Name of the Institution Institute Code : Date:

Program : Program Code :

NAME OF THE LAB/WORKSHOP

Quantity Working/
Sl. Quantity as Date of Reasons for not
Name of instrument/Equipment/ Machine etc. actually not Remarks
No. per syllabus purchase working
available working

*Attach
Separate Sheet
if Required

Signature of PC/HOD Signature of the principal