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Technical Observation Template -Form Fill

Project details
Q01

GP /Municipality
Q02

Project / asset
Q03

Year
Q04

District
Q05

Unique Identification number
Q06

Sector

Q07

Sub sector
Q08

Micro sector or Details of project or asset created

Q08_1

Details of project or asset created
Q08_2

Measurement (Document verification)
Q08_3

Measurement (Physical verification)
Q09

Area / Location of asset created
Q10

Total time planned for completion of work?
Q11

Work Commencement Date
Q12

Work Completion Date
Q13

Is there any time lapse?

Q14

If so, give details?
Q15

Proposed Cost as per DPR
Q16

Actual Project Cost of the Work (as per MB)
Q17

Is there any cost overs?
Q18

If so, give details?
Q19

Total world bank funds spent
Q20

Funds used from Any other funding sources for completing the work?
Q21

Administrative Sanction Number & Date
Q22

Technical Sanction Number & Date
Q23

Name of the Executing Contractor
Q24

Name of the engineer (Assistant executive Engineer)
Q25

What is the current status of the asset /project
Engineering / Social Details of the project
A01

While preparing the DPR whether the GP has followed the laid out technical guidelines pertaining to Kerala PWD & BIS Codes of practice?
A02

Whether, the cost of the project has been worked out in terms of State’s Standard Schedule of Rates (SOR) – State PWD ?
A03

Social benefits indicated in DPR
Procurement of Work/ Material
B01

Which Contract procedure is followed for the procurement of the contractor?

Implementation of the Project
C01

Whether the quality inspections is done by the LB (Local Body) or outsourced to third party agency?
C02

Whether Structure is constructed as per the approved Design/Drawings and certified by the quality assurance agency?
C03

What is the labiality period of the asset provided by the contractor?
C04

What is the present condition of the asset / project?

C05

Whether, the Structure will be able to survive for design period as per the required quality standards?

C06

Are there any defect liability period of the structure mentioned in the contract?

Operation & Management (OM) arrangements
D01

O&M responsibility to whom?
D02

Are these facilities /services accessible to the people?
D03

Whether any Major repair works / shutdowns since commissioning?
D04

Source of fund for O & M :

D05

O & M effectiveness
D06

Whether asset registers maintained properly
Quality of Construction
E01

Transport - Road

E02

Nature of the project?

E02_1

Document verification
E02_2

Physical Verification
E02_3

Name of the Documents /Notable defects or deviation, if any
E03

Are the construction is as per the required quality standards?

E03_1

Document verification
E03_2

Physical Verification
E03_3

Name of the Documents /Notable defects or deviation, if any
E04

Soil testing

E04_1

Document verification
E04_2

Physical Verification
E04_3

Name of the Documents /Notable defects or deviation, if any
E05

Material testing

E05_1

Document verification
E05_2

Physical Verification
E05_3

Name of the Documents /Notable defects or deviation, if any
E06

Standard design followed

E06_1

Document verification
E06_2

Physical Verification
E06_3

Name of the Documents /Notable defects or deviation, if any
E07

ISO / ISI certified products used

E07_1

Document verification
E07_2

Physical Verification
E07_3

Name of the Documents /Notable defects or deviation, if any
E08

Is it new or renovation of road

E09

Road (New)
E10

Road (renovation)

E11

Is the road is having good drainage system?
E12

Is there any gradient provided in the road ?
E13

Transport -Culvert

E14

Nature of the project?
E15

Are the construction is as per the required quality standards?
E15_1

Soil testing
E15_2

Material testing
E15_3

Standard design followed
E15_4

ISO / ISI certified products used
E16

Are there any cracks in the structure
E17

Cross Drainage works

E17_1

Pipe
E17_2

RC box Culvert
E17_3

Cement Concrete

E18

Is the structure is properly maintained
E19

Transport – Small bridges

E20

Nature of the project?
E21

Are the construction is as per the required quality standards?
E21_1

Soil testing
E21_2

Material testing
E21_3

Standard design followed
E21_4

ISO / ISI certified products used
E22

Are there any cracks in the structure
E22_1

Cross Drainage works
E22_2

Is the structure is properly maintained
E23

How is the appearance of the exterior / interior walls of the structure
E24

Transport – Foot paths / Path ways

E25

Nature of the project?
E26

Are the construction is as per the required quality standards?
E26_1

Soil testing
E26_2

Material testing
E26_3

Standard design followed
E26_4

ISO / ISI certified products used
E27

Are there any cracks in the structure ?
E28

proper Drainage system
E29

Is the structure is properly maintained?
E30

How is construction quality in terms of smooth walkway (Smooth surface is there or not) ?
E31

Is footpath is user friendly
E32

Transport – side walls

E33

Nature of the project?
E34

Are the construction is as per the required quality standards?
E34_1

Soil testing
E34_2

Material testing
E34_3

Standard design followed
E34_4

ISO / ISI certified products used
E35

Are there any cracks in the structure ?
E36

Is the structure is properly maintained ?
E37

How is the appearance of the exterior walls of the structure ?
E38

Agriculture – (Krishi Bhavan / Farm Mechanization)

E39

Nature of the project?
E40

Are the construction is as per the required quality standards?
E41

Is it pvt building or Govt building

E42

Well maintained other facilities as mentioned below are available ?

