As per proforma-2 of I.R.

C: 82
PAVEMENT DISTRESS MEASURMENT
(For Routine/OR/Preventive Maintenance Works)

N.H No: ________ Chainage: From Km.__________to Km._________ Carriage way width : : 7m/10m
Name of Division: Surface Type: : Flexible
Reporting Week/Month/Year: 1st. Week/May/2018 Exist. wearing Course : SDBC/BC
Exist. binder Course : BM+ DBM/BM/DBM
Exist. base Course : WBM/WMM

Surface defects/cracks/rutting/loss of Depression/ Shoulder

Chainage (Km) Patch works Potholes Subgrade failure
surface material settlement condition/drop

Type Width/
*(S/A/L/ Depth Size (m) Area Size (m) Total Area Size (m) Depth Area Depth Size (m) Area Size (m) Area Size (m) Area
From To (mm) Nos.
T/E/R/ (mm)
LM)
(B/d) (LxB) (m2) (LxB) (m2) (LxB) (mm) (m2) (LxB) (m2) (LxB) (m2) (LxB) (m2)
Date : 04/05/18

KM. 18

17/300 17/400
1)
3/10
2)

Total=

* S: Surface Defects (Bleeding/Smooth/Hungry surface/slippage)

A: Alligator/Map/Fatigue Crack
L: Longitudinal crack
T: Transverse crack
E: Edge cracking
R: Edge cracking
LM: Loss of surface agregates due to oxidization etc. Dated Signature of Dated Signature of Verified/Checked by:
Section Officer/Incharge(s) Sub-Divisional Officer
 REPORT FOR ROUTINE/O.R/PREVENTIVE PAVEMENT MENTAINANCE WORK FOR THE 1ST WEEK OF MAY/2018
ABSTRACT
NH No: ________ Chainage: From Km.__________to Km._________
Name of Division:
Reporting Week/Month/Year: 1st. Week/May/2018

Qty.
(as per Avg. Rate Amount (Rs.) Remarks (Treatmentand
Method as per MORT& H Spec.
Sl. No. Distress Type Unit measurement (Rs.) I.R.C:82)
sheet)
Surface defects(bleeding/smooth/hungry As per per IRC:82 (Code of Practice for Maintenance
1 m2 of Bituminous Road Surfaces)
surface etc.)
Fog/slurry seal/microsurfacing/PC & SC or as per
2 Pavement Cracks m2
guidelines of IRC: 82 & MORTH specification
Tack Coat/PC & SC or as per guidelines of IRC: 82 &
3 Loss of aggregate from wearing course m2
MORTH specification
Tack Coat/PC & SC or as per guidelines of IRC: 82 &
4 Rutting (Low/Medium/High) m2
MORTH specification
Patching works for wide and shallow depth Premix carpet and seal coat/ as per IRC: 82 &
5 m3
potholes MORTH specification
WBM, BM/BC/ PC & SC etc. / as per IRC: 82 &
6 Pothloes (Medium/Large) m3
MORTH
WBM, BM/BC/ PC & SC etc. / as per IRC: 82 &
7 Depression/Settlement m3
MORTH as
8 Subgrade failure m2 As per IRC: 82 & MORTH
m2 or Cutting and filling with granualr/earthen material or
9 Shoulder maintenance m3 as per guidelines of IRC: 82 & MORTH specification
Total =
Premium over SOR 2013-14 =
Total including Premium =

Executive Engineer