GOVERNMENT OF ANDHRA PRADESH

PRADHAN MANTRI GRAM SADAK YOJANA

STATE QUALITY CONTROL MONITOR REPORTS

SQM : L VIJAYA SARADHI

Date of Inspection:24.12.2023
Name of the work: Construction of HLB across sandimadugu vagu
at 6/4 to 6/6 km on the road from K.Agraharam
to Pedavenkannapalem of Ponalur Mandal
Estimate Cost : 171.73 Lakhs

Package No : AP16 XI LB 23

PMGSY-Phase XI
Mandal : PONNALUR
Division : PIU DIVISION ONGOLE
Sub-Division : SINGARAYAKONDA
District : PRAKASAM
 M*'NTE^IANLE OF BR'DqE h,OP-K
National Rural Infrastructure Development r\gency
Ministry of Rural Development, Government of India

Format eB Version 2021.0_partl

Fornrirt for information to eM for Inspection of Ongoing/Co 6rnOBridge Work

1. GENERAL:

I. Work: (check,/any one box)

II. Date of inspection: 24-lL-2il-3

m. Name of quality monitor (eM):
! 17,*l|;4l r*
@iff*"lE;r+
IV. State:
Ar.alra fu*lzsl1 District:
lo.l ar,r Block: lqf

Name of bridge & s qr-

llLB o(m sS
Location * tlt V*r i,, 1i..
VI. T P::^^b{ \o"a.l f f^r"r". d.ts#dc|-
Package number,:
l*?tbxtLBB'lJ
VII. Sanctioned length ofthe bridge.:
Ql.Q f, nt

Deviation in length ofthe bridge (Ifany).:

-nt
VIII. Reasons for deviation (ifany):

IX. Estimated cost (as cleared by GOI):

X. Technical sanction cost:

XI.
XII.
Awarded cost:
trE
Expenditure: (iJ work is ongoing) a. Expenditure done:

b. BilJs pending:

Total expendirure = (a+b)

XIII. Completion cost: (if tuork is completer)

 XV.
XIV. Date of award of work: (date/ month/ ye,ar)

Date of start of work:(date/ month/ year)

rE t;ttril
t-,;t@
XVI. Stipulated date of completi on:(date/ month/ year)'
E l-.;.l@
X\4I. Actual date of completion: (date/ ntonth/
year)(in case of completedwork);
Eil FT@
2. PHYSICAL PROGRESS: (Ongoing/Compteted)

Construction programme and Physical progress (Strike off whichever not

applicable):
Item of work Units Quantity Quantity Completed
Fill in start and completion dates Delay in
m perDPR executed percentage months
of item Progress Start Completion
status Date Date
(l) (2) (3) @\ (s) (6) (7) (8)
i) Layout Due
Actual
ii) Foundation Due
Actual
Due
iii) Substructure
*b*"'./ Actual
Due
iv) Superstructure
$^: $l' Actual
Due
v) Protection Works
Actual
Due
vi) Approaches
Actual
vii) Mandatory boards/ Due
Signage etc. Actual

3. PARTICULARS OF THE BRIDGE.

3.1 Type of the bridge (according tt ffff-; r' Submersible ,r' [Non-submersible
(according to Material) RCC Steel

Composite Pre-Stress

3.2 Type of foundation Open Rafi

Pile Well

3.3 Length of bridge

+l.qL
3.4 Number of spans and spans length 4 tt*ls fi ?n+s ?^cA/
 3.5 Width of the bridge
a'so m

3.6 Footpaths provided

Yes

Ifprovided, width of flootpath ITI

3.7 Formation Level (F.L.) Maldtna.nCa

NoyF. nl

3.8 Highest Flood Level (HFL)/Ordinary Flood Level (OFL)

111 Ilt

3.9 Bed level (Lowest)

ln

3.10 \
Catchment area
t-b+ km2

3.1I Linear waterway at HFL

3.12 Design discharge

I
I
ct

{
m

- cumec
I

3.13 Design velocity I

is m/s
o
3.14 Foundation levels (a) piers
v Pl l- m P2 l- m
F'_F'
6
3
F -r;t E-T-;t tr-T-;t
t a P7 m P8 ln
F'I-E
(b) Abutments
7 tr-T-;t A2 tn
(c) Returns
E^
E;_T-;I R2 n)

3.15 Foundation Strata

F
3.16 Safe Bearing Capacity (SIIC) tons/m

3.1 7 River protection works provided or not

Yes No

if provided Rigirl boLrider apron Flexible boulder apron

3.18 Type of Substructure

(a) Piers - Solid c ircular Hollow cilcular

Wall tvpe pier

Any other type:

(b) Abutments - Gravity type Spillthrough

Box rype Counter fort type

Any other type:

 I
Counter lbrt
(c) Retums - \ Box type
t Tied leturns Cantilever type

T
c{

3.19 Type ofbearings :

:t.) Elastomeric Pot PTFE

{ Rocker & Roller

{
n
3.20 Test report ofbearings available or not 'q.
J Yes No
o
? RCC
3.21 Type of superstructure
tlJ
G Solid slab T Beam slab
o
,d Voided slab Box girder

\:
la
i:
(*
Stccl

Plate girder Truss framc

\? Cable stayed
\e
l<
Arch bridges

Suspension

l=
Buried Copper Plate
3.22 Type of exPansion joints
Biturninous Strip seal

Modular Finger tYPe

I I eny ortrer type: I

RCC I Bituminous
3.23 TyPe of wearing coat
As per IRC SP As per Design
3.24 TYPe of drainage sPouts
 3.25 Design loading
Single lane IRC Class "AA" loading or
- ldouble lane IRC class "A" loading uhich
ever produces severe stresses.

- | IRC clirss
"B" loading

Single lane IRC class "70R" loading or

- ldouble lane IRC class "A" loading which
ever pl'od uces severe stresses.

Any other type:

3.26 Whether approaches are in cutting or in filling

- |
Cutting Filling

-. I Partly cutting and filling

3.27 Type ofpitching in approaches
- lBoulder pirch ing Concrete block

3.28 Whether bench marks and alignment are established Yes No

near the bridge site (give locations and RLs)
Location: I RI-: m

Location: RL: n]

Location: RL: m

Location: RL: m

3.29 Type of Railings RCC as per Pipe railings

Steel Collapsible

- | Arry olhcr rype:

QUALITY CONTROL: Mo?n-|e.nancz hlofF-

I- Location of Field Laboratory

IL Geo{agged photograph of laboratory uploaded on.. (date/ month/ year);

III. Reason for delay in establishment of field laboratory (if so):

lV. Details of contractor, executing the work:

Name ofcontractor PAN number Mobile nunr ber E-rnail ID.

r"t/r (a.'.c-ah a( a,,s'.t*-l;* hAL? 41113 ( 31o tq11s{.)
Y^rd.l.Eu{
 V Details ofcontractor's engineer available at site: (Responsible
for rraintaining quality control register part-l
SI. Name of contractor's
no. tdentitV numbS,. /Mobile number Duration ofposting at site
engineer at site
From To
w-
-----w u;&
VI. Details of head ofF6 supervising the work:

Head ofPIU Duration ofposting at site

(Executive Engineer)

VII. Details ofassistant engineer supervising the work and maintaining quality I register Part-ll:

on of posting at site
Mobile number:

VIIL Details ofthejunior engineer supervising the

Duration ofposting at site

Mobile nurnber

IX, List of available in field lab:

vailable equipment that are in working condition Available equipment that are not in working

X. List ofequipment not available in field lab:

XI. Reasons put forth by PIU for non-availability ofequipment in field lab:

Xai]rai,.^a^^ c- lq'"oA fh -^"1 lfo'6- '

- -

XIL Details ofcalibrations ofequipment done:

Equipment, documents and drawings ready to be made available to

eM or during the inspection:

DETAILS OF MIX DETiIGN(s):

Details of Institure/ Details of Mix

laboratory where mix Design approving
design was done PMGSY Authority

Cement Concrete M20

CenentYteM30

Cement Concrete M40

Wet Mix Macadam (WMM)

Dense Bituminous Macadam

Semi Dense Bituminous Concrete

Bituminous Concrete

1
 6. EARLIER INSPECTIONS BY *q,, SQM oT sENIoR DEPARTMENTAL
OFFICERS (SEs & CEs) AND ACTION TAKEN STATEMENT:
(Please indicate chronologically name and designarion of the offic,cr who
had inspected the work);

Date Name and Designatior Stage of work at the time Major observations Action taken by PIU
of of inspecting officer of inspection with date
visit
INQM/SQM/CE/SE)
(l) (2\ (3) (4) (s)
fyf . V. 4tanlra
9*Aat.jall tuainl<na*cz S+6c
:rf tz-f a2) *^ta * 9^]lrs+^drl
G o.^; -Al'* -

4-

Signature orthe Head of pru.....d0l\}yl*r.." /&e

Seal of PIU Name and Designation'of the Heatl of PlLt .:.6:..?fu..91Lb.U...**f+r+v.
bgi*ezt'
v
Mobile Number of the Head of pIU......... ..t-+.*9.1!.1.2.t.1........

E-mair of the Head of pru. . . . . . .a. s FrV.

. %P.b. .eV #.|:.b:C... . ..
 National Rural Infrastructure Development Agency
Ministry of Rural Development, Government of India

MAI NTAIN4NC6 OF BA,DC)S klG'( Format QB version 2021.0- part rr

Report of National Quality Monitor (NeM)/State euality Monitor (SeM)

(To befilled-up by Ql"[)

1. GENERALDETAILS:
I. Date of inspection:
2-+ - l. - 2-o Le

IL Name of Quality Monitor (QM)

(check,/ retevant box andJitl code) L.vt5AYA gHq+Dbl' F|*,]I.-E - I
PIGna I I c"a"laro,,+a"-
III. State: h+rn'B@, ?kod4L District: Block:
Pe*r+s**11 ?OXII ALDR

IV. Name of Bridge & Location: Csw*tttth'e ,-t t+ l+l-b ac-/os! hr' dt^,,'
a 4 {a n Y
Wr*3!*":!iy^%Y:
V. Package number:
.*P lbx t L-h2-3

VI. Physical status ofwork:

htai*r.'^,"*a- lr& '
(chech,/ anyone box)
Ongoing \./ I Completed

VII. xoa*-o{ Sh P*'l-L

Present status of work: (check/ boxes as spplicobte)
- HA , fl 1 ;1y', N CE Yoa'v

Layout Foundation SLrbstructure

SuDerstructure
Protection work
Anoroaches

Finishins stase

VIII' Photographic or video-graphic records (optional) ofall hidden items like reinforcements offoundations/
sub
structures/ super structures etc. are kept by PIU, till Defect liability period is over lor bridge for any future
not: box)
reference or (Check ,/any one
N/A- I l"*l[-fMl f-----r------t

I/)
\--
A*-4
Eag e
2. QUALITY ARRANGEMENTS-OBSERVATIONS (iz case of ongoing works only):
(Geo-tagged photograph ofthe laboratory showing the available equipment's to

I. Whetherfieldlaboratoryestablished:(check't'anyonebox)
tM
f,f@
ll. Whether location of field laboratory is same as l-T*_-l
indicated by PIU in format part-|. (checkl an)'.,ne box) aTTrr
V)_:1" I I'- |

uI. Whether necessary equipment as indicated in part-l are actuaut

ffilfF""b,l Iq
available: (check / any one box)

IV. Whether equipment's have been used: (checkr anlt one box)/
n"" I fFal1ry I Itr
V. If all necessary equipment is not available, whether you htve r-T ---l l--r *"----.,,
verified them with ihe list ofdeficient equipntent's provided I lYes I I I I

Pan-l: kheck/any one by.1

by PIU in lormat
\. r----T-----r r-T*;l
Vl. Calibration of equipment done or not: (check'/atfone box) I l"* I I f f

VIl. Whether contractor's engineer as per Part-l oilhi. formu,.

't T-lt"rl
I l'-- | fl*l
I I
available at site: @hecy'/ anv one box) I

VII contractor's en gi neer as pe.r,r at-y/*

'""L il;iir;tou
I I- rs
-:ry1^: madeto ::t
av ai lab le' f-I*tl
I I I flea"I
I re]
are-satisfiiJ ii*,atyfiiati'e arringeme.nt I

maintain QCR-I: ,/ (check/ a4' one box)

IX. Whetherlab ecnniciananqilerstaffisavailablefortestins.inthe

i]*f [TNol
laboratory: / ftheck'/ anY one box)

lf @
the fi6ld laboratory rs nol establrsneo,
grading
tsr durr Its
J'rorr u!
shall be u
Uy'f anYone or more
Guiding note:
item grading shall be
:':'1"
:':'i'
SRI'
sub-i,.il. are graded partly or no, overall
Item Grading-2:
(Checkl mY one box)
this item is graded SN/U, write clear reasons and
suggestions Jbr
lJ
deficient equiPments:

3. ATTENTION TO QUALITY (in case of ongoiE works onl!):

I. Maintenance of Quality Control Test Registep'

(a) Based on executed quantities, whether

tests conducted:
mandatory
one box) ffil[TP""IrT*-l
(b) Whether Quality control test
per provisions: 'check J
maintained as
an! one box)
n"{ rlt"tlrT*l
(c) wherherQC regisrer/arttr maintained and resr resulrs
moniiored as pery'ovisionst (check'/ any one
box) lE
L [r*rtl r-rM-l
 II. (a): Adequacy ofquality control tests, as per quality control test register:

Itern of Work Quantity Quantity Name of the Number of N urn6er of Testing

as per executed test tests required /tests adequate
DPR (a\ per executed
quanlity) ./
/ actually (Yes/No)
conducted
(l) (2) (3) (4) (5) ,/ (6) (7)
Foundation
work
Substructure
work
Superstructure
work .F,
)
Approach Slab
and fixed
items (Railing,
kerb, Crash
barrier etc.)
Approach
work

(b) Iftesting found inadequate, the reason for less testing.. (check J one or ntore box)
. [-_l Negligence

. f_l Lack of equipment in lab

. l--l Lack of knowledge

. any oth er, please specify:

@ Verification oftest results: (C: conforming, N:

Quality control tests to be conducted by eM and the results to be with test results previously
recorded in Quality control test register, at the same ofthe structure.
Name of Results of the Test results as ofthe test Whether the test
Results
Test test Quality Corylol test conducted results recorded in
conducted by register a.|zihe same previously by QM Quality control
QM at the loc'ation. at defined test register and
component of (Menlion the Page no. location. as conducted by
the structure. Resister) (CN) QM are in
(CN) *Yof conformity?
(d) lYhelher non-conformities recorded in QCR-II by AE have been rectified and
recorded in Qualit! control test register agsit, as conformities, after
necessaq) lesls:
(Checklany one box)

(e) In order lo assess the ofdoubt,

qualit! of concrele in case Non Destruclive
Test (NDT) such as Rebound Hammer tesl, Ultra Sonic. Velocity (UPI) etc.
6,,,l
[T7;l r-I*-l
has been conducted: (Checklany

ation of test results are not conforming,

overallltem gading shall biU. Ifanyone or more$b-items are graded partly or no, overall item grading
shall be SRI. P
Item Grading-3:
(Check /any one box)
If this item is graded SRI/U, write
A [IsRIl i-l-u I
reasons and suggeslions for improvement, are to be recorded:
 4, FOUNDATION:
A) Ongoing (Work in progress)
I. Foundation Piers, Abutments and Returns progress as on date of inspection_in

