06-FORMS



FORM-A
Application for Enrolment as Competent Technical Personnel in G.M.D.A.
(individual)

To,

           The Chief Executive Officer,
           Guwahati Metropolitan Development Authority,
           Bhangagrh, Guwahati-5

           I hereby apply for enrolment of my name as competent Technical personnel to do the various works of schemes for Building Permit and supervision in the G.M.D.A. under Sec. 123 of G.M.D.A. Act, in response to your Notification No. GMDA/ …... as Architect/ Engineer/ Supervisor.
         

           I do hereby also declare that I shall follow and will abide by all the rules and regulations now in force and that may be framed from time under the provision of the G.M.D.A. Act, 1985. My personal bio-data are as follows-

Name                                       :

Qualification                             :

(Certificate to be enclosed)

Past experience                       :

Father’s Name                         :

Age                                          :

Present Address                      :

Permanent Address                 :

I deposit herewith annual enrolment fees of Rs…... (Rupees…..) only in cash as required.

Signature:                           

Dated:                         

N.B. I am not associated with any other similar group or agency in any manner for this purpose.

FORM-B
Application for Enrolment as Competent Technical Personnel in G.M.D.A. in
Group or Agency

To,

             The Chief Executive Officer,
             Guwahati Metropolitan Development Authority,
             Bhangagerh, Guwahati-5

            We hereby apply for enrolment of our Group/Agency in the name and style as mentioned below, as competent technical personnel to do the various works of schemes for Building Permit and supervision under sec. 123 of G.M.D.A. Act in response to your notification No. GMDA/ ………..

           We do hereby also declare that we shall follow and will abide by all the rules and regulations now in force and that may be framed from time to time under the provision of the G.M.D.A. Act, 1985. Name of the group and persons associated with personal bio-data are as follows-

2. Present & Permanent Address: -

3. Name of persons associated: - with his/ her personal capacity and rank and personal bio-data

(Certificates enclosed)

(A)

(B)

(C)

(D)

4. We deposit herewith the annual enrolment fees of Rs... (Rupees…) only in cash as required.

Signature of head of the group or agency

N.B. Any person associated with any group or agency will not be eligible for enrollment as an individual

FORM NO. 1
CERTIFICATE OF UNDERTAKING FOR HAZARD SAFETY
REQUIREMENT

TO,

REF : Proposed work of ______

(Title of project)

Dag No. _________ Patta No.___________ of Revenue Village__ _

____ under _______ Mouza situated at ________ Guwahati.

1. Certified that the building plans submitted for approval will satisfy the safety requirements as stipulated under Building Regulation No. … and the information given therein is factually correct to the best of our knowledge and understanding.

2. It is also certified that the structural design including safety from hazards based on soil conditions shall be duly incorporated in the design of the building and these provisions shall be adhered to during the construction.

Signature of Owner with date _______

Name in Block Letters _________                                                    Structural Engineer on Record with date
Address____________                                                                     Name in Block Letters _______
_________________                                                                         Address___________________
___________ ____________
Signature of Developer               
with date _________________                                                        Record/ Engineer on Record
                                                                                                          with date _______
Name in Block Letters _______                                                       Name in Block Letters ______
Address___________________                                                      Address__________________

FORM NO. 2
CERTIFICATE OF UNDERTAKING OF ARCHITECT ON RECORD/
ENGINEER ON RECORD

To

Ref : Proposal work of _______
(Title of the project)

Dag No. _______ Patta No.______________ of Revenue Village _______ __

___________________ under _____________ Mouza situated at _______ _____ ________ Guwahati.

For__________________ (Name of Owner /Developer/Builder)

Address:_______

Tel.No.:_________

I am a member of Council of Architects/Institution of Engineers (India) and I am possessing current registration to act as registered Architect/Engineer.

I hereby certify that I am appointed as the Architect on Record / Engineer on Record to prepare the plans, sections and details as required under the provisions of the Act / Development control Regulations for the above mentioned project and that I have prepared and signed the same and that the execution of the project shall be carried out under my direction, and supervision of a Construction Engineer on Record, as per the approved drawings. I am fully conversant with the provisions of the Regulations, which are in force, and about my duties and responsibilities under the same and I undertake to fulfill them in all respects, except under the circumstances of natural calamities.

I also undertake to provide my guidance for the adequate measure to be taken by the owners for installation of plumbing, drainage, sanitation and water supply. The appointment of a Construction Engineer on Record, building contractor, plumbing contractor and electrical contractor shall be made at the appropriate stage by the owner before the relevant work commences.

      Signature : __                           
 

Reg. No. ________Date:____ 

Name : ______________

Address : __________

FORM NO. 3
CERTIFICATE OF UNDERTAKING OF STRUCTURAL ENGINEER ON
RECORD (SER)

To

Ref : Proposed work of ______________

(Title of the project)

Dag No. _______________ Patta No.___________ of Revenue Village _______

_____ under _____________ Mouza situated at ____ ____ ______ __ Guwahati.

Owner:_________

Address:________

I am a Registered Structural Engineer (RSE). This is to certify that I have been appointed as the Structural Engineer on record to prepare the Structural design basis report, detailed structural design and detailed structural drawings for above mentioned project. I am fully conversant of my duties and responsibilities under the Regulations and assure that I shall fulfill them in all respects.

I have prepared and signed a structural design basis report SDBR).

I undertake to carry out a detailed structural design and prepare detailed structural drawings of the proposed building as per the latest Indian Standard Specifications, and as indicated in the Structural design basis report.

I undertake to supply the owner and the supervisor the detailed structural drawings. If my services are terminated, I undertake to intimate the Authority in writing

Signature : ________
 

Reg. No. _______ Date : _____

 Name : _______

Address : _____

Tel. No. : _______

FORM NO.4
CERTIFICATE OF UNDERTAKING OF THECONSTRUCTION ENGINEER
ON RECORD

To.......................... 

Ref : Proposed work of ...................

(Title of the work )

Dag No. ________ Patta No.________ of Revenue Village _______ __

________ under _____________ Mouza situated at __________ ______ Guwahati.

Owner :

Address :

Tele. No..........................

I possess a current registration to act as Registered Construction Engineer.

I hereby certify that I am appointed as a Construction Engineer on Record on the above mentioned project and that all the works under my charge shall be executed in accordance with the drawings and specifications prepared for this project.

I am fully conversant with the provisions of the Regulations which are in force and about the duties and responsibilities under the same and I undertake to fulfill them in all respect.

* I undertake not to supervise more than ten works at a given time as provided in Development Control Regulations.

* I undertake not to supervise work simultaneously at one point of time on any other sites during my supervision of the execution of this work

Signature:…………

Registration No............Date..........

Name..................

Address....................

Tele.No.......................

FORM NO. 5
DEVELOPMENT PERMISSION

Permission is hereby granted / refused under Section _____________ _ to______________

(Name of the person) for__________ (Description of work)

on the following conditions / grounds Conditions:
(in case of grant)

subject to the submission of structural design basis report along with soil investigation report at least one month in advance and subsequent approval before the commencement of the work.

Grounds:

(in case of refusal)

a) Documents / N.O.C. etc.: -

Following documents / plans / N.O.C/ undertakings as mentioned in form no. --- --(application for Development permission) are not submitted.

b) Site Clearance: -

(i) Site is not cleared as per the provisions of Development Plan with respect to

- Road line

- Reservations

- Zone

- Other (specify)

(ii) Site is not cleared as per the provision of T.P. Scheme ……… with respect to

- Road

- Reservation

- Final plot

- Other (specify)

(iii) Proposed use is not permissible according to the width of road as per the provision No…………

FORM NO. 6
STRUCTURAL DESIGN BASIS REPORT

1. This report to accompany the application for Building Development Permission.

2. In case information on items 3, 10, 17, 18 and 19 can not be given at this time, it should be submitted at least one week before commencement of construction.

Part 1: General Data

Sl
No
Description Information Notes
1 Address of the building
• Name of the building
• Plot number
• Subplot number
• TPS scheme
a. Name
b. Number
• Locality/Township
• District
   
2 Name of owner    
3 Name of Builder on record    
4 Name of Architect/Engineer on record    
5 Name of Structural engineer on record    
6 Use of the building    
7 Number of storeys above ground level
(including storeys to be added later, if
any)
   
8 Number of basements below ground
Level
   
9 Type of structure
• Load bearing walls
• R.C.C frame
• R.C.C frame and Shear walls
• Steel frame
   
10 Soil data
• Type of soil
• Design safe bearing capacity
  IS: 1893 Cl. 6.3.5.2
IS: 1904
11 Dead loads (unit weight adopted)
• Earth
• Water
• Brick masonry
• Plain cement concrete
• Reinforced cement concrete
• Floor finish
• Other fill materials
• Piazza floor fill and landscape
  IS: 875 Part 1
12 Imposed (live) loads
• Piazza floor accessible to Fire Tender
• Piazza Floor not accessible to
Fire Tender h Floor loads Roof loads
  IS: 875 Part 2
13 Cyclone / Wind
• Speed
• Design pressure intensity
  IS: 875 Part 3
14 Seismic zone   IS:1893 2002
15 Importance factor   IS:1893 (2002) Table 6
16 Seismic zone factor(Z)   IS:1893 Table 2
17 Response reduction factor   IS: 1893 Table-7
18 Fundamental natural period
- approximate
  IS: 1893 Cl. 7.6
19 Design horizontal acceleration spectrum
value (Ah)
  IS: 1893 Cl. 6.4.2
20 Expansion / Separation Joints    

Part 2: Load bearing masonry buildings

Sl
No
Description Information Notes
1 Building category   IS:4326 Cl. 7 read with IS: 1893 Bld/Zone II III IV V Ord. B C D E Important C D E E
2 Basement Provided    
3 Number of floors including Ground Floor (all floors including stepped floors in hill slopes)    
4 Type of wall masonry    
5 Type and mix of Mortar   IS:4326 Cl. 8.1.2
6

Re: size and position of openings (See note No.1)

• Minimum distance (b5)

• Ratio (b1+b2+b3)/l1 or (b6+b7)/l2

• Minimum pier width between consequent opening (b4)

• Vertical distance (h3)

• Ratio of wall height to thickness4

• Ratio of wall length between cross wall to thickness

  IS:4326 Table 4, Fig.7
7

Horizontal seismic band

• at plinth level

• at window sill level

• at lintel level

• at ceiling level

• at eave level of sloping roo

 

• at top of gable walls

• at top of ridge walls

P IP NA

(see note no.2)

IS:4326 Cl. 8.4.6

IS:4326 Cl. 8.3

IS:4326 Cl. 8.4.2

IS:4326 Cl. 8.4.3

IS:4326 Cl. 8.4.3

IS:4326 Cl. 8.4.4

8

Vertical reinforcing bar

• at corners and T junction of walls

• at jambs of doors and window openings

 

IS:4326 Cl. 8.4.8

IS:4326 Cl. 8.4.9

9 Integration of prefab roofing/flooring elements through reinforced concrete screed   IS:4326 Cl. 9.1.4
10

Horizontal bracings in pitched truss

• in horizontal plane at the level of ties

• in the slopes of pitched roofs

   

Part 3 : Reinforced concrete framed buildings

Sl
No
Description Information Notes
1

Type of Building

  • Regular frames
  • Regular frames with Shear walls
  • Irregular frames
  • Irregular frames with shear walls
  • Soft storey
  IS: 1893 Cl. 7.1
2 Number of basements    
3 Number of floors including ground floor    
4

Horizontal floor system

  • Beams and slabs
  • Waffles
  • Ribbed Floor
  • Flat slab with drops
  • Flat plate without drops
   
5
  • Soil data
  • Type of soil
  • Recommended type of foundation

       - Independent footings
       - Raft
       - Piles

  • Recommended bearing capacity of soil
  • Recommended, type, length, diameter and
  • load capacity of piles
  • Depth of water table
  • Chemical analysis of ground wateriChemical analysis of soil
  IS: 1498
6

Foundations

  • Depth below ground level
  • Type
  • Independent
  • Interconnected
  •  Raft
  •  Piles
   
7

System of interconnecting foundations

  • Plinth beams
  • Foundation beams
  IS: 1893 Cl. 7.12.1
8 Grades of concrete used in different parts of
building
   
