N.C.

Solanki
Director (Project-III)
Tel: No. 011-26179556
Fax: No. 011-26179555

D.O. No. P-17012/3/2005-P- III Date: 10 th December, 2013

Sub: - Proforma for Inspection of Bridge works under PMGSY - regarding.

Dear
During various Regional Review meetings it emerged that a common format for
reporting the quality of bridge works inspected by National Quality Monitors (NQMs)
under PMGSY needs to be developed. Accordingly, a format for bridge inspection has
since been developed and enclosed.

You are requested to make use of this format for reporting the inspections of
bridge works under PMGSY with immediate effect. You may sent the hardcopies of
inspection report along with photographs to NRRDA. C-DAC is also being requested to
make necessary provisions for uploading the Bridge inspection abstracts in OMMAS by
NQM. Till such time, NQMs may continue sending hardcopies of these bridge inspection
reports to Stakeholders, as provided in the guidelines under the third tier of Quality
Monitoring. Uploading of the abstract of inspection report and photographs in OMMAS
shall be mandatory as soon as the provision is made in this regard.
With regards
Yours sincerely,
Encl. as above:

To: All NQMs

CC:
1. All Chief Engineers of SRRDA
2. All SQCs of SRRDA
3. Shri Prashant Nayak-Jt. Director, C-DAC (along with softcopy for making
necessary provision in OMMAS)
 Format 1 – Part - I

NATIONAL RURAL ROADS DEVELOPMENT AGENCY

FORMAT FOR INSPECTION OF BRIDGE WORK UNDER PMGSY

Part 1 – Work Information (to be filled by PIU)

GENERAL:

1.1 Date of Inspection :

1.2 Name of NQM :
1.3 State: ________ District : __________________Block_____________________
1.4 Name of the Road : From ____________________ to____________________
1.5 Package No. _____________________ Through Road No. __________
1.6 Location of Bridge : RD
1.7 Estimated Cost as cleared by GoI Rs. : ________________________________
1.8 Date of Start
1.9 Date of Completion as per Agreement
1.10 Actual date of Completion( if work is completed)

2. PROGRESS
(In case of ongoing works only) Construction programme & Physical progress
Item % of Date of Date of Actual Delay in
Progress Starting as completion as Completion months
per per programme Date
programme
Lay out

Foundation

Sub-Structure

Supper
structure
Protection
Work
Approaches
3. PARTICULARS OF THE BRIDGE:
High level Submersible
3.1 Type of the bridge :
Open Raft well Pile
3.2 Type of foundation :
3.3 No. of Spans / Spans length : ……Spans of ………. m. c/c
hhhj….……mmmm………………..
3.4 Width of Bridge : 5.50 m. 7.50 m.
3.5 R.T.L :
3.6 HFL /OFL :
3.7 Bed level (Lowest) :
3.8 Catchment area ____, Cross Section of Drain at HFL ____, Design discharge__
3.9 Type of river protection works if any : _________________________
3.10 Type of Substructure : _________________________
3.11 Type of Bearing : _________________________
3.12 Type of Superstructure : _________________________
3.13 Type of Returns : _________________________
3.14 Whether approaches are in cutting or filling : _________________________
3.15 Whether Bench Mark and alignment are established
near the bridge site (give location and RL) : _________________________
3.16 Type of Railing (Steel/RCC/Others) : _________________________
3.17 Type of Wearing coat : _________________________

4. QUALITY CONTROL :
4.1 Location of Field Laboratory : _________________________
4.2 Q.C. Test Records maintained by
(Name) : _________________________
4.3 Abstract of Q.C. Records maintained by
(Name) : _________________________
4.4 Quality of Concrete executed : _________________________
4.5 No. of cube tests done : _________________________

5. Inspection by NQM/SQM and action taken

Sr. Date of Inspected by (Name) Deficiencies Action taken by PIU with date
No Visit observed
1
2
3
4

Date
Place : Name & Signature of PIU
_________
 FORMAT 1 – Part II
PACKAGE NO ____________

PART – II (to be filled by National Quality Monitor)

1. QUALITY ARRANGEMENTS AND ATTENTION TO QUALITY - For on-going work

Observations about Field Laboratory :

Whether adequate
Whether Field equipments as per
Laboratory List the equipments available in field laboratory requirement of
Established Including first Aid-Box work are available
(Y/N ) and are being
used (Y/N)

Observations about Mandatory Tests – The quantities of various items of works and
list the tests required. (Refer to abstract of
QC Register Part-I)
Item of work executed Quantity Name of No of tests No. of tests
Sr.
Test required conducted by PIU /
No.
Contractor

Whether QC Register Part-I Whether QC Register Part-

Based on executed quantities,
maintained as per provision II maintained and test
whether all mandatory tests
results monitored as per
conducted
provisions

Yes Partly No Yes Partly No Yes Partly No

 
     
 1
Location

2
Availability of
field drawing

3
Grade of
concrete

a)
2.

Grading:
Grading:

Whether mix

4
design
enclosed or
not

Passed by

5
competent
authority
Quality

6
of Cement

Quality

7
Of coarse
aggregate

S
S

Ongoing (Work in progress)

Quality FOUNDATION (Stage I)

8
Of fine

SRI
SRI

aggregate

9
Quality of
Steel

U
U

Form work

10
arrangement

Whether
reinforcement
11

checked by
competent
authority

Workability Of
12

improvement :
improvement :

Concrete

Compaction
13

arrangement

Thickness
14

compared to
reasons and suggestions for
reasons and suggestions for

design

Curing
15

arrangements
If this item is graded SRI/U, write clear
If this item is graded SRI/U, write clear

Grade
16

awarded
b) Completed work
Location Grade of Compressive Surface Workman Quality Grade
concrete strength of acceptability ship assessment awarded
Concrete by personal
cube as per judgment
QC Register
1 2 3 4 5 6 7

Grade: If this item is graded SRI/U, write

S SRI U clear reasons and suggestions for
improvement :
 1
Location

Item of work

2
a)
3.