Abutm€nts: @- %1 l^, %1

lr---%l @--Tl lrr--E

Ile---El Fr---q:.1 lF8--%-l
lR,-%-l
Location/ Grade of Quality of material is adequate as
Item of concrete Testing
control register
work of
Coarse
concrete
aggregate cubes
by
NQM

checked by I Ot
competent I Concrete
authoriry I

II. Whether, nent and Steel tests (other than those provided by supplier),
got conducted bv
laboratories:
rCheck,.lanyone box) f-I*J [-T_J
III. flushing of bore before and arter pracemenr of rrr."-"li dliil
cast-insitu piles. ""in "#*u
(Check,/any one box)
lfdi-l*.]
t3
 -''
ry. Whether at least 600MM extra length of pile casted A"Vor\ffi rcvel, to be dismantled for
raitanceeffect
rcn""y,r$ku,rt [T".,-l t-|,u;-l
V. Whether bottom plugging in case of w9 fioundation carried out by using tremie method onll
tchcck,/anyonehoxt I-]i"]
[l*;l
. shy@ 2-J llalt'
B) Completed work r(aiI";" woryv
Location/ Grade Compressive Testing of Surface Size and Quality Grade

Item of of strength of concrete acceptability shape as assessment (s/u)

work concrete Concrete cubes by and per by personal
cubes as per NQM (if workmanship design judgment

Quality any)
Control Test
Register
(t) (2) (3) (4) (s) (6) (7) (8)

61,,6 e
lmr, Tla Gatr-, l^h'a* le n)wa^ tvs Jr- arS
-* Dd
Aub^v"^ )r)w a

l.WhetherCementandSteeltestsotherthanprovidedbysupplier,g<ltconductedbyindependent

II.
laboratories:

In order to assess the quality of concrete in case of doubt'

(Check/any one box)

if any' N pdestructive Test (NDT)

Velocity (UPV)ft has been conducted:
wrl.r
such as Rebound hammer test, Ultra Sonic Pulse

[T'.'-l r-F;-l
i.v
shall be graded as "U"'

rtemGrading-4,
kheck / anY one box)
a$l
7-
I lu I

'iii-* i,"*i, ir*d u, c)i'ea-'on" and suggestions for improvement are to be recorded)'
^

!a.9
 5. SUBSTRUCTURE
A) Ongoing (Work in progress)
Location/ Grade of Quality of material is adequate as per quality
Item of concrete
work

I. Whether granular/ filling behind the abutments and returns done orooerlv:
(Check,/anyonebox)
[tr'[T^f
II. with paint is done on bridge components with date ofcasting for concrete:

III.
(Check./any one box)
tTl [T^,"1
Cement and Steel tests other than provided by supplier, got conducted by
ent laboratories:
(check/anyonebox) [i*;l [-T*l

t5
 "'^^ ')* wqtL 5lh 1 ea'v
B) compteted work tt lt;"^att t* d+
z^d E<llr
Locatio Grade Compressiv Testing Surface Size Quality Weep Riding Grade
n/ Item of e strength of acceptabil & assessment holes retums (s/u)
of work concret of Concrete concrete ity and Shape by personal Adequac
e cubes as cubes by workman as per judgment y (For
per Quality NQM (if ship design abutment
Control any) and
Test return)
Register
(l) (2) (3) (4) (s) (6) (7\ (8) (9) (10)

,k6l ,f,| - N.f|' ,^l' A w '14 jtt Yro

3
tt
Tt.r S,.t ,ht uJ< ^L Ue^ PLrt*'t c^ 4Lh-1 o--4 )w
ohc.rJrt^e ,at L ^<Ln tt ,i uo, A Uarrrt &a Lo>', 4Cn- ,
I
o--A 9r'l' 6'Dt2 t - lD,V^/ L!( tu)-d q ,LLl 6\-t Y+t,, '0*
,l.r<tA tw #it(r l
L.l a)Lt Ut_o wA
r

'ucted by
Whether Cement and Steel tests other than provided by supplier,
got
I.
independent laboratories:

P
A[. u-
(Check./any one bo;
r-F;l
Ir{on Destructive Test (NDT)
il. In order to assess the quality of concrete in se ok doubt, if any
such as Rebound hammer test, Ultr Pulse Velocity (UPV) etc. has been conducted:

(Check./any one box)

IIYJI I-I'{
tem shall be graded as "IJ"'

Item Grading-S: f4il fTu I

(check /, ,
- -l
any one box)
(lf this item is graded as (1, clear reasons and suggestions for improvement are to be recorded)'

gEf)
6. SUPERSTRUCTURE
(D RCC Superstructure
A) Ongoing (Work in progress)

q Ks b *;5 P P E'.
b kqo o;
:b FIB
gaa9
;q"F.E sFb
E ! -c. a,
cn.;: a-E 9;'"
, -=

Whether Cement and Steel other than provided by supplier, got conducted by
independent laboratories:
(Check./any one box)
[T*;-l [-l^;l
Guiding note: If ofeither material or workmanship is U, the overall item shall be graded as "U".

(check / any,
graded as {J, clear reasons and suggeslions for improvement are to be recorded).

t1
 5b\* zv^A (la)b*
B) completed*o"t Rnii-a,16,o,^'t'ct
ba'rc
tM**
,9
E
AE6!
-!
.go E
:z
F-c e t dd U
u,l

J E A cE

I (2) (3) (4) (5) (6) (7) (8) (e) ( l0) ll ( 12) ( l3) ( l4) l5) 06) ( l7) ( l8)
'9'
c,l+ oGl, N.,[ N.& Ml} Y.t-l Ye '1r-> ,..' tlr) r,.4 \v \+s 1t ^Ls 'lt) nr.A "lo

I. Whether Cement and Steel tests other than provided ny s2$(lier, got conducted by
indenendent laboratories: ./
(check,/an1on;z/oxr
t-T*;-li-F;-l
IL ln order to quality of concrete in caqe.o!6oubt, Non Dcstructive Test (NDT) such
assess the
as Rebountl hammer test, flltra Sonic Pulse fdocity (UPV) etc. has been conducted ifany:

rcheck./anyonebox/
/a f-F;l |--|x;]

Item Gradin9-6 B:
(check / any one box)
(If this item is graded as (J, clear reasons and suggestions for improyement are to be recorded).

'
*;
ssl
lli
( ii) Steel SuPerstructure

A) Ongoing (Work in Progress)

Quality of Material
O
\J a)
oT'
o o !)E
a o o
(.) o0 o E
=
*d-.:
o a '47 .ea o
e9^ b c)^H z
;
!)
bD
tr
9U
6C/ c\
!z aEa- ts'E
o!-.r.v
J 94

o) o-.
<8 a7 L*o .o.,(n/'
tr
o .rI o;> .9 o> 6r.E
I'1 o =/ Do'- - bot"
cbo R!o
'= 5
o b0 l-
o.=
,l F o a) o
E] U z \J o-

I. Presence of water spray or moisture in the ofbridge such as waterfall or marshy wet land?
(check/any one box)
[F;l t-l-,..;-l
e ffluents?
I Presence of industrial units nearby, emit corosive fumes or discharge chemical
(check/any one box)
[i*;l l--1-,..;-l

III. Presence ofsalinitY in the (Check/any one box) [f*;l rT;l

erall item shall be graded as "U'

Item Gradingy'A: ' I -l-s-] [-fu I

(check / any y'ne box) L
(1, clear reasons and suggestions for improvement are to be recordedl'
1If this item j{graded as
 B) Completed Work

Welding

IZ bo Presence of Corrosion
l- .E (Yesi No)
CB

(ts o
(.)
Fk lf Yes, type of'
o 0)
t) corrosion and specific Any change in
E
-o location
Presence of load
q) a>
C) Brittle classification
E c6A
o L J .o) Fracture (Yes/ No)
(Yes/ No)
C) o
o
J 0)
a
C)
L
a-

Presenceofwatersprayor'n.,':H.l;i:lf:ffi:1aswaterfalffiffi

II. Presence of industrial units

III. Presence ofsalinitY atmosphere? (Check/anY one box) f-Ff f-I*l

'::::::Y::i!'.,
/
(check box) [Ts
afy one
1

(fthis i,gk X graded as (J, clear --

reasons and suggestionsfor improvement are to be recorded)'

20
 (iia) BaileyBridgeSuperstructure
/
A) Ongoing (Work in progress)

Quality of Material Workmanship

d pA
5 0)\
>i
)2,
l< hnU,^ (,).:- )u_
o -6(J (J O o
r- ,ir () g6' ()
o
tr
e Ez E/
()E
q*
o H xn 0-) .nz :
LU C)
(o ao
()6.-
D at/ ?.
,\ E -.o a (.)
l-
o h ;- -"oo
d
o
0-, '- - to
6
!
Ee6 r6
E o*z a *0/>
a- /!! 9-3=--o^Ez
m 6)IJ cr-.a) * &
AF
-7 .= >v--
ts'E Un
qr bO a) ov
9ot o'==Zr; oo= ) o_ '-': -o,
.r^-u
d)-
E 59 ccg()
= i>
o v.=-.o E-o
(-)
.9
-<-
o! dJ

QA o(€ o
oo-tl.
(.)da. OJ -E
o€
(B
o Q-!
,>,9 A
=
O o= E EE Eo
Foo =o o-.9 (d
-FO
-.] TE
-(d (t
.] -.!c) o.=
a vo_

0) Q\ (3) (4) (5) (6v (7\ (8)

v
)'
I. Any bolt and/ or rakers and tie plates ur"
^irrfor loose?(Check/any on" no")l-Ty.,
I t-I*l
("
U. Any sway braces and/ or transom cl loose?
^irringor (Check/any one box)
[lY.'lI-.;-l
III. Presence ofany cracking in the ey bridge? (Check/any one box)
ffif-fNI
ry. Presence of any bends ge mernbers? (checkr/any one box) t-1"., I [l-;_l

an/of
Guiding note: If panel PIN is missing or loose, the overall item shall be graded as "1J".
Item Gradins,/6Az

(If this item/s graded as (J, clear reasons and suggestions

for improvement are to be recorded).