9 Method of analysis used    
10 Computer software used   IS: 1893 Cl. 7.9
11 Torsion included    
12

Base shear
a. Based on approximate fundamental period
b. Based on dynamic analysi

c. Ratio of a/b

  IS: 1893 Cl. 7.5.3
13 Distribution of seismic forces along the height
of the building
  IS:1893 Cl. 7.7
(provide sketch)
14 The column of soft ground storey specially
designed
  IS:1893 Cl. 7.10
15

Clear minimum cover provided in

  •  Footing
  •  Column
  •  Beams
  •  Slabs
  •  Walls
  IS: 456 Cl. 26.4
16

Ductile detailing of RC frame

  •  Type of reinforcement used
  •  Minimum dimension of beams
  •  Minimum dimension of columns
  •  Minimum percentage of reinforcement of beams at any cross section
  •  Maximum percentage of reinforcement at any section of beam
  •  Spacing of transverse reinforcement in 2-d length of beams near the ends
  • Ratio of capacity of beams in shear to capacity of beams in flexure
  • Maximum percentage of reinforcement in column
  • Confining stirrups near ends of columns and in beam-column joints

       a. Diameter
       b. Spacing

  •  Ratio of shear capacity of columns to maximum
  • seismic shear in the storey
  IS: 456 Cl. 5.6
IS:13920 Cl. 6.1
IS:13920Cl. 7.1.2
IS: 456 Cl. 26.5.1.1(a)
IS:13920 Cl. 6.2.1
IS: 456 Cl. 26.5.1.1(b)
IS:13920 Cl. 6.2.2
IS: 13920 Cl. 6.3.5
IS: 456 Cl. 26.5.3.1
IS: 13920 Cl. 7.4

General Notes

1. A certificate to the effect that this report will be completed and submitted at least one month before commencement of Construction shall be submitted with the application for Building Development Permission.

2. In addition to the completed report following additional information shall be submitted, at the latest, one month before commencement of Construction.

2.1 Foundations

2.1.1 Incase raft foundation has been adopted indicate K value used for analysis of the raft

2.1.2 Incase pile foundations have been used give full particulars of the piles, type, dia, length, capacity

2.1.3 Incase of high water table indicate system of countering water pressure, and indicate the existing water table, and that assumed to design foundations.

2.2 Idealization for Earthquake analysis

2.2.1 Incase of a composite system of shear walls and rigid frames, give distribution of base shear in the two systems on the basis of analysis, and that used for design of each system.

2.2.2 Indicate the idealization of frames and shear walls adopted in the analysis with the help of sketches.

2.3 Submit framing plans of each floor

2.4 Incase of basements, indicate the system used to contain earth pressures

Part 4 : Buildings in Structural Steel

1 Adopted method of Design O Simple
O Semi-rigid
O Rigid
IS: 800; Cl. 3.4.4
IS: 800; Cl. 3.4.5
IS: 800; Cl. 3.4.6
2 Design based on O Elastic analysis
O Plastic analysis
IS: 800; Section-9
SP: 6 (6)
3 Floor Construction O Composite
O Non-composite
O Boarded
 
4 Roof Construction O Composite
O Non-composite
O Metal
O Any other
 
5 Horizontal force resisting system
adopted
O Frames
O Braced frames
O Frames & shear
walls
Note: Seismic force
As per IS:
1893Would
depend on system
6 Slenderness ratios maintained Members defined in
Table 3.1, IS: 800
IS: 800; Cl. 3.7
7 Member deflection limited to Beams, Rafters
Crane Girders
Purlins
Top of Columns
IS: 800; Cl. 3.13
8 Structural members O Encased in
Concrete
O Not encased
IS: 800; Section-10
9 Proposed material O General weld-able
O High strength
O Cold formed
O Tubular
IS: 2062
IS: 8500
IS: 801, 811
IS: 806
10 Minimum metal thickness Specified for
corrosion protection
O Hot rolled sections
O Cold formed sections
O Tubes
IS: 800, Cl. 3.8
Cl. 3.8.1 to Cl. 3.8.4
Cl. 3.8.5
Cl. 3.8.5
11 Structural connections O Rivets
O C T Bolts
O S H F G Bolts
O Black Bolts
O Welding-
Field Shop (Specify welding
type proposed)
O Composite
IS: 800; Section-8
IS: 1929,2155,1149
IS: 6639, 1367
IS: 3757, 4000
IS: 1363, 1367
IS: 816, 814, 1395,
7280, 3613, 6419
6560, 813, 9595
  Minimum Fire rating
Proposed, with method
O Rating ---------- hours
O Method proposed-
- In tumescent Painting
- Spraying
- Quilting
- Fire retardant boarding
IS: 1641, 1642, 1643

FORM NO. 7
PROGRESS CERTIFICATE

Plinth Stage / In case of basement casting of basement slab

Reference No.

Owner's Name                                                         : Location:

Submitted on                                                           : Received on:

The _______________

_______________

_______________

Sir,

We hereby inform you that the work of execution of the building as per approved plan, working drawing and structural drawings has reached the plinth level and is executed under our supervision. We declare that the amended plan is not necessary at this stage.

Yours faithfully,

Signature of the                                                Signature of the

Construction Engineer on Record                     Owner/ Developer/ Builder

Date:________________________                  Date: ____________________

Name in block letters:                                         Name in block letters
_____________________________                      _________________________

Address:______________________                 Address ___________________
_____________________________                       __________________________
_____________________________                       _________________________

FORM NO. 8
PROGRESS CERTIFICATE - FIRST STOREY

Reference No.

Owner's Name:                                                               Location:

Submitted on:                                                                  Received on:

The_____________

_____________

_____________

Sir,

We hereby inform you that the work of execution of the building as per approved plan, working drawing and structural drawings has reached the first storey level and is executed under our supervision

We declare that the amended plan is not necessary at this stage.

Yours faithfully,

Signature of the                                                                                     Signature of the

Construction Engineer on Record                                                         Owner/ Developer/ Builder

Date:________________________                                                      Date: ____________________

Name in block letters:                                                                            Name in block letters

_____________________________                                                     _________________________

Address:______________________                                                    Address ___________________

_____________________________                                                     __________________________
_____________________________                                                     __________________________

FORM NO. 9
            PROGRESS CERTIFICATE - MIDDLE STOREY IN CASE OF HIGH-RISE BUILDING

Reference No.

Owner's Name                                                            : Location:

Submitted on                                                              : Received on:

The__________

__________

__________

Sir,

We hereby inform you that the work of execution of the building as per approved plan, working drawing and structural drawings has reached

storey level and is executed under our supervision.

We declare that the amended plan is not necessary at this stage.

Yours faithfully


Signature of the                                                                       Signature of the

Construction Engineer on Record                                           Owner/ Developer/ Builder

Date:________________________                                        Date: ____________________

Name in block letters:                                                              Name in block letters
____________                                        ______________

Address:____________                                       Address ___________________

______

FORM NO. 10
PROGRESS CERTIFICATE - LAST STOREY

Reference No.

Owner's Name                                                            : Location:

Submitted on                                                              : Received on:

The______________________

___________________________

Sir,

We hereby inform you that the work of execution of the building as per approved plan, working drawing and structural drawings has reached ___________ storey level and is executed under our supervision.

We declare that the amended plan is not necessary at this stage.

Yours faithfully


Signature of the                                                                        Signature of the

Construction Engineer on Record                                            Owner/ Developer/ Builder

Date:________________________                                         Date: ____________________

Name in block letters:                                                               Name in block letters

________________                                       ________________

Address:__________                         Address _______

______________                                    _____________

FORM NO. 11
COMPLETION REPORT

Reference No.

Owner's Name                                                     : Location:

Submitted on                                                       : Received on:

The___________________

___________________

_______________________

Sir,

The work of erection/re-erection of building as per approved plan is completed under the Supervision of Architect/Construction Engineer who have given the completion certificate which is enclosed herewith.

We declare that the work is executed as per the provisions of the Act and Development Control Regulations / Byelaws and to our satisfaction. We declare that the construction is to be used for ______________ the purpose as per approved plan and it shall not be changed without obtaining written permission.

We hereby declare that the plan as per the building erected has been submitted and approved. We have transferred the area of parking space provided as per approved plan to an individual/association before for occupancy certificate.

Any subsequent change from the completion drawings will be our responsibility.

