Project Name: Activity Card Reference District: Date of Inspection: CHECKLIST FOR FIELD VISIT 1 Site Office Location………………………………………….. 2 No. of Bridges under supervision…………………………… Name Location Distance from site office 3 One Bridge One File Yes No 4 Daily Diary Yes No 4.1 Labour Data Yes No 4.2 Equipments Yes No 4.3 Materials Yes No 4.4 Photographs Yes No 5 Vehicle logbook update Yes No 6 QAP Implementation Yes No 7 Material Lab Test Report Yes No 8 IPC Copy(Signed) Yes No 9 User Committee details Yes No 10 EOT, PB and APG up to date Yes No 11 Site Current status Yes No Name of bridge Work Status 12 Work Schedule Yes No 13 Timely Communication and updation about site to RBC/SE Yes No Remarks if any: Note: Name of Supervisor: Signature: Name of Technical Officer: Signature: