NTPC LTD

FEROZ GANDHI UNCHAHAR THERMAL POWER PROJECT

P.O.-URJA VIHAR UNCHAHAR, DISTT-RAEBARELI(U.P.)
AUTOBASE VEHICLE REQUISITION SLIP
1-TYPE OF REQUIRED VEHICLE/ CONSTRUCTION EQUIPMENT (TICK IN BOX)
TRUCK HYDRA CRANE TRAILOR

2-USE TYPE (TICK IN BOX)

DEPARTMENTAL CHARGEABLE

3- NAME OF INDENTOR

4- DESIGNATION OF INDENTOR (NOT BELOW EXECUTIVE, E-1)

5-(A)- EMPLOYEE NUMBER

(B)- AGENCY NAME (With the PO or LOA Number)

6-NAME OF THE INDENTING DEPARTMENT

7- VEHICLE REPORTING PLACE

8-VEHICLE REQUIRED PERIOD (DATE) FROM -- TO---

9-SAFETY DECLARATION BY INDENTOR.

(A)- THE INDENTOR HAS TO BE ENSURE FOR ONE FLAG MAN (IN CASE OF HYDRA & CRANE) AND ONE HELPER (IN
CASE OF TRUCK) WITH THE DEPLOYED VEHICLE.

(B)- DURING VEHICLE DEPLOYMENT PERIOD, THE INDENTOR WILL BE SOLELY RESPONSIBLE FOR THE SAFETY OF
DEPLOYED VEHICLE AND THE PEOPLE WORKING NEARBY.

(C)- THE INDENTOR HAS TO BE ENSURE TBT/PEP TALK WITH THE VEHICLE OPERATOR/DRIVER BEFORE THE START
OF WORK.

10- DESCRIPTION OF WORK-

11- FILL THE FOLLOWING DETAILS

Name and Sign of Name and Sign of HOD Name and Sign of Name and Sign of
Indentor with Seal Approving Authority In-charge (AUTOBASE)
(Indenting Department) (Out Station Journey)

12- REQUISITION RECEIVED AT AUTOBASE (DATE)

13- VEHICLE DETAILS ALLOTED BY AUTOBASE / NOT AVAILABLE