Yours faithfully,

(Developer’s / Builder’s Signature)                                                                                                                                                                                                                                                         (Owner’s Signature)

Name of Developer / Builder                                                                                                                                                                                                                                                                         Name of Owner

Date:

Address:

Encl: Completion Certificate

FORM NO. 12
BUILDING COMPLETION CERTIFICATE BY ARCHITECT ON RECORD

Reference No.

Owner's Name                                                   : Location:

Submitted on                                                     : Received on:

The__________________

________________________

Sir,

1. The building/s has/have been constructed according to the sanctioned plan.

2. The building/s has /have been constructed as per approved plan and design as per detailed architectural drawings and specifications prepared by Architect on Record.

3. Construction has been done under our supervision / guidance and adheres to the drawings submitted.

Signature of the Owner                                                                                                     Signature of Architect on Record

Date                                                                                                                                    Date

Name in block letters:                                                                                                        Name in block letters

_______________                                                                        _____________

Address:_____________                                 Address ____

_____________                                                                                 _______________

____________                                                                                 __________

FORM NO. 13
           BUILDING COMPLETION CERTIFICATE BY CONSTRUCTION ENGINEER ON RECORD

Reference No.

Owner's Name                                                         : Location:

Submitted on                                                            : Received on:

The______________

__________________

_______________

Sir,

1. The building/s has/have been constructed according to the sanctioned plan.

2. The building/s has / have been constructed as per

- the detailed structural drawings and structural specifications prepared by the Structural Engineer on Record

- the detailed Architectural drawings and Architectural specifications prepared by the Architect on Record.

- detailed drawings and specifications of all services

3. All materials used in the construction have been tested as provided in specifications and a record of test reports has been kept.

Signature of the Owner                                                                                                                Signature of Construction
                                                                                                                                                          Engineer on Record

Date                                                                                                                                               date

Name in block letters:                                                                                                                    Name in block letters
_____________________________                                                                                             _________________________

Address:______________________                                                                                              Address _____

________                                                                                               _____________
____________                                                                                              _______

 

FORM NO. 14
              BUILDING COMPLETION CERTIFICATE BYTRUCTURAL ENGINEER ON RECORD

Reference No.

Owner's Name                                                                         : Location:

Submitted on                                                                           : Received on:

The_______________

_______________

_______________

Sir,

This is to certify that detailed structural drawings of the buildings/s has / have been prepared on the basis of a detailed analysis and a detailed design carried out according to relevant previsions of the latest Indian Standard Codes, National Building Code and as indicated in the structural design basis report.

Signature of the Owner                                                                                                    Signature of Structural
                                                                                                                                          Engineer on Record

Date                                                                                                                                Date

Name in block letters:                                                                                                     Name in block letters

_____________________                   Address ___________________

________________

FORM NO. 15
MODEL PROFORMA FOR TECHNICAL AUDIT REPORT

1. Design

  COMMENTS
1.1 Design / Drawings available  
Design Category
Type Design?
Specific design?
Y/N
Design to be collected to
refer to Design Consultant /
H.O.
Drawings prepared / checked by competent Authority ? Y/N
Design Drawings / details
Structural detailed included
Earthquake / cyclone resistant features included?
Y/N
Design verified / vetted by Dept. / Govt. approved agency /
competent authority?
Y/N
Design changes approved by Dept. / Govt. approved agency /
competent authority?
Y/N

