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    Oic Up27at 1365

    Uploaded by

    Dheeraj Pandey
    1. The document is a motor survey report prepared by a licensed surveyor regarding an accident involving a Tata truck owned by Sanjeev Kumar Katiyar and insured by The Oriental Insurance Co. Ltd. 2. According to the driver, the accident occurred when the rear right tyre sank into soft soil while taking a turn, causing the vehicle to overturn on its right side. 3. The surveyor inspected the vehicle and found damage to the right side of the cabin, windows, dashboard, cooling system, chassis, and load body among other parts. The surveyor determined the damages were accidental based on the reported circumstances and fresh appearance.

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    © All Rights Reserved
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    Oic Up27at 1365

    Uploaded by

    Dheeraj Pandey
    10 views4 pages
    1. The document is a motor survey report prepared by a licensed surveyor regarding an accident involving a Tata truck owned by Sanjeev Kumar Katiyar and insured by The Oriental Insurance Co. Ltd. 2. According to the driver, the accident occurred when the rear right tyre sank into soft soil while taking a turn, causing the vehicle to overturn on its right side. 3. The surveyor inspected the vehicle and found damage to the right side of the cabin, windows, dashboard, cooling system, chassis, and load body among other parts. The surveyor determined the damages were accidental based on the reported circumstances and fresh appearance.

    Original Description:

    MOTOR SPOT SURVEY REPORT

    Original Title

    OIC UP27AT 1365

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    © © All Rights Reserved

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    1. The document is a motor survey report prepared by a licensed surveyor regarding an accident involving a Tata truck owned by Sanjeev Kumar Katiyar and insured by The Oriental Insurance Co. Ltd. 2. According to the driver, the accident occurred when the rear right tyre sank into soft soil while taking a turn, causing the vehicle to overturn on its right side. 3. The surveyor inspected the vehicle and found damage to the right side of the cabin, windows, dashboard, cooling system, chassis, and load body among other parts. The surveyor determined the damages were accidental based on the reported circumstances and fresh appearance.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    10 views4 pages

    Oic Up27at 1365

    Uploaded by

    Dheeraj Pandey
    1. The document is a motor survey report prepared by a licensed surveyor regarding an accident involving a Tata truck owned by Sanjeev Kumar Katiyar and insured by The Oriental Insurance Co. Ltd. 2. According to the driver, the accident occurred when the rear right tyre sank into soft soil while taking a turn, causing the vehicle to overturn on its right side. 3. The surveyor inspected the vehicle and found damage to the right side of the cabin, windows, dashboard, cooling system, chassis, and load body among other parts. The surveyor determined the damages were accidental based on the reported circumstances and fresh appearance.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    9045559710, 9559571425

    DHEERAJ PANDEY 88, BHARDWAJI MANDI,


    Govt. Approved Surveyor MUNNU GANJ PHATAK
    (SLA 121928 Validity 12 Jan. 2024) dheeraj2228889@gmail.com Shahjahanpur - 242001

    18-06-2022

    MOTOR SURVEY REPORT (SPOT)

    This report is issued by me as licensed Surveyor without prejudice, in respect of cause, nature and
    extent of loss/damages and subject to the terms and conditions of the Insurance Policy:

    Policy No. 221401/31/2022/2755 Insurance Co’s


    Period of insurance 31-10-2021 to 30-10-2022 Claim No.
    1. INSURERS : The Oriental Insurance Co. Ltd.,
    (Address) Shahjahanpur

    2. INSURED : Sanjeev Kumar Katiyar


    (Address) Rang Mahela, Shahjahanpur

    3. Financiers, if any : Nil

    4. VEHICLE PARTICULARS To be verified, Noted From Xerox


    (a) Registration No. : UP27AT 1365
    (b) Registered owner : Sanjeev Kumar Katiyar
    (c) Date of Registration : 17-11-2017
    (d) Chassis No : 21609
    (e) Engine No : 30523
    (f) Make/Model : Tata LPT 3718/2017
    (g) Type of body : Truck (Open Body)
    (h) Class of vehicle (use) : Goods Carrier
    (j) Pre-accident condition : Satisfactory
    (k) Registered laden weight : 43500 Kgs.
    (l) Un-laden weight : 9415 Kgs.
    (m) Fitness No./Validity : 16-11-2023
    (n) Seating capacity : 6 in all
    (o) Road tax paid up to : To be verified

    5- PERMIT PARTICULARS To be verified, Noted From Xerox


    (a) Permit No : NP/UP/25/042022/99665 (Basic), UP/25/NP/MAG/2019/438 (NP)
    (b) Name of holder : Sanjeev Kumar Katiyar
    (c) Valid up to : 01-05-2023 (NP), 02-05-2024 (NP)
    (d) Type of permit : Permanent
    (e) Area of operation : All India

