National Rural Infrastructure Development Agency

Ministry of Rural Development, Government of India

Format QB Version 2021.0- Part I

Format for information to QM for Inspection of Ongoing/Completed Bridge Work

PART I– Work Information (To be filled-up by PIU)

1. GENERAL:

I. Work: (check✓ any one box) In-Progress Completed

II. Date of inspection:

NQM Code
III. Name of quality monitor (QM):
SQM Code

IV. State: District: Block:

V. Name of bridge &

Location

VI. Package number.:

VII. Sanctioned length of the bridge.: m

Deviation in length of the bridge (If any).: m

VIII. Reasons for deviation (if any):

IX. Estimated cost (as cleared by GOI): Rs. Lakh

X. Technical sanction cost: Rs. Lakh

XI. Awarded cost: Rs. Lakh

XII. Expenditure: (if work is ongoing) a. Expenditure done: Rs. Lakh

b. Bills pending: Rs. Lakh

Total expenditure = (a+b) Rs. Lakh

XIII. Completion cost: (if work is completed) Rs. Lakh

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 XIV. Date of award of work: (date/ month/ year)

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

XVI. Stipulated date of completion:(date/ month/ year)

XVII. Actual date of completion: (date/ month/

year)(in case of completed work):

2. PHYSICAL PROGRESS: (Ongoing/Completed)

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
as perDPR executed percentage months
of item Progress Start Completion
status Date Date
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Due
i) Layout
Actual
Due
ii) Foundation
Actual
Due
iii) Substructure
Actual
Due
iv) Superstructure
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 to HFL) Submersible Non-submersible
(according to Material) RCC Steel

Composite Pre-Stress

3.2 Type of foundation Open Raft

Pile Well

3.3 Length of bridge m

3.4 Number of spans and spans length

2
3.5 Width of the bridge m

3.6 Footpaths provided Yes No

If provided, width of footpath m

3.7 Formation Level (F.L.) m

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

3.9 Bed level (Lowest) : m

3.10 Catchment area : km2

3.11 Linear waterway at HFL : m.

3.12 Design discharge : cumec

3.13 Design velocity : . m/s

3.14 Foundation levels (a) Piers : P1 m P2 m. P3 m

P4 m. P5 m. P6 m.

P7 m. P8 m P9 m.
(b) Abutments : A1 m. A2 m.
(c) Returns : R1 m. R2 m.

3.15 Foundation Strata :

3.16 Safe Bearing Capacity (SBC) : tons/m2

3.17 River protection works provided or not : Yes No

if provided : Rigid boulder apron Flexible boulder apron

3.18 Type of Substructure

(a) Piers – : Solid circular Hollow circular

Wall type pier

etc.
Any other type:
(b) Abutments – :
Gravity type Spill through

Box type Counter fort type

Any other type:

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 (c) Returns - Box type Counter fort
Type
Tied returns Cantilever type

Any other type:

3.19 Type of bearings : Elastomeric Pot PTFE

Rocker & Roller

Any other type:

3.20 Test report of bearings available or not : Yes No

3.21 Type of superstructure : RCC

Solid slab T Beam slab

Voided slab Box girder

Any other type:

Steel
Steel
Plate girder Truss frame
Steel Bridges
ArchSteel
bridges Cable stayed
Bridges
Steel
Suspension Bailey bridges
Steel
Bridges

3.22 Type of expansion joints : Buried Copper plate

Bituminous Strip seal
Modular Finger type

Any other type:

3.23 Type of wearing coat : RCC Bituminous

3.24 Type of drainage spouts : As per IRC SP As per Design

042

4
3.25 Design loading : Single lane IRC Class “AA” loading or
double lane IRC class “A” loading which
ever produces severe stresses.
IRC class “B” loading

Single lane IRC class “70R” loading or

double lane IRC class “A” loading which
ever produces severe stresses.
Any other type:

3.26 Whether approaches are in cutting or in filling : Cutting Filling

Partly cutting and filling

3.27 Type of pitching in approaches : Boulder pitching Concrete block

Pitching

3.28 Whether bench marks and alignment are established Yes No

near the bridge site (give locations and RLs) : Location: RL: m
Location: RL: m

Location: RL: m

Location: RL: m

3.29 Type of Railings : RCC as per Pipe railings

standard pitching
Steel Collapsible
pitching

Any other type:

4. QUALITY CONTROL:

I. Location of Field Laboratory :

II. Geo-tagged photograph of laboratory uploaded on: (date/ month/ year):

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

IV. Details of contractor, executing the work:

Name of contractor PAN number Mobile number E-mail ID.

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 V. Details of contractor’s engineer available at site: (Responsible for maintaining quality control register part-1
Sl. Name of contractor’s Duration of posting at site
no. Identity number Mobile number
engineer at site From To

VI. Details of head of PIU supervising the work:

Sl. Duration of posting at site

Head of PIU
no. Employee number Mobile number
(Executive Engineer) From To

VII. Details of assistant engineer supervising the work and maintaining quality control register Part-II:

Name of assistant Duration of posting at site

Sl. Employee number Mobile number
engineer From To
no.

VIII. Details of the junior engineer supervising the work:

Sl.
Name of junior Duration of posting at site
no. Employee number Mobile number
engineer
From To

IX. List of equipment available in field lab:

Available equipment that are in working condition Available equipment that are not in working
(1) condition (2)

X. List of equipment not available in field lab:

6
 XI. Reasons put forth by PIU for non-availability of equipment in field lab:

XII. Details of calibrations of equipment done:

XIII. Equipment, documents and drawings ready to be made available to QM before or during the inspection:

5. DETAILS OF MIX DESIGN(s):

Sl. Average Details of Institute/ Details of Mix

Mix Design
No. Mix laboratory where mix Design approving
Design design was done PMGSY Authority
Strength
i. Cement Concrete M20

ii. Cement Concrete M25

iii. Cement Concrete M30

iv. Cement Concrete M35

v. Cement Concrete M40

vi. Wet Mix Macadam (WMM)

vii. Dense Bituminous Macadam

viii. Semi Dense Bituminous Concrete

ix. Bituminous Concrete

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6. EARLIER INSPECTIONS BY NQM, SQM or SENIOR DEPARTMENTAL
OFFICERS (SEs & CEs) AND ACTION TAKEN STATEMENT:
(Please indicate chronologically name and designation of the officer who had inspected the work):

Date Name and Designation Stage of work at the time Major observations Action taken by PIU
of of inspecting officer of inspection with date
visit (NQM/SQM/CE/SE)
(1) (2) (3) (4) (5)

Signature of the Head of PIU……………………………………….……….

Seal of PIU Name and Designation of the Head of PIU ………………….…………….

Mobile Number of the Head of PIU……………….……………………

E-mail of the Head of PIU……………….……………………………

Address of the PIU…………………………………………………………..

Date:……………………………………………………………..…………..

8
 National Rural Infrastructure Development Agency
Ministry of Rural Development, Government of India

Format QB Version 2021.0- Part II

Report of National Quality Monitor (NQM)/State Quality Monitor (SQM)

PART II– Observations of NQM/SQM for Ongoing/Completed Bridge Work

(To be filled-up by QM)

1. GENERAL DETAILS:
I. Date of inspection:

NQM Code
II. Name of Quality Monitor (QM)
(check✓ relevant box and fill code) SQM Code

III. State: District: Block:

IV. Name of Bridge & Location:

V. Package number:

VI. Physical status of work: Ongoing Completed

(check✓ anyone box)

VII. Present status of work: (check✓ boxes as applicable)

Layout Foundation Substructure

Superstructure Protection work Approaches

Finishing stage

VIII. Photographic or video-graphic records (optional) of all hidden items like reinforcements of foundations/ sub
structures/ super structures etc. are kept by PIU, till Defect liability period is over for bridge for any future
reference or not: (Check ✓ any one box)
Yes No