2. Foundation

2.1 Foundation used Existing/New

2.2.1 If existing foundation used

2.2.1 Depth of foundation below ground : <50cm/50-70/>70cm

2.2.2 Type of foundation : Isolated/Combined/Raft/Piled etc.

2.2.3 Thickness of masonry (above ground) :

2.2.4 Mortar used and Mix of cement mortar : Cement-Sand/Lime and 1:4/1:6/Leaner

2.2.5 Grade of concrete (M20) : Y/N

2.2.6 Height up to Plinth : ________________ cm

2.2.7 If stone masonry

2.2.7.1 Through Stones : Yes/No, if Yes Adequate / Inadequate

2.2.7.2 Corner Stones : Yes/No, if Yes Adequate/Inadequate

2.3 If new foundation used

2.3.1 Depth of foundation below ground : _____ <50/50-70/>70cm

2.3.2 Type of foundation : Isolated/Combined/Raft/Piled etc.

2.3.3 Thickness of Masonry above plinth : ____________________________

2.3.4 Mortar used and Mix of cement mortar (1:4): Cement – sand/lime/mud and Y/N

2.3.5 Grade of concrete (M20) :Y/N

2.3.6 Height up to Plinth : <60/>60cm

2.3.7 If stone masonry

2.3.7.1 Through Stones : Yes/No, if Yes Adequate/Inadequate

2.3.7.2 Corner Stones : Yes/No, if Yes Adequate/Inadequate

Vertical reinforcement in foundation : Yes/No

3 Walling

3.1 Type of masonry : Brick/PCC Blocks/ Stone

3.2 Mortar used : Cement – Sand/Lime

3.3 Mix of cement mortar : 1:4/1:6/Leaner

3.4 Thickness of wall : >23cm/23cm/23cm

3.5 Mixing of mortar : OK/Not OK

3.6 Joint Property filled : OK/NOT OK

3.7 Wetting of bricks : Good/ Medium/ Poor

3.8 If stone masonry

3.8.1 Through Stones : Yes/No

3.8.2 Corner Stones : Yes/No

3.9 Overall workmanship : Good / Medium / Poor

4 Roofing

4.1 Type of roof : Flat/Sloping

4.2 If sloped : A.C. sheet/ G.I. sheet /Morbid tiles

4.3 Purlins : Angle-Iron / Timber / NA

4.4 Truss type : _______________________

4.5 Anchorage with wall : Adequate/ Inadequate/ NA

5 Materials

5.1 Cement

5.1.1 Source : Authorized Dealer/ Market

5.1.2 Type of cement : OPC/PPC/PSC

5.1.3 If OPC : Grade (33/ 43/ 53)

5.2 Sand

5.2.1 Type of sand : River sand / Stone dust

5.2.2 Presence of deleterious materials : Mild / Moderate/ High

5.3 Coarse Aggregates

5.3.1 Type coarse Aggregates : Gravel/ Crushed Stone

5.3.2 Presence of deleterious material : Mild/ Moderate / High

5.4 P.C.C. Blocks (Applicable for onsite production)

5.4.1 Type of P.C.C. Blocks : Solid blocks/Hollow blocks

5.4.2 Ratio of concrete in blocks : ______________________

5.4.3 Interlocking feature : Yes/No

5.4.4 Course aggregates used : Natural/ Crushed stone

5.5 Bricks Blocks, Stone etc.

5.5.1 Strength (field assessment) : Low/Medium/High

5.5.2 Dimensional accuracy : Yes/No

5.6 Concrete

5.6.1. Mix of concrete : M20/Design Mix

5.6.2 Batching : Weigh batching/Volume batching

5.6.3 Compaction : Vibrators/Thappies and rods

5.6.4 Workability : Low / Medium / High

5.6.5 Availability of water : Optimum/Sufficient / Insufficient

5.6.6 Curing : Satisfactory/Unsatisfactory.

5.7 Reinforcing Steel

5.7.1 Type of Steel : Plain mild steel/HYSD bars

5.7.2 Source : Authorised Dealer/Market

5.7.3 Whether IS marked : Yes/No

5.7.4 Conditions of bars : Clean/Corroded

5.7.5 Fixing of reinforcement as per drawing : Yes/No

5.7.6 Suitable cover : Yes/No

5.7.7 Spacing of bars : Regular/Irregular

5.7.8 Overlaps as per specifications : Yes/ No

5.8 Form Work

5.8.1 Type of Form Work : Timber / Plyboard/ Steel

5.8.2 Use of mould oil : Yes/No

5.8.3 Leakage of cement slurry : Observed/Not observed

5.9 Source

5.9.1 Cement

5.9.2 Sand

5.9.3 Coarse Agg.

5.9.4 Bricks

5.9.5 PCC blocks.

6 Seismic resistance features

6.1 Masonry Structures

6.1.1 Provision of bands at Provided Adequate

6.1.1.1 Plinth level Yes/No Yes/No

6.1.1.2 Sill level Yes/No Yes/No

6.1.1.3 Lintel level Yes/No Yes/No

6.1.1.4 Roof level (if applicable) Yes/No Yes/No

6.1.2 If sloped Roof, whether seismic bands are provide at

6.1.2.1 Gable wall top Yes/No Yes/No

6.1.2.2 Eaves level Yes/No Yes/No

6.1.3 Provision of vertical steel in masonry at Provided Adequate

6.1.3.1 Each corner Yes/No Yes/No

6.1.3.2 Each T-junction Yes/No Yes/No

6.1.3.3 Each door joint Yes/No Yes/No

6.1.3.4 Around each window Yes/No Yes/No

6.1.4 Openings