    6- ACCIDENT
    (a) Date & time of accident : 16-06-2022 at 06:30 AM
    (b) Place of accident : Near Vill.- Sisnai, Chandapur, Shahjahanpur
    (c) Date of survey : 16-06-2022
    Contd…...2
    2

    Report Dheeraj Pandey Contd…


    7- DRIVER PARTICULARS To be verified, Noted From Xerox
    (a) Name : Satya Prakash
    (b) No. : UP27 19990005611
    (c) Date of issue : 10-09-2021
    (d) Valid up to : 24-03-2025 (NT), 09-09-2026 (T)
    (e) Issuing authority : LA Shahjahanpur
    (f) Type of license : LMV Only
    (g) Endorsement : Trans w. e. f. 05-10-2001

    8- MISC. INFORMATIONS
    (a) Passengers at the time of accident : Two (Driver + Helper) Only
    (b) Injuries to driver/occupant : No/Nil
    (c) Police report : Not Lodged till spot, advised to lodge the same
    (d) T.P. involvement/loss : No/Nil

    9- LOAD BEING CARRIED : Loaded with Grit, GR No. 1814


    Ex. Rampur to Shahjahanpur

    10- CAUSE-NATURE OF ACCIDENT : As told by the insured that captioned vehicle was heading
    to destination side, closer to the site of accident, at the time
    of taking turn, suddenly soil of rear right side tyre got sunk,
    vehicle became unbalanced & got overturned on its R/side,
    thus it sustained damages.

    11- OBSERVATIONS

    A) Registration/DL/Permit/Fitness/GR particulars to be verified/as produced. Chassis


    number physically verified.

    B) Soon after having instructions from office on 16-06-2022, the undersigned made a
    visit to site, Near Vill- Sisnai, Chandapur at Shahjahanpur and carried out the
    inspection, in reported condition. The loss and circumstances were discussed with
    driver, necessary photographs were also arranged to visualize the extent of
    damages, which are self explanatory, enclosed herewith.

    C) After weighing all sort of evidences/physical verification of damages, I opine that


    questioned vehicle sustained accidental damages, resultant to reported
    circumstances and also looking very fresh.

    LOSS SUSTAINED TO THE INSURED’S VEHICLE NO. UP27AT 1365

    CABIN ASSEMBLY : R/side of cabin pressed, all joints strained, inner structure
    upsets, R/Side pillar, roof, bent. Mica cracked at various
    places. Right door pressed, hinges bent, door glass
    machine, trim/handles/lock/RVM pressed-under impact-to
    be checked.

    W/S GLASS : Both Broken


    DASHBOARD : All joints strained, Entire structure shaken due to impact.

    COOLING SYSTEM : Radiator & other sub-assy Intact, mountings strained.

    POWER SYSTEM : Engine and other sub assemblies safe, mountings strained.
    Air cleaner/Pressure pipes pressed. Fuel tank pressed-diesel
    leaked.

    CHASSIS : Both longitudinal member bent/loss is to ascertained at the


    time of final survey.

    FRONT AXLE/ DIFFERENTIAL : I-beam/Differential o.k./intact. Rear right outer rim-to be


    checked as seems, under impact.

    TRANSMISSION : Controlling paddles/Clutch/gear housing o.k./intact.

    STEERING SYSTEM : Appreantly intact, Tie rod/R-S bend arm bent.

    SUSPENSION : Front both sides leaf spring intact. Rr R/side impact,


    U&C joints to be check.

    LOAD BODY : All body angles bent, joints strained, floor upsets.

    ELECTRICAL SYSTEM : Wiring dislocated. Battery acid drained out,


    terminal shaken.

    Encl. Your’s truly


    1-Fee bill
    2-Photographs - 08 digital

    (DHEERAJ PANDEY)
    9045559710, 9559571425
    DHEERAJ PANDEY 88, BHARDWAJI MANDI,
    Govt. Approved Surveyor MUNNU GANJ PHATAK
    (SLA 121928 Validity 12 Jan. 2024) dheeraj2228889@gmail.com Shahjahanpur - 242001

    FEE BILL
    Bill No. OIC/8/2022 Date- 18-06-2022

    To,
    The Manager
    ……………………………………………
    The Oriental insurance Co. Ltd.
    ……………………………………………
    Shahjahanpur
    ……………………………………………

    Re: Claim Number


    Policy/Cover Note Number 221401/31/2022/2755
    Pertaining to UP27AT 1365
    A/C Sanjeev Kumar Katiyar
    Recipient GST No.
    --------------------------------------------------

    1. Survey fees on Spot . Rs. 850.00

    2. Photographs 08 No@10/- Rs. 80.00

    4. DA 30% Rs. 250.