E42_1

front office
E42_2

Adequate sitting space
E42_3

Drinking water
E42_4

Public toilets
E42_5

Adequate vehicle parking space
E42_6

Is the building is having good drainage system?
E42_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E42_8

How is the appearance of the color painted on the exterior/interior walls of the structure
E43

Is there any seepage of water into the walls or roof of the structure
E44

Is the structure is properly ventilated
E45

Anganwadis – Anganwadi buildings 

E46

Nature of the project?
E47

Are the construction is as per the required quality standards?
E48

Is it pvt building or Govt building

E49

Well maintained other facilities as mentioned below are available

E49_1

front office
E49_2

Adequate sitting space
E49_3

Drinking water
E49_4

Public toilets
E49_5

Adequate vehicle parking space
E49_6

Is the building is having good drainage system?
E49_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E49_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E49_9

Baby friendly toilets
E49_10

Compound wall is available in Anganwadis
E50

Is there any seepage of water into the walls or roof of the structure
E51

Is the structure is properly ventilated
E52

Animal Husbandry – Veterinary hospital

E53

Nature of the project?
E54

Are the construction is as per the required quality standards?
E55

Is it pvt building or Govt building

E56

Well maintained other facilities as mentioned below are available

E56_1

Proper facilities for handling animals
E56_2

Proper shade for animals

E56_3

Are there any cracks in the walls/plastering/Ceiling of the structure?
E56_4

How is the appearance of the colour painted on the exterior/interior walls of the structure
E56_5

Compound wall is available

E56_6

Other animal friendly facilities

E57

Is there any seepage of water into the walls or roof of the structure
E58

Is the structure is properly ventilated
E59

Arts, Culture and sports development, Youth welfare: Playground / Art gallery / Samskarika Nilayam

E60

Nature of the project?
E61

Are the construction is as per the required quality standards?
E62

Is it pvt building or Govt building

E63

Well maintained other facilities as mentioned below are available

E63_1

Adequate sitting space
E63_2

Drinking water
E63_3

Public toilets
E63_4

Adequate vehicle parking space
E63_5

Is the building is having good drainage system?
E63_6

Are there any cracks in the walls/plastering/Ceiling of the structure?
E63_7

How is the appearance of the colour painted on the exterior/interior walls of the structure
E63_8

Toilets
E63_9

Compound wall is available

E63_10

Recreation facilities

E63_11

Other facilities (front desk, electricity connection)

E64

Is there any seepage of water into the walls or roof of the structure
E65

Is the structure is properly ventilated
E66

Computerisation – for panchayat office / Transferred institutions /Schools

E67

Nature of the project?
E68

Are the construction is as per the required quality standards?
E69

Well maintained other facilities as mentioned below are available

E69_1

Utilization of system
E69_2

End user approach

E70

Maintenance of the system

E71

Is employee Efficiency has increased due to computerization?
E72

Drinking water : Borewell Open well

E73

Nature of the project?
E74

Are the construction is as per the required quality standards?
E75

Well maintained other facilities as mentioned below are available

E75A

Water quality as per drinking water standard?

E75B

Is end user is satisfy with water supply ?
E76

Water supply availability during dry period

E77

Is this system open to all castes or public ?

E78

Drinking water : Drinking water supply pipeline

E79

Nature of the project?
E80

Are the construction is as per the required quality standards?
E81

Well maintained other facilities as mentioned below are available

E81A

Water quality as per drinking water standard
E81B

Is end user is satisfy Water supply
E82

Water supply availability during dry period

E83

Is this system open to all castes or public

E84

What is the main source of drinking water ?
E85

Education -School building

E86

Nature of the project?
E87

Are the construction is as per the required quality standards?
E88

Is it pvt building or Govt building

E89

Well maintained other facilities as mentioned below are available

E89_1

front office
E89_2

Adequate sitting space
E89_3

Drinking water
E89_4

Required number of toilets and urinals as per rules are available in all Government schools ?
E89_5

Adequate vehicle parking space
E89_6

Is the building is having good drainage system?
E89_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E89_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E89_9

student friendly toilets
E89_10

Compound wall is available

E90

Is there any seepage of water into the walls or roof of the structure
E91

Is the structure is properly ventilated
E92

Electric line / Transformer

E93

Nature of the project?
E94

Are the construction is as per the required quality standards?
E95

Is electric line/ Transformer is in operation
E96

Is electric line/ Transformer was required as per public demand or technical requirement for the proper power supply
E97

Purchase of the system with the proper guideline established state Electrical Dept.