6.1.4.1 Total width of openings : <50%/50*-60%/>60% (*-42% for double storey)

6.1.4.2 Clearance from corner : OK/Not OK

6.1.4.3 Pier width between two openings : OK/Not OK

6.2 Framed Structures

6.2.1 Ductile detailing

6.2.1.1 Spacing of stirrup : OK/Not OK

6.2.1.2 Sizes of members : OK/Not OK

6.2.1.3 End anchorage : OK/Not OK

6.2.1.4 Lapping (length, location etc.) : OK/Not OK

6.2.1.5 Angle of stirrup hook : 90 / 135 degrees

6.3 Any testing carried out by Owner/Engg. Supervisor on Testing done Testing results

6.3.1 Water Yes/No OK/Not OK

6.3.2 Cement Yes/No OK/Not OK

6.3.3 Bricks/PCC blocks/Stones Yes/No OK/Not OK

6.3.4 Aggregate Yes/No OK/Not OK

6.3.5 Mortar Yes/No OK/Not OK

6.3.6 Concrete Yes/No OK/Not OK

6.3.7 Reinforcement Yes/No OK/Not OK

FORM NO. 16
STRUCTURAL INSPECTION REPORT

(This form has to be completed by registered Structural Designer after his site Inspection and verification regarding compliance of all recommendation by the owner, which in the opinion of the registered structural designer are necessary for safety of the structure)

I. Description by title and location of the property including T.P.No., F.P.No. etc.

II. Name of the present owner :

III. Description of the structure :

Class I or Class II (Briefly describe the property in general and the structure in particular)

(a) Function                                                                                                                                                                                                                                                                           (b)Framed construction
  Residence (with or without shops) Apartments (with or without shops) Office Bldg. Shopp - ing Centre School, College Hostel Hostel Auditoria Factory
1 2 3 4 5 6 7 8 9
A. Load bearing masonry
wall construction
               
B. Framed structure Construction                
Construction and structural
materials
Critical
load
bearing
element
Brick RCC Stone Timber Steel    
  Roof
Floor
RCC Timber RBC Steel Jackarch    

IV. Year of construction Year of subsequent additions or rectification’s (Please describe briefly the nature of additions or rectification’s). :

V. Date of last inspection report filed : Last filed by whom : (This does not apply to the first report).Steel

VI. Soil on which building is founded :

i) Any change subsequent to construction :

ii) Nearby open excavation :

iii) Nearby collection of water :

iv) proximity of drain :

v) underground water-tank :

vi) R.W. Pipes out-lets :

vii) Settlements :

VII. The Super-structure (R.C.C. Frame structure)

I) Crack in beam or column nature and extent of crack : probable causes.

ii) Cover spell :

iii) Exposure of reinforcement

iv) subsequent damage by user for taking pipes, : conduits, hanging, fans or any other fixtures, etc. :

vi) Crack in slab :

vii) Spalling of concrete or plaster of slab :

viii) Corrosion of reinforcement :

ix) Loads in excess of design loads :

VIII The Super-Structure (Steel Structure)

I) Paintings :

ii) Corrosion :

iii) Joint, nuts, bolts, rivets, welds, gusset plates :

iv) Bending or buckling of members :

v) Base plate connections with columns or pedestals :

vi) Loading :

IX. The Super-Structure (Load bearing masonry structure) Cracks in masonry walls)

(Please describe some of the major cracks, their nature, : extent and location, with a sketch, if necessary.

X. Recommendations if any :
This is to certify that the above is a correct representation of facts as given to me by the owner and as determined by me after Site Inspection to the best of my ability and judgment.

The recommendations made by me to ensure adequate safety of the structure are compiled with by the owner to my entire satisfaction.

(Signature of the Registered Structural Engineer
Date:__________

Name of the registered structural Engineer:

Registration No.                                                                                                                                                                                                                                                               Address

*****