Work Flow Tag
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8/12/2019 Work Flow Tag
1/30
Project Name / ID NH No. Length Stretch State PIU
Scheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Date & Time of
recording /
reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time ofcompletion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
11 12 13 14 15 16 17 18 19
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
20 21 22 23 24 25 26 27 28
Damages
Remarks (if any)
Roughness
17.2, Schedule-K (a)(ii) Damages to be paid by Concessionaire
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
17.2, Schedule-K (a)(i) Damages to be paid by Concessionaire
Breach / Blockade Damages
Remarks (if any)
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion ofrepair /
rectification
Status / Remarks Amount Paid Unpaid
29 30 31 32 33 34 35 36 37
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
38 39 40 41 42 43 44 45 46
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
Rutting exceeding 10 mm in more than 2% of road surface in a stretch of 1 km Damages
17.2, Schedule-K (a)(v) Damages to be paid by Concessionaire Remarks (if any)
Damages
Remarks (if any)
Cracking in more than 5% of road surface in a stretch of 1 km Damages
Pot Holes
17.2, Schedule-K (a)(iii) Damages to be paid by Concessionaire
17.2, Schedule-K (a)(iv) Damages to be paid by Concessionaire Remarks (if any)
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
47 48 49 50 51 52 53 54 55
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion ofrepair /
rectification
Status / Remarks Amount Paid Unpaid
56 57 58 59 60 61 62 63 64
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
65 66 67 68 69 70 71 72 73
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
17.2, Schedule-K (a)(vii) Damages to be paid by Concessionaire Remarks (if any)
Damage to pavement edges exceeding 10 cm Damages
17.2, Schedule-K (a)(viii) Damages to be paid by Concessionaire Remarks (if any)
Bleeding / Skidding Damages
17.2, Schedule-K (a)(vi) Damages to be paid by Concessionaire Remarks (if any)
Ravelling / Stripping of bitumen surface exceeding 10 sq.m Damages
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
74 75 76 77 78 79 80 81 82
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
83 84 85 86 87 88 89 90 91
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
91 92 93 94 95 96 97 98 99
17.2, Schedule-K (b)(i) Damages to be paid by Concessionaire Remarks (if any)
Hard / Earth shoulders, side slopes, drains and culverts
Removal of Debris / Dust Damages
17.2, Schedule-K (a)(ix) Damages to be paid by Concessionaire Remarks (if any)
Variation by more than 2% in the prescribed slope of camber / cross fall Damages
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording/ reporting
Exact Location
(LHS/RHS) withChainage
Time Allowed
forrectification
Date & Time of
completion ofrepair /
rectification
Status / Remarks Amount Paid Unpaid
100 101 102 103 104 105 106 107 108
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
100 101 102 103 104 105 106 107 108
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
Variation by more than 15% in the prescribed side (embankment) slopes Damages
17.2, Schedule-K (b)(iii) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (b)(ii) Damages to be paid by Concessionaire Remarks (if any)
Edge drop at shoulders exceeding 40 mm Damages17.2, Schedule-K (b)(ii) Damages to be paid by Concessionaire Remarks (if any)
Edge drop at shoulders exceeding 40 mm Damages
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
109 110 111 112 113 114 115 116 117
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
118 119 120 121 122 123 124 125 126
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time ofcompletion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
127 128 129 130 131 132 133 134 135
17.2, Schedule-K (b)(iv) Damages to be paid by Concessionaire Remarks (if any)
Damage to or silting of culverts and side drains during and immediately preceding the rainy
seasonDamages
17.2, Schedule-K (b)(v) Damages to be paid by Concessionaire Remarks (if any)
Rain cuts/gullies in slope Damages
-
8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording/ reporting
Exact Location
(LHS/RHS) withChainage
Time Allowed
forrectification
Date & Time of
completion ofrepair /
rectification
Status / Remarks Amount Paid Unpaid
136 137 138 139 140 141 142 143 144
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
145 146 147 148 149 150 151 152 153
17.2, Schedule-K (d)(i) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (c)(i) Damages to be paid by Concessionaire Remarks (if any)
Road side furniture including road signs and pavement marking
Street Lighting and telecom (ATMS)
Any Major failure of the system Damages
De silting of drains in urban/semi-urban areas Damages
17.2, Schedule-K (b)(vi) Damages to be paid by Concessionaire Remarks (if any)
Damage to shape or position; poor visibility or loss of retro-reflectivity Damages
-
8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
154 155 156 157 158 159 160 161 162
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
163 164 165 166 167 168 169 170 171
17.2, Schedule-K (e)(i) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (d)(ii) Damages to be paid by Concessionaire Remarks (if any)