E98

Street Lights / Solar Street lights / High mast light

E99

Nature of the project?
E100

Are the construction is as per the required quality standards?
E101

Meters are installed for all the street lights
E102

Automatic switch on and switch off facility are installed for all the street lights
E103

Purchase of the system with the proper guideline established state Electrical Dept.

E104

Health – Primary Health Centre / Sub Centre / Ayurvedic Hospital

E105

Nature of the project?
E106

Are the construction is as per the required quality standards?
E107

Well maintained other facilities as mentioned below are available

E107_1

front office
E107_2

Adequate sitting space
E107_3

Drinking water
E107_4

Separate toilets for men and women

E107_5

Adequate vehicle parking space
E107_6

Is the building is having good drainage system?
E107_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E107_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E107_9

Friendly toilets
E107_10

Compound wall is available

E108

Is there any seepage of water into the walls or roof of the structure
E109

Is the structure is properly ventilated
E110

Housing, House Electrification

E111

Nature of the project?
E112

Are the construction is as per the required quality standards?
E113

Meters are installed for all houses ?
E114

is Equipment with minimum energy losses installed in the system

E115

Purchase of the system with the proper guideline established state Electrical Dept.

E116

Irrigation – small irrigation projects / Water channel

E117

Nature of the project?
E118

Are the construction is as per the required quality standards?
E119

Are there any cracks in the structure
E120

Is the structure is having proper gradient and properly maintained
E121

How is the appearance of the exterior/interior walls of the structure
E122

Other construction works – Side protection

E123

Nature of the project?
E124

Are the construction is as per the required quality standards?
E125

Are there any cracks in the structure
E126

Is the structure is properly maintained
E127

How is the appearance of the exterior/interior walls of the structure
E128

Public Buildings which are not included in productive and service sectors – GP/MC office, GP/MC front office, GP/MC community hall / Auditorium,

E129

Nature of the project?
E130

Are the construction is as per the required quality standards?
E131

Well maintained other facilities as mentioned below are available

E131_1

front office
E131_2

Adequate sitting space
E131_3

Drinking water
E131_4

Required number of toilets and urinals as per rules

E131_5

Adequate vehicle parking space
E131_6

Is the building is having good drainage system?
E131_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E131_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E131_9

Friendly toilets
E131_10

Compound wall is available

E132

Is there any seepage of water into the walls or roof of the structure
E133

Is the structure is properly ventilated
E134

Reading Rooms, Libraries

E135

Nature of the project?
E136

Are the construction is as per the required quality standards?
E137

Well maintained other facilities as mentioned below are available

E137_1

Adequate sitting space
E137_2

Drinking water facility

E137_3

Required number of toilets and urinals as per rules

E137_4

Adequate vehicle parking space
E137_5

Is the building is having good drainage system?
E137_6

Are there any cracks in the walls/plastering/Ceiling of the structure?
E137_7

How is the appearance of the colour painted on the exterior/interior walls of the structure
E137_8

Friendly toilets
E137_9

Compound wall is available

E138

Is there any seepage of water into the walls or roof of the structure
E139

Is the structure is properly ventilated
E140

Grama sabha /ward sabha centres

E141

Nature of the project?
E142

Are the construction is as per the required quality standards?
E143

Well maintained other facilities as mentioned below are available

E143_1

Adequate sitting space
E143_2

Front Office

E143_3

Drinking water facility

E143_4

Required number of toilets and urinals as per rules

E143_5

Adequate vehicle parking space
E143_6

Is the building is having good drainage system?
E143_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E143_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E143_9

Friendly toilets
E143_10

Compound wall is available

E144

Is there any seepage of water into the walls or roof of the structure
E145

Is the structure is properly ventilated
E146

Sanitation, Waste processing: solid waste management

E147

Nature of the project?
E148

Are the construction is as per the required quality standards?
E149

Centralized or decentralized SWM facilities are functioning
E150

Source level segregation/ collection/ transportation of non-degradable waste are happening in LSGI.
E151

Whether documents relating to arrangements for source level segregation/collection/transportation of non-degradable waste available with LSGI
E152

Arrangement made for disposal or recycling of non –degradable waste
E153

Sanitation, Waste processing: Crematoriums / Cemeteries / Burial Grounds

E154

Nature of the project?
E155

There is a fully functional crematorium/burial ground for general public in the LSGI or jointly with the neighboring LSGIs
E156

Consent of Pollution control board/ obtained for setting up of new Crematorium/Burial Ground