21
 Completed Work

o
-9
.o o0 oo
o? Presence ofConosion tE
o .O LJ C) (\l (Yes/ No) ts 9. 1
E EDll F If Yes, type ofcorrosion and
9d>
i::i) o 'o-
o >rC..o U a- e> =^
E o- specific location RZ
=a d .92 o->
6>
rs .E>
.9 o.E= LL
.* )-
0.,
o- G,,b
aa
o-ro = ov a.Q
-9.6 X
o0
(!
a .>. I n o
() o
o v\-q) .t
J Fbo @- -.c
.=
a s) /-"' F 3

I. Any bolt and/ or rakers and tie plates are missingrdr loose?(Check/anv one box) [f""-l l-T-I

II. Any sway braces and/ or transom clamps ar/missing or loose? [fq |--lM I
/ (Checky'any one box)

III. Presence ofany cracking in the bridge? (Check/anyonebox) I-ltE f-fli" I

IV. Presence ofanY bends in members? (check/anyonebox) [F;l |-lM-l

ll item shall be graded as "U"'

'.':^.t:"::nu"'fr'',
(check / any box) oy'e
fTil tTl
suggestions for improvement are to be recorded)'
1tf this item iy'graded as l), clear reasons and
1. LOAD TEST
I. Results of Load Test attached or not (check/any one box)
lfyes, comments required and copy oftest results shall be enclosed.
m;l
Guiding note: If load test is not done or not satisfactory, overall item grading shall be U.
Grading-7, [-T-al
I I - I [Tal
Item
(Check {anlonebox) I I I

If this item is graded (1, write clear reasons and suggestions for improvemenl;

BEARINGS
A) Types of Bearing (Tick ./appropriate)

Roller and Rocker Bearing

Elastomeric Bearing Y
Pot cum PTFE Bearing a
Spherical Bearing

Cylindrical Bearing
Any other tlpe
/
B) Co ndition ofBearings /
/
Metallic BearinBsr/
tTSI t-l ,l
(a)

Ger neral Condition- aTufusting / ceasing of plates/ cleanliness or not

Ful 'rcrioninC -zrr,y movement/ tilting/ jumping off guides

[rs-l [T U-I
Fessive
Grt:asing/ oil bat/ required to be redone or not
rT'l r-Fl
Cr:rcks in sfoning member- Abutment cap, Pier cap. Pedestal. if any
tF-l t-1-,-l
'ectivefss of anchor bolts. whether in position and tight or not
rTS-I f-F.]
oo.tlv other defect or observation found

T
23
(b) Elastomeric Bearings
i. Report condition ofpads - Oxidation, Creep, Flattening,

Bulging, Splitting, Displacement if any

ii. Report - Bearings are clean and free or not

iii. Report any other defect or observation found

(c) Any type other than 'a' and 'b' above

Report - Any other defect or observation found

Y
a

I. Whether test results of bearings available or not:

(Check/any one box)
[-Iil] t-F;-]
Guiding note: [f anyone ofthe are graded as U, overall itern grading shall be U.
Item Grading-8:
(check / ary one box)
(lf this item is graded ', clear reasons and suggestions for improvemenl are lo be recorded)'

24
 Sn1* >'aWb-
9. ExpANsroN J6TNTS t?ailr,J,'a^r,- P**,q
A) Types of Expansion joint (tick /appropriate)
Buried Expansion joint
Filler Joint with CoPPer Plate
Asphaltic Plug Joint /
Compression Seal Joint
Single Strip / Box Seal Joint

Reinforced Elastomeric Joint

tr,tod.,lar Strip / eox Seal joint

Finger Joint

Reinforced Coupled Elastomeric Joint

B) Condition of ExPansion joints

i. Is there any crack in the wearing coat tT;l trFI
ii. Whether existing gap is improper
n*;l uFr
iii. Any hardening / cracking observed in bitumen filler
nill r-,l;;l
r-r"{ rM
iv. Any splitting/ oxidation/ creep/ bulging observed in neoprene

sealing material

v. Corrosion/ damage to welds is visible N.[ r-F;l t-M

vi. Presence ofdebris in the joint
n;;1 trlr"l
vii. Report - any other defect or observation found
r,.t . D-
n"";l rTl

.^-itemshall I B is 'Yes" t be graded as

Culdtng li a"y of questions in sub item
"ot., '.e.p"nse
"u'.

I,:*.":0,"*-r:
(check / any one box)
, Vfsl [f-u ]
(lf lhis iten is graded as {J, clear reasons and suggestions for improvemenl are to be recorded)'

' 8/

gat'.)
 o1 5 tr yu/ L'"4!+e.l[-
IO. APPROACHES l7a)del.u,a,.4. P"a4

10.1 Embankment
Compaction Side slopes Shoulders Grade
Location Suitability of soil
(S/ SRV U)

(3) (4) (5) (6)

0) (2)
' 3/
6/o h Iu.$ T.A m Y1

10.2 Sub Base (G.S.B.)

10.3 Base Course (Non Bituminous (WMM) and Biturninous Npcadam (BM))
Location Grading of Plasticity Volume of I Compact't0'l Design Thickness Thickness