Trees and plantation
Obstruction in a minimum head-room of 5 m above carriageway or obstruction in visibility of
road signsDamages
Street Lighting and telecom (ATMS)
Faults and minor failures Damages
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8/12/2019 Work Flow Tag
10/30
Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
172 173 174 175 176 177 178 179 180
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
181 182 183 184 185 186 187 188 189
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
17.2, Schedule-K (e)(iii) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (e)(ii) Damages to be paid by Concessionaire Remarks (if any)
Trees and plantation
Replacement of trees and bushes Damages
Trees and plantation
Deterioration in health of trees and bushes Damages
-
8/12/2019 Work Flow Tag
11/30
Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
190 191 192 193 194 195 196 197 198
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
199 200 201 202 203 204 205 206 207
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
208 209 210 211 212 213 214 215 216
17.2, Schedule-K (f)(i) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (e)(iv) Damages to be paid by Concessionaire Remarks (if any)
Rest areas
Cleaning of toilets Damages
Trees and plantation
Removal of vegetation affecting sight line and road structures Damages
-
8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
217 218 219 220 221 222 223 224 225
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
226 227 228 229 230 231 232 233 234
17.2, Schedule-K (g)(ii) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (g)(i) Damages to be paid by Concessionaire Remarks (if any)
Toll plazas
Damage to toll plaza Damages
17.2, Schedule-K (f)(ii) Damages to be paid by Concessionaire Remarks (if any)
Toll plazas
Failure of Toll collection equipment or lighting Damages
Rest areas
Defects in electrical, water and sanitary installations Damages
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8/12/2019 Work Flow Tag
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Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
235 236 237 238 239 240 241 242 243
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
244 245 246 247 248 249 250 251 252
17.2, Schedule-K, Bridges (a)(i) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K (h)(i) Damages to be paid by Concessionaire Remarks (if any)
Superstructure of bridges
Cracks - Temporary measures Damages
Other Project Facilities and Approach roads
Damage or deterioration in Approach Roads, pedestrian facilities, truck lay-bys, bus-bays,
bus- shelters, cattle crossings, Traffic Aid Posts, Medical Aid Posts and other works Damages
-
8/12/2019 Work Flow Tag
14/30
Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
253 254 255 256 257 258 259 260 261
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
262 263 264 265 266 267 268 269 270
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
17.2, Schedule-K, Bridges (a)(ii) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K, Bridges (a)(i) Damages to be paid by Concessionaire Remarks (if any)
Superstructure of bridges
Spalling/scaling Damages
Superstructure of bridges
Cracks - Permanent measures Damages
-
8/12/2019 Work Flow Tag
15/30
Project Name / ID NH No. Length Stretch State PIUScheduled Start
Date
Scheduled End
date
Name of
Concessionaire
1 2 3 4 5 6 7 8 9
Operation & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)
Fixed Fields
271 272 273 274 275 276 277 278 279
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
280 281 282 283 284 285 286 287 288
Date of recording
/ reporting
Exact Location
(LHS/RHS) with
Chainage
Time Allowed
for
rectification
Date & Time of
completion of
repair /
rectification
Status / Remarks Amount Paid Unpaid
289 290 291 292 293 294 295 296 297
17.2, Schedule-K, Bridges (c)(i) Damages to be paid by Concessionaire Remarks (if any)
17.2, Schedule-K, Bridges (b)(i) Damages to be paid by Concessionaire Remarks (if any)
Piers, abutments, return walls and wing walls of bridges
Cracks and damages including settlement and tilting Damages
Foundation of bridges
Scouring and / or cavitation Damages
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8/12/2019 Work Flow Tag
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Date of
Agreement10
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Agreement10
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Agreement10
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Agreement10
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Agreement10
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Agreement10
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Agreement10
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Agreement
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Agreement
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Agreement
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Agreement
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Agreement
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Agreement
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Agreement
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Agreement
10