E157

Crematorium / burial ground for general public is functioning?
E158

Whether the Crematorium/Burial Ground was in use?
E159

Compound wall is available in the entire boundary of Crematorium/Burial Ground
E160

Very clean surroundings and hygienic environment exists in the Crematorium/Burial ground
E161

Whether LSGI committee discussed and decided to construct a crematorium/burial ground
E162

Proper sitting arrangement is there or not ?
E163

Any public utility system – toilet facilities

E164

Any public utility system – water supply
E165

Any public utility system – Bathing arrangement ?
E166

Social welfare, social security: Senior Citizen Home / Day care centre for Mentally challenged people / Counselling centre for teenage girls

E167

Nature of the project?
E168

Are the construction is as per the required quality standards?
E169

Well maintained other facilities as mentioned below are available

E169_1

Adequate sitting space
E169_2

Front Office

E169_3

Drinking water facility

E169_4

Required number of toilets and urinals as per rules

E169_5

Adequate vehicle parking space
E169_6

Is the building is having good drainage system?
E169_7

Are there any cracks in the walls/plastering/Ceiling of the structure?
E169_8

How is the appearance of the colour painted on the exterior/interior walls of the structure
E169_9

Friendly toilets
E169_10

Compound wall is available

E170

How is the Service level of assets created in terms of smoothness and appearance?

Comments of the Technical Auditor (Includes the Site Pictures with one selfy)
F01

Assessment visit details

F01A

Date of Interview
F01B

Time of interview
F01B_1

Start time
F01B_2

End time
F01C

Interviewer name
F01D

Interviewer code
F01E

Respondent -1

F01E_1

Name
F01E_2

Designation
F01E_3

Contact Number
F01F

Respondent -2

F01F_1

Name
F01F_2

Designation
F01F_3

Contact Number
F02

Project Documentation details

F02A

Applicable or non applicable?

F02A_1

DPR
F02A_2

Asset register
F02A_3

Measurement book
F02A_4

Design / Building Plan
F02A_5

Site plan
F02A_6

Detailed estimate statement
F02A_7

Petty contract bill
F02A_8

Contract agreement
F02A_9

Tender notice
F02A_10

Monitoring Report
F02A_11

Bill Copy
F02A_12

The Regulatory List Screening Tool (Proforma A)
F02A_13

The Control List Screening Tool (Proforma B)
F02A_14

E&S Clearance and Compliance Format for GPs (Proforma C)
F02A_15

E&S Clearance and Compliance Format for Municipalities (Proforma D)
F02A_16

E&S Mitigation Guidelines for Level-1 activities (Proforma E)
F02A_17

Format for Conduction of LESA for Level-2 activities (Proforma F)
F02A_18

E&S Mitigation Guidelines for Level-2 activities (Proforma G)
F02A_19

Social Screening Compliance Format for Subprojects involving Land Acquisition
F02B

Document available in LG

F02B_1

DPR
F02B_2

Asset register
F02B_3

Measurement book
F02B_4

Design / Building Plan
F02B_5

Site plan
F02B_6

Detailed estimate statement
F02B_7

Petty contract bill
F02B_8

Contract agreement
F02B_9

Tender notice
F02B_10

Monitoring Report
F02B_11

Bill Copy
F02B_12

The Regulatory List Screening Tool (Proforma A)
F02B_13

The Control List Screening Tool (Proforma B)
F02B_14

E&S Clearance and Compliance Format for GPs (Proforma C)
F02B_15

E&S Clearance and Compliance Format for Municipalities (Proforma D)
F02B_16

E&S Mitigation Guidelines for Level-1 activities (Proforma E)
F02B_17

Format for Conduction of LESA for Level-2 activities (Proforma F)
F02B_18

E&S Mitigation Guidelines for Level-2 activities (Proforma G)
F02B_19

Social Screening Compliance Format for Subprojects involving Land Acquisition
F02C

Copy received

F02C_1

DPR
F02C_2

Asset register
F02C_3

Measurement book
F02C_4

Design / Building Plan
F02C_5

Site plan
F02C_6

Detailed estimate statement
F02C_7

Petty contract bill
F02C_8

Contract agreement
F02C_9

Tender notice
F02C_10

Monitoring Report
F02C_11

Bill Copy
F02C_12

The Regulatory List Screening Tool (Proforma A)
F02C_13

The Control List Screening Tool (Proforma B)
F02C_14

E&S Clearance and Compliance Format for GPs (Proforma C)
F02C_15

E&S Clearance and Compliance Format for Municipalities (Proforma D)
F02C_16

E&S Mitigation Guidelines for Level-1 activities (Proforma E)
F02C_17

Format for Conduction of LESA for Level-2 activities (Proforma F)
F02C_18

E&S Mitigation Guidelines for Level-2 activities (Proforma G)
F02C_19

Social Screening Compliance Format for Subprojects involving Land Acquisition