Aggregates of Filler filler I hased oi

thickness
I of each adequate
(RD) (s/u) material material volumetric I as per DPR layer of (Sru)
I

(Sru) percent of unury4v sandJ WBM/

**zI
. coarse

/
{plorr
method"nr
rvur
(mm) WMM
(mm)

(l) (2) (3)

I
I
tst
(6) (7) (8)

C-
A-4'
eaq
 10.4 Wearing Course
Observed thickness Surface
Location Grading of Laying Bitumen Bitumen
(RD) Coarse Temper content oZ, as content o/o of layer un-evenness
Aggregate ature of per QCR-I (s/u) (s/u)
As measured S/U
(Sru) the mix
by
as per
NQMiSQM
QCR-I
(3) (4) (5) (6) (7) (8)
(1) (2)

rl a bltt/ N.A )..1. A N 'lt- ll .1"' v.-e ' \,.4 Ar+-

L-oana dhrD at\L taa#i F b-.Llrai"-u "
al Pc,t ]7;,.-2.l"'crh r,^
t

a*r( rr ,') alt

U
d c*,A \'rv.t ,

'lt "T1#.:;:;ioned DpR has the provision orprotection *ol ,' fT" I t-|."-l
(check/anY one box)

I Type of protectionwork: (check/ boxes as applicable)

Retaining wall I Breast wall Parapet wall

Quality of Materials:
Location / Structure TYPe Type ofProtection General qualitY of Size and Quality assessment
work (RCC/CC/ material conforms shape as by personal
RD (Retaining Wall/
to specifications per design judgement
Breast Wall/ Masonry/ wire
Parapets) crate) (YesAJo) (Yes,No)
(3) (4) (5) (6)
(1) (2)

-2.-

-N ,[

p
az
gaq
27
 Workmanship of Retaining structures:
Workmanship of ' Whether Have weep holes Adequacy.
retaining structures honeycombing/any been provided
other defects are (Yes,4.,lo)
observed (Y,N)
(3) (4)

'
V. In case, Stone masonry is used in retaining structurQ

a) Workmanship of stone masonryX acceptable:

(chcck/aFl one boxl t-t,-t rl*-l
b) Bond stone has been
ftftck,/
ln stone masonrv:
rny one bo.r) rlq T-I,';l

Guiding note: If sub iteryy'l0.2. 10.3, 10.4 are graded as U, the overall item shall be U.
rtemGradinr-to2/
(check / any oney'ox) flt
l- [-l-r. I [lul
(If this ilem is/graded Skl/U, write clear reasons and suggestions for improvement).

28
 II.BRIDGE FURNITURE AND MARKINGS:
I l.l Observations: Quality of Bridge Furniture and Markings : (Ongoing / Completed works)

(i) Main Information Board

Fixed: V, [Ts.,-.lf-[ul
(ii) Citizen Information Board
Fixed :
vt;l [rsR--lr--ru-l

Item Grading-11.1:
(Clreck/ any one box) WTI [TsRrl tlul
If this item is graded SRI/U, write clenr reasons arul suggeslions for improrement:

11.2 Observations: Quality of Bridge Furniture and Markings:

Guard stones fixed on

approaches: t-l-ul
(iv) Mandatory and caution
signage :
t-] ul

ZT-sl [--l-sRrl t-tr]

Item Grading-11.2:
(Check / any one box)

If this item is graded SRI/U, write clear reasons and suggestions for improvement:

's'

4'
12. General Observations of QM, (including the observations made during
the interaction with PIU staff and Contractor/Consultant Engineers):

A.Observations about deficiency in project preparation: (Give detailed observations about

deficiencies in general and items which have been left but are required as per site conditions):
(check/ I or II)
rcfi I. No deficiency in project preparation noticed during the interaction with PIU Staff and
I*;-*---! Contractor/Consultant engineers:

$" I II. Deficiencies Observed: (check../ one or multiple box)

t: Nomenclature of BOQ Items is not clearly stated such as what type of binder (VG
Grade/Emulsion) has to be used and the quantity of such items.

il: Number of spans are insufficient as per the site's hydrological condition.

il: No provision of protective work in DPR but as per site conditions it is required.

tf Hydraulic Design & calculation for bridge design not provisioned in DPR.

il: Guard stone/ Crash barrier/Road studs on approches are required to be provisioned in
DPR.

il Deviation from proposed Alignment.

Any other comment:

B. Whether the work has been compteted/is in progress as per work programme or the delay has
occurred. If delay h:rs occurred, whether the liquidated damages have been withhold or
recovered: (check ,/relevunt box andtill detuils)

Completed In progress
Whether there was delay Work progress is

tTY.' I tr-,u" I As per schedule Extension of last

date completion

If yes, fill below details If extension of last date, fill below details

Period of delay (in months) Period of extension (in

Amount is Withhold Recovered Withhold amount refunded fTil fT*l

Amount (in lakh) Amount (in lakh)

Reason for delay/any other comment: Amount of penalty on contractor :

Reason for delay/any other comment :

30

saq
 whether the work has been compreted within
the sanctioned cost, if not, what is the action
taken by the PIU (in case of complete works):
(check ,/rrlnrort bo* or(l/i, detoits)
-,H[H::;::::" within the sanctioned cost
PI-v"l l-T*l
Sanctioned cost ( in lakh)
t1 1.7,
Completion cost