Grading:
Mix design /

3
Grade of
Concrete

4
Cement

5
Course
Aggregate

Fine
6

S
Aggregate
Ongoing (Work in progress)
Quality of material
SUBSTRUCTURE (Stage II)

reinforcement

SRI
8

Shuttering

U
Workability of
9

C.C.
10
Workmanship

Compaction

Laying of
11

improvement :

reinforcement

Arrangement of
12

weep holes

Rubble filling
13

behind abutment
If this item is graded SRI/U, write
clear reasons and suggestions for

and return
14

Grade awarded
 b) Completed work
Location Item of Grade of Compressive Surface Size & Weep holes Riding Grade
work concrete strength of acceptability Shape Adequacy return awarded
Concrete as per (For s
cube design abutment
and return)
1 2 3 4 5 6 7 8 9

Grading: If this item is graded SRI/U, write clear

S SRI U reasons and suggestions for
improvement :
 1
Location
4.

Grading:
Item of work a)

2
Mix design/ Grade

3
of Concrete

4
Cement

5
C.A.
6

S
F.A.

Reinforcement
Ongoing (Work in progress)
SUPERSTRUCTURE (Stage III)

Verification of
Quality of material

SRI
7

properties of
lot with
standard

U
8

Shuttering

Workability of
9

C.C.
10

Compaction
Workmanship

improvement :

Reinforcement
11

checking with
drawing
12

Camber
If this item is graded SRI/U, write
clear reasons and suggestions for
13

Grade awarded
 b) Completed work

Shape as per

Wearing coat
Compressive

acceptability
Item of work

Mix design /

Exp. Joints
strength of

Protection
Approach
Concrete
Grade of

concrete

awarded
Location

Camber

Stopper
Surface

Bearing

Railing
design
Size &

Grade
Krebs
cube

work
slab
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Grading: If this item is graded SRI/U, write clear

S SRI U reasons and suggestions for
improvement :

5. Contraction joint according to IS Code

(i) Type ____
(ii) Spacing Y/ N
(iii) Cross Section Y /N

6. Results of load test according to IS Y/N

If yes, comment required & copy of test result shall be enclosed.
7. APPROACHES (Stage II & III)
7.1 Embankment
Location Suitability of soil Compaction Side slopes Shoulders Grade
1 2 3 4 5 6

Grading: If this item is graded SRI/U, write

S SRI U clear reasons and suggestions for
improvement :

7.2 Sub Base (G.S.B.)

Location Suitability of Thickness as compared to Compaction Grade
Material design
1 2 3 4 5

Grading: If this item is graded SRI/U, write

S SRI U clear reasons and suggestions for
improvement :
7.3 Base Course (Non Bituminous (WBM) and Bituminous (MPM)
Location Suitability of Thickness as compared to Compaction Grade
Material design
1 2 3 4 5

Grading: If this item is graded SRI/U, write

S SRI U clear reasons and suggestions for
improvement :

7.4 Wearing Course

Location Suitability of Thickness as Surface Camber Grade
Material compared to regularity
design
1 2 3 4 5 6

Grading: If this item is graded SRI/U, write

S SRI U clear reasons and suggestions for
improvement :
8 ROAD FURNITURE AND MARKINGS :
Observations: : Quality of Road Furniture and Markings : (All stages)

Main Information Board

Yes No
Fixed :

Citizen Information Board

Yes No
Fixed :

                             
If this item is graded as U, write clear reasons and
S U
Grade: suggestions for improvement :

Observations : Quality of Road Furniture and Markings : (Stage III)

:
8.1 Logo Boards fixed : Yes No

8.2 Guard stones fixed on

Yes No
approaches :

8.3 Mandatory and caution

Yes No
signage :

                             
If this item is graded as U, write clear reasons
S U
Grade : and suggestions for improvement :  
9 Whether the work has been completed / is in progress as per work
programme or the delay has occurred. If delay has occurred, whether the
liquidated damages have been withheld or recovered

Whether the work has been completed within the sanctioned cost, if not,
10 what is the action taken by the PIU (in case of completed works);

Observations about the action taken by the PIU on the observations of

inspecting officers including SQMs and NQMs. (Clearly offer comments about
11
the action taken on the observations of Departmental. Officers, State Quality
Monitors and National Quality Monitors.)
12 Comments about difference in observations made by NQMs / SQMs in
earlier inspections (the NQM shall study the earlier inspection reports of
NQMs / SQMs, if any and offer his clear comments about the differences in
observations, if any.)

13 Other Observations, if any:

(1).

(2).

(3).

(4).
14. Overall Grading of works: The overall grading calculated on the basis of
item and sub-item wise grading is given below. The overall grading shall
be ‘U’ if any of the grading of item no 2,3 or 4 is ‘U’. Overall grading shall
be ‘SRI’ if item no. 2,3,4 are graded as ‘S’ and any of the item no. 1,5,6 are
graded as ‘U’ or ‘SRI’. If all the items are graded as ‘S’, the overall grading
will be ‘S’.

Item No. Sub Item for observation Awarded Grade

Item No. 1 Quality arrangements S / SRI / U
Item No. 2 Foundation S / SRI / U
Item No. 3 Sub structure S / SRI / U
Item No. 4 Super structure S / SRI / U
Item No. 5 Approaches S / SRI / U
Item No. 6 Road furniture & marking S / SRI / U
Overall grading S / SRI / U

Signature of NQM

Date ………………………………. Name ………………….……