KARNATAKA SUSTAINABLE RURAL WATER SUPPLY PROGRAMME

Format O1: QUARTERLY O&M MONITORING REPORT

(To be filled by DTSU E&S Specialists and shared with PMU)

SCHEME DETAILS
MAINTENANCE AND SAFETY ASPECTS INSPECTION
Safety Aspect ISSUES OBSERVED/FOUND
Mention only those sites/scheme components where issues are found 		Recommended Actions
Location(s) (Borewell/OHT No., etc.) Observations and description of issue(s)
Borewell check for cracks in casing pipe, waterlogging or other avenues for water contamination
Leakages, cracks or damages to Borewell’s delivery pipe
Overall pumphouse site upkeep
Pump-House Electricals Check (MCBs, loose wires, sparking, short-circuiting, etc.)
Pump-House Earthing Functionality Check
Dozing Equipment Functionality Check And Calibration
Chlorine Stock Check
Cracks and fissures in OHT wall or damage to wire mesh on air vent
Damage to OHT railings and staircase
Overall OHT site upkeep
Lightning Arrestor Pre-Monsoon Functionality Check
Fire-Fighting Equipment Functionality Check
Worker safety Equipment (PPE, etc.) Availability and Functionality Check
Drainage Channels Functionality Check
Any other

Note: Write NA if not applicable

WATER QUALITY
Bore-well Nos Date of Sample collection Are any parameters not falling within the prescribed limits If yes, mention parameters OHT Nos Date of Sample collection Are any parameters not falling within the prescribed limits If yes, mention parameters
BW-1 OHT-1
BW-2 OHT-2
BW-3 OHT-3
BW-4 OHT-4
BW-5 OHT-5
BW-6 OHT-6
BW-7 OHT-7
BW-8 OHT-8
BW-9 OHT-9
BW-10 OHT-10
BW-11 OHT-11
BW-12 OHT-12
NAMES OF OFFICIALS/ GP FUNCTIONARIES/STAFF RESPONSIBLE
O&M STAFF STATUS
SN Post Filled or Vacant Name of the staff Date of Health Check Covid Vaccination Status
1.
2.
3.
4.
5.
SCHEME/SITE MANAGEMENT ISSUES REPORTING
SN Issue Category Issue Description Action/Support sought
1.
2.
3.
4.
5.
6.
7.
SIGNATURES