Reason for extra cost

Action taken by pIU

D' observations about the action taken by the pIU on the

observations of inspecting officers
including SQMs and NeMs. (clearty o-ffer com_"nt
tf," action taken on the
observations of Departmental Officers, State
Monitors).
euality "t-ort
ilionitors _a Nrtionrl qr;fy

Previous eM,s obsirvtion

Your observation about

l7--
Lt;,_1 v .e}/hNRAseRtrAAA
^,.A -
66 Adrlaxlc G^,*r^b

9a") 3t
 Comments about difference in observations made by NQMs/SQMs in earlier inspections (thc
NQM/SQM shall study the earlier inspection reports of NQMs/SQMs, if any and offer his clear
comments about the differences in observations, il any). (check ,/ relevanl box and Jill detuils)

Whether any difference found in previous observations of gUt

l-Tv.rl
Ifyes, your comment on differenie in observation

F. Othcr observations, if any:

b,id,* t5o''1.- wat el-/^k!- a-D wa! ls'*Au"

'vn
oi'la^'v1^'JL r L

p,j]lTit. " ;r-qia Cx1r* n"a ,,^";*^*\4.*!.

sl.- r<a;*aj*o.,ct ?ff; Xi^'n3 Y!frn;T',#,X?
hffiffi"f;ry;A;^"4 P^\t'4 Fa'
"'sM4

C
d-.'1
sq')
 13. OVERALL GRADING OF BRIDGE WORK
Item Items Description Awardable Awarded
No. Grade Grade
I General Details

2 Quality Arrangements S/SRVU N.L

3 Aftention to Quality S/SRI/U
IrJ,A
4 Foundation ( Stage l) S/U
V.A
Sub-Structure ( Stage II) S/U
5
s
6 Super-structure ( Stage III) S/U s
7 Load Test S/U U.A
Bearing -
8
(Grading to be same as for condition of Bearing) S/U r/.a
A. Type ofBearing- Roller and Rocker Bearing, Elastomeric
Bearing, Pot cum PTFE Bearing, Spherical Bearing, A,,tr
Cylindrical Bearing Any other Bearing)

B. Condition of bearing S/U

9 Expansion Joint
(Grading to be samc as for condition of Expansion joints)
S/U rg, s
Type of Expansio Joint- Buried Expansion .joint, Filler
Joint with Copper Plate, Asphaltic Plug Joint,
Compression Seal Joint, Single Strip / Box Seal Joint,
Reinforced Elastomeric Joint, Modular Strip / Box Seal
joint, Finger Joint, Reinforced Coupled Elastomeric Joint.
B. Condition ofExpansion Joint S/U I
l0 Approaches
(To be U, if any of'the sub items (ii), (iii), (iv) are SRI or U) S/SRVU s
(i) Embankment S/SRYU
s
(ii) Sub Base (G.S.B) S/SRYU
4
( iiil Base Course
^J.
S/SRVU
(Non Bituminous (WBM) and Bituminous(BM)) N.A
(iv) Wearing Course S/SRVU 3
(v) Protection Work S/SRYU
^l
'+

(-

b4
s,Qq
l3
ll Bridge Furniture and Markings
S/SRVU s
( to be U, if any of the sub items are U)
(i) Main information Board S/SRVU s
(ii) Citizen Information Board S/SRYU S
(iii) Guard stone on approaches S/SRI/U t\r.A
(iv) Mandatory and Caution signage S/SRYU
N.I
Overall Grading S/SRI/U s.
Guiding notes for overall grading:
. If all work items are "S", the overall quality of work shall be "S"
o If items at sl. nos. 4, 5, 6, 7 and 8 are "S" and other items are either "SRI" or "U",
the overall quality ofwork shall be "SRI"
o Ifany item at sr. nos. 4, 5, 6, 7 and 8 are "U". the overall quality ofwork shall be
"U", irrespective ofthe quality grading of other items.

SignatureofQM r....A#-ffiIL
Name of QM '....L,.Y.tI.$.).f
*YA|Dl'1
Date ,.... l. lt .:. .l.} - 3: ?:...

6
(-
3l
 14. QUALITY GRADING OF ITEMS OF BRIDGE WORKS:

Item No. Item for obsen'ation Awardable Awarded

Grade Grade
Item No. I General Details

Item No. 2 Quality Control Arrangements S/SRIiU

N,A
Item No. 3 Aftention to Quality S/SRI/U
N.A
Item No. 4 Foundation S/U
N,A
Item No. 5 Sub structure S/U
9
Item No. 6 Super structure S/U
S
Item No. 7 Load Test S/U
N.A
Item No. 88 Condition of Bearing S/ U
N.[
Item No. 9 Expansion Joint S/ U
s
Item No. l0 Approaches (Stage II and III) S/SRI /U 9
Bridge fumiture & marking S/SRI /U
Item No. I I
I
Overall Grading S/SRI/II S

Signature of QM 1.............. -...'r;a--.,...

Name ofQM !.:V.l{t)l ...1t*P vl

,...

Date ,....?*.:.t::.?9.*.

*9
x9
l5