9
2. QUALITY ARRANGEMENTS-OBSERVATIONS (in case of ongoing works only):
(Geo-tagged photograph of the laboratory showing the available equipment’s to be uploaded)

I. Whether field laboratory established:(check✓any one box) Yes Partly No

II. Whether location of field laboratory is same as
Yes No
indicated by PIU in format part-I: (check✓ any one box)

III. Whether necessary equipment as indicated in part-1 are actually Yes Partly No
available: (check ✓any one box)

IV. Whether equipment’s have been used: (check✓ any one box) Yes Partly No
V. If all necessary equipment is not available, whether you have
verified them with the list of deficient equipment’s provided Yes No
by PIU in format Part-I: (check✓ any one box)

VI. Calibration of equipment done or not: (check✓ any one box) Yes No

VII. Whether contractor’s engineer as per Part-I of this format, is Yes No

available at site: (check✓ any one box)

VIII. If contractor’s engineer as per Part-I of this report is not available, Yes Partly No
whether you are satisfied with alternative arrangement made to
maintain QCR-I: (check✓ any one box)

IX. Whether lab technician and other staff is available for testing in the Yes No
laboratory: (check✓ any one box)

Guiding note: If the field laboratory is not established, overall item grading shall be U. If anyone or more
sub-items are graded partly or no, overall item grading shall be SRI.
Item Grading-2:
(Check✓any one box) S SRI U
If this item is graded SRI/U, write clear reasons and suggestions for improvement, indicating important
deficient equipments:

3. ATTENTION TO QUALITY (in case of ongoing works only):

I. Maintenance of Quality Control Test Registers:

(a) Based on executed quantities, whether all mandatory

Yes Partly No
tests conducted: (check✓ any one box)

(b) Whether Quality control test register maintained as Yes Partly No

per provisions: (check✓ any one box)

(c) Whether QC register part II maintained and test results

Yes Partly No
monitored as per provisions: (check✓ any one box)

10
 II. (a): Adequacy of quality control tests, as per quality control test register:

Item of Work Quantity Quantity Name of the Number of Number of Testing

as per executed test tests required tests adequate
DPR (as per executed actually (Yes/No)
quantity) conducted
(1) (2) (3) (4) (5) (6) (7)
Foundation
work
Substructure
work
Superstructure
work
Approach Slab
and fixed
items (Railing,
kerb, Crash
barrier etc.)
Approach
work

(b) If testing found inadequate, the reason for less testing: (Check ✓one or more box)

• Negligence

• Lack of equipment in lab

• Lack of knowledge

• Any other, please specify:

(c) Verification of test results: (C: conforming, N: non-conforming)

Quality control tests to be conducted by QM and the results to be matched with test results previously
recorded in Quality control test register, at the same component of the structure.
Item of Name of Results of the Test results as per Results of the test Whether the test
Work Test test Quality Control test conducted results recorded in
conducted by register at the same previously by QM Quality control
QM at the location. at defined test register and
component of (Mention the Page no. location. as conducted by
the structure. of Register) (C /N) QM are in
(C /N) conformity?
(Yes /No)
(1) (2) (3) (4) (5) (6)

11
(d) Whether non-conformities recorded in QCR-II by AE have been rectified and
recorded in Quality control test register again as conformities, after conducting
necessary tests:
(Check✓any one box) Yes No

(e) In order to assess the quality of concrete in case of doubt, if any Non Destructive
Test (NDT) such as Rebound Hammer test, Ultra Sonic Pulse Velocity (UPV) etc.
has been conducted: (Check✓any one box) Yes No

Guiding note: If the QC registers are not maintained or verification of test results are not conforming,
overall item grading shall be U. If anyone or more sub-items are graded partly or no, overall item grading
shall be SRI.
Item Grading-3:
(Check✓any one box) S SRI U
If this item is graded SRI/U, write clear reasons and suggestions for improvement, are to be recorded:

12
 4. FOUNDATION:
A) Ongoing (Work in progress)

I. Foundation Piers, Abutments and Returns progress as on date of inspection-in %

Abutments: A1 % A2 %

Piers: P1 % P2 % P3 % P4 % P5 %

P6 % P7 % P8 % P9 %

Returns: R1 % R2 %

Location/ Grade of Quality of material is adequate as per quality Testing Grade

Item of concrete control register of (S/U)
work Cement Coarse Fine Steel concrete
aggregate aggregate cubes
by
NQM
(if any)
(1) (2) (3) (4) (5) (6) (7) (8)

Location/ Grade Form work Reinforcement Workability Compaction Curing Grade

Item of of quality and checked by Of arrangement arrangements (S/U)
work concrete arrangements competent Concrete
authority

(1) (2) (3) (4) (5) (6) (7) (8)

II. Whether Cement and Steel tests (other than those provided by supplier), got conducted by
independent laboratories:
(Check✓any one box) Yes No
III. Whether flushing of bore before and after placement of reinforcement done in case of bored
uncased cast-insitu piles.
(Check✓any one box) Yes No

13
 IV. Whether at least 600MM extra length of pile casted beyond cut off level, to be dismantled for
laitance effect
(Check✓any one box) Yes No

V. Whether bottom plugging in case of well foundation carried out by using tremie method only
(Check✓any one box) Yes No

B) Completed work
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
(1) (2) (3) (4) (5) (6) (7) (8)

I. Whether Cement and Steel tests other than provided by supplier, got conducted by independent
laboratories:
(Check✓any one box) Yes No

II. In order to assess the quality of concrete in case of doubt, if any, Non Destructive Test (NDT)
such as Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) etc. has been conducted:

(Check✓any one box) Yes No

Guiding note: If quality of either material or workmanship is U, the overall item shall be graded as “U”.
Item Grading-4: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

14
 5. SUBSTRUCTURE
A) Ongoing (Work in progress)
Location/ Grade of Quality of material is adequate as per quality Testing Grade
Item of concrete control register of (S/U)
work Cement Coarse Fine Steel concrete
aggregate aggregate cubes
by
NQM
(if any)
(1) (2) (3) (4) (5) (6) (7) (8)

Location/ Grade Form work Reinforcement Workability Compaction Curing Grade

Item of of quality and checked by Of arrangement arrangements (S/U)
work concrete arrangements competent Concrete
authority

(1) (2) (3) (4) (5) (6) (7) (8)

I. Whether granular/ sandy filling behind the abutments and returns done properly:
(Check✓any one box) Yes No

II. Whether marking with paint is done on bridge components with date of casting for concrete:

(Check✓any one box) Yes No

III. Whether Cement and Steel tests other than provided by supplier, got conducted by
independent laboratories:
(Check✓any one box) Yes No

15
 B) Completed work

Locatio Grade Compressiv Testing Surface Size Quality Weep Riding Grade
n/ Item of e strength of acceptabil & assessment holes returns (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
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

I. Whether Cement and Steel tests other than provided by supplier, got conducted by
independent laboratories:
(Check✓any one box) Yes No

II. In order to assess the quality of concrete in case of doubt, if any Non Destructive Test (NDT)
such as Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) etc. has been conducted:

(Check✓any one box) Yes No

Guiding note: If quality of either material or workmanship is U, the overall item shall be graded as “U”.
Item Grading-5: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

16
 6. SUPERSTRUCTURE
(i) RCC Superstructure
A) Ongoing (Work in progress)

Quality of material Workmanship

Drainage spouts provided as

Location/ Item of work

Verification of properties
Mix design/ Grade of

authority for spacing, bond

Workability of Cement
Whether reinforcement
Staging and Shuttering

checked by competent

checked by competent
of lot with standard

arrangements of span

per the standards

Steel Reinforcement
Coarse Aggregate

authority as per the

Grade (S/ U)
length, cover etc.
Fine Aggregate

approved staging

arrangements
Concrete

Compaction
arrangements

Camber
concrete
Cement

norms
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)

I. Whether Cement and Steel tests other than provided by supplier, got conducted by
independent laboratories:
(Check✓any one box) Yes No

Guiding note: If quality of either material or workmanship is U, the overall item shall be graded as “U”.
Item Grading-6 A: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

17
 B) Completed work

Surface acceptability
cubes as per Quality

Size & Shape as per

strength of concrete
Mix design / Grade

Testing of concrete
cubes by NQM (if
Location/ Item of

Drainage Spouts

Protection work

Grade awarded
Approach slab
Crash Barrier

Wearing coat
Compressive

Control Test
of Concrete

Exp. Joints
Register

Bearing
Camber

Stopper
Railing
design

Kerbs
work

any)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

I. Whether Cement and Steel tests other than provided by supplier, got conducted by
independent laboratories:
(Check✓any one box) Yes No

II. In order to assess the quality of concrete in case of doubt, Non Destructive Test (NDT) such
as Rebound hammer test, Ultra Sonic Pulse Velocity (UPV) etc. has been conducted if any:

(Check✓any one box) Yes No

Item Grading-6 B: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

18
 (ii) Steel Superstructure

A) Ongoing (Work in progress)

Quality of Material Workmanship

point of the bridge and HFL is

Clearance between the lowest
Tensile strength as per QC
Location/ Item of Work

Painting is proper and no

Elongation percentage as

Chemical Analysis Done

NDT of welding is done

Testing of steel bolts or

If Chemical Analysis is
Yield stress as per QC
Grade of Steel

done, is it adequate

sign of rust stain

(Yes / No)
(Yes/No/ NA)

adequate
rivets done
(Yes/ No)

(Yes/No)

(Yes/No)
per QC

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

I. Presence of water spray or moisture in the vicinity of bridge such as waterfall or marshy wet land?
(Check✓any one box)
Yes No

II. Presence of industrial units nearby, which emit corrosive fumes or discharge chemical effluents?
(Check✓any one box) Yes No

III. Presence of salinity in the atmosphere? (Check✓any one box) Yes No

Guiding note: If quality of either material or workmanship is U, the overall item shall be graded as “U”.
Item Grading-6A: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

19
 B) Completed Work

Welding Material
Presence of Corrosion
Presence of Lamellar Tearing

Presence of Fatigue Cracking

Location/ Item of Work

(Yes/ No)
If Yes, type of
Grade of steel

corrosion and specific Any change in

Presence of
(Yes/ No)

(Yes/ No)
location Presence of load
Brittle classification
Buckling
Fracture (Yes/ No)
Atmosphere
(Yes/ No)

Corrosion

Corrosion

Corrosion
Chemical
(Yes/ No)

Stress
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

I. Presence of water spray or moisture in the vicinity of bridge such as waterfall or marshy wet land?
(Check✓any one box)
Yes No

II. Presence of industrial units nearby, which emit corrosive fumes or discharge chemical effluents?
(Check✓any one box) Yes No

III. Presence of salinity in the atmosphere? (Check✓any one box) Yes No

Item Grading-6B: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

20
 (iii) Bailey Bridge Superstructure

A) Ongoing (Work in progress)

Quality of Material Workmanship

male-female joints properly with

(Single-Single, Single-Double,

point of the bridge and HFL is

Clearance between the lowest
All panel PINs are placed in
Location/ Item of Work

Type of Bailey Bridge

safety pin (Yes/ No)

Double-Double etc.)

Painting is proper and no

Launching Roller are
All components are
available (Yes/ No)

All component are

sign of rust stain

(Yes / No)
adequate
corrosion free
(Yes/ No)

(Yes/ No)

(Yes/No)
available
(1) (2) (3) (4) (5) (6) (7) (8)

I. Any bolt and/ or rakers and tie plates are missing or loose?(Check✓any one box) Yes No

II. Any sway braces and/ or transom clamps are missing or loose? Yes No
(Check✓any one box)

III. Presence of any cracking in the Bailey bridge? (Check✓any one box) Yes No

IV. Presence of any bends in bridge members? (Check✓any one box) Yes No

Guiding note: If any of panel PIN is missing or loose, the overall item shall be graded as “U”.
Item Grading-6A: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

21
 B) Completed Work

Welding Material

Any change in load classification

(Single-Single, Single-Double,

Presence of Lamellar Tearing

Presence of Fatigue Cracking

Location/ Item of Work

Presence of Corrosion

All panel PINs are placed in

male-female joints properly
with safety pin (Yes/ No)
Type of Bailey Bridge

Double-Double etc.)
(Yes/ No)
If Yes, type of corrosion and

(Yes/ No)
specific location

(Yes/ No)

(Yes/ No)

Atmosphere
Corrosion

Corrosion

Corrosion
Chemical

Stress
(1) (2) (3) (4) (5) (6) (7) (8) (9)

I. Any bolt and/ or rakers and tie plates are missing or loose?(Check✓any one box) Yes No

II. Any sway braces and/ or transom clamps are missing or loose? Yes No
(Check✓any one box)

III. Presence of any cracking in the Bailey bridge? (Check✓any one box) Yes No

IV. Presence of any bends in bridge members? (Check✓any one box) Yes No

Guiding note: If any of panel PIN is missing or loose, the overall item shall be graded as “U”.
Item Grading-6B: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

22
7. LOAD TEST
I. Results of Load Test attached or not (check✓ any one box) Yes No

If yes, comments required and copy of test results shall be enclosed.

Guiding note: If load test is not done or not satisfactory, overall item grading shall be U.
Item Grading-7:
S U
(Check ✓any one box)
If this item is graded U, write clear reasons and suggestions for improvement:

8. BEARINGS
A) Types of Bearing (Tick ✓ appropriate)

Roller and Rocker Bearing

Elastomeric Bearing
Pot cum PTFE Bearing
Spherical Bearing
Cylindrical Bearing
Any other type

B) Condition of Bearings
(a) Metallic Bearings
i. General Condition- any rusting / ceasing of plates/ cleanliness or not S U

ii. Functioning –any excessive movement/ tilting/ jumping off guides S U

iii. Greasing/ oil bath required to be redone or not S U

iv. Cracks in supporting member- Abutment cap, Pier cap, Pedestal, if any S U

v. Effectiveness of anchor bolts, whether in position and tight or not S U

vi. Report any other defect or observation found

23
(b) Elastomeric Bearings
i. Report condition of pads – Oxidation, Creep, Flattening,

Bulging, Splitting, Displacement if any S U

ii. Report – Bearings are clean and free or not S U

iii. Report any other defect or observation found

(c) Any type other than ‘a’ and ‘b’ above

Report - Any other defect or observation found

I. Whether test results of bearings are available or not:

(Check✓any one box) Yes No

Guiding note: If anyone of the sub-items are graded as U, overall item grading shall be U.
Item Grading-8: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

24
9. EXPANSION JOINTS
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
Modular Strip / Box Seal joint
Finger Joint
Reinforced Coupled Elastomeric Joint

B) Condition of Expansion joints

i. Is there any crack in the wearing coat Yes No

ii. Whether existing gap is improper Yes No

iii. Any hardening / cracking observed in bitumen filler Yes No

iv. Any splitting/ oxidation/ creep/ bulging observed in neoprene

Yes No
sealing material

v. Corrosion/ damage to welds is visible Yes No

vi. Presence of debris in the joint Yes No

vii. Report - any other defect or observation found Yes No

Guiding note: If any response of questions in sub item 9 B is ‘Yes’, the overall item shall be graded as
“U”.
Item Grading-9: U
S
(check ✓any one box)
(If this item is graded as U, clear reasons and suggestions for improvement are to be recorded).

25
 10. APPROACHES

10.1 Embankment
Location Suitability of soil Compaction Side slopes Shoulders Grade
(S/ SRI/ U)
(1) (2) (3) (4) (5) (6)

10.2 Sub Base (G.S.B.)

Location Conforms Material Dry % Comp- Whether Thickness Measured Prescribed
(RD) to Suitable density action compaction as per DPR Thickness Thickness
Grading from kN/m3 is adequate (in (in mm) provided
(Y/N) plasticity (Y/N) mm) (Y/N)
angle
(1) (2) (Y/N) (3) (4) (5) (6) (7) (8) (9)

10.3 Base Course (Non Bituminous (WMM) and Bituminous Macadam (BM))
Location Grading of Plasticity Volume of Compaction Design Thickness Thickness
Aggregates of Filler filler based on thickness of each adequate
(RD)
(S/U) material material volumetric as per DPR layer of (S/U)
(S/U) percent of analysis/ sand WBM/
coarse replacement (mm) WMM
Aggregate method (mm)
(S/U)
(5)
(1)
(2) (3) (4) (6) (7) (8)

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10.4 Wearing Course
Location Grading of Laying Bitumen Bitumen Observed thickness Surface
(RD) Coarse Temper content %, as content % of layer un-evenness
Aggregate ature of per QCR-I (S/U) (S/U)
(S/U) the mix As measured S/U
as per by
QCR-I NQM/SQM
(1) (2) (3) (4) (5) (6) (7) (8)

10.5 Protection Work:

I. Whether sanctioned DPR has the provision of protection works: Yes No
(check✓ any one box)

II. Type of protection work: (check✓ boxes as applicable)

Retaining wall Breast wall Parapet wall

Any other type of Protection work

a.
b.

III. Quality of Materials:

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

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 IV. Workmanship of Retaining structures:
Location / Workmanship of Whether Have weep holes Adequacy of
RD retaining structures honeycombing/any been provided weep holes
other defects are (Yes/No) (if provided)
observed (Y/N) (Yes/No)
(1) (2) (3) (4) (5)

V. In case, Stone masonry is used in retaining structure:

a) Workmanship of stone masonry is acceptable:

(check✓any one box) Yes No

b) Bond stone has been provided in stone masonry: Yes No

(check✓ any one box)

Guiding note: If sub item 10.2, 10.3, 10.4 are graded as U, the overall item shall be U.
Item Grading-10:
S SRI U
(check ✓any one box)
(If this item is graded SRI/U, write clear reasons and suggestions for improvement).

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11. BRIDGE FURNITURE AND MARKINGS:
11.1 Observations: Quality of Bridge Furniture and Markings : (Ongoing / Completed works)

(i) Main Information Board

Fixed : S SRI U

(ii) Citizen Information Board S SRI U

Fixed :

Item Grading-11.1:
(Check✓any one box) SRI

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

11.2 Observations: Quality of Bridge Furniture and Markings:

(iii) Guard stones fixed on

S SRI U
approaches :

(iv) Mandatory and caution S SRI U

signage :

Item Grading-11.2:
(Check✓any one box) SRI

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

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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)
I. No deficiency in project preparation noticed during the interaction with PIU Staff and
Contractor/Consultant engineers:

II. Deficiencies Observed: (check✓ one or multiple box)

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.
Number of spans are insufficient as per the site's hydrological condition.
No provision of protective work in DPR but as per site conditions it is required.
Hydraulic Design & calculation for bridge design not provisioned in DPR.
Guard stone/ Crash barrier/ Road studs on approches are required to be provisioned in
DPR.
Deviation from proposed Alignment.
 Any other comment:

B. 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 withhold or
recovered: (check ✓ relevant box and fill details)

Completed In progress
Whether there was delay Work progress is

Yes No 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 months(

Amount is Withhold Recovered Withhold amount refunded Yes No

Amount )in lakh( Amount )in lakh(

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

Reason for delay/any other comment :

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 C. Whether the work has been completed within the sanctioned cost, if not, what is the action
taken by the PIU (in case of complete works): (check ✓ relevant box and fill details)
Whether the work is completed within the sanctioned cost Yes No
If no, fill the below details

Sanctioned cost ) in lakh(

Completion cost ( in lakh)

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 NQMs. (clearly offer comments about the action taken on the
observations of Departmental Officers, State Quality Monitors and National Quality
Monitors).

Previous Previous QM’s observtion Action taken by PIU Your observation about
QM’s PIU’s action
Designation
/NQM(
/)SQM
DO

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E. Comments about difference in observations made by NQMs/SQMs in earlier inspections (the
NQM/SQM shall study the earlier inspection reports of NQMs/SQMs, if any and offer his clear
comments about the differences in observations, if any). (check ✓ relevant box and fill details)

Whether any difference found in previous observations of QMs Yes No

If yes, your comment on difference in observation

F. Other observations, if any:

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13. OVERALL GRADING OF BRIDGE WORK

Item Items Description Awardable Awarded

No. Grade Grade
1 General Details

2 Quality Arrangements S/SRI/U

3 Attention to Quality S/SRI/U

4 Foundation ( Stage I) S/U

5 Sub-Structure ( Stage II) S/U

6 Super-structure ( Stage III) S/U

7 Load Test S/U

Bearing -
8 S/U
(Grading to be same as for condition of Bearing)
A. Type of Bearing- Roller and Rocker Bearing, Elastomeric
Bearing, Pot cum PTFE Bearing, Spherical Bearing,
Cylindrical Bearing Any other Bearing)

B. Condition of bearing S/U

9 Expansion Joint S/U
(Grading to be same as for condition of Expansion joints)
A. Type of Expansion 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 of Expansion Joint S/U
10 Approaches
S/SRI/U
(To be U, if any of the sub items (ii), (iii), (iv) are SRl or U)
(i) Embankment S/SRI/U
(ii) Sub Base (G.S.B) S/SRI/U
(iii) Base Course
S/SRI/U
(Non Bituminous (WBM) and Bituminous(BM))
(iv) Wearing Course S/SRI/U
(v) Protection Work S/SRI/U

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11 Bridge Furniture and Markings
S/SRI/U
( to be U, if any of the sub items are U)
(i) Main information Board S/SRI/U
(ii) Citizen Information Board S/SRI/U
(iii) Guard stone on approaches S/SRI/U
(iv) Mandatory and Caution signage S/SRI/U

Overall Grading S/SRI/U

Guiding notes for overall grading:

 If all work items are “S”, the overall quality of work shall be “S”
 If items at sl. nos. 4, 5, 6, 7 and 8 are “S” and other items are either “SRI” or “U”,
the overall quality of work shall be “SRI”
 If any item at sr. nos. 4, 5, 6, 7 and 8 are “U”, the overall quality of work shall be
“U”, irrespective of the quality grading of other items.

Signature of QM :…………………………….

Name of QM :…………………………….

Date :..…………………………...

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14. QUALITY GRADING OF ITEMS OF BRIDGE WORKS:

Item No. Item for observation Awardable Awarded

Grade Grade
Item No. 1 General Details

Item No. 2 Quality Control Arrangements S / SRI / U

Item No. 3 Attention to Quality S / SRI / U

Item No. 4 Foundation S/U

Item No. 5 Sub structure S/U

Item No. 6 Super structure S/U

Item No. 7 Load Test S/U

Item No. 8B Condition of Bearing S/ U

Item No. 9 Expansion Joint S/ U

Item No. 10 Approaches (Stage II and III) S / SRI / U

Item No. 11 Bridge furniture & marking S / SRI / U

Overall Grading S / SRl / U

Signature of QM :………………………….

Name of QM :………………………….

Date :.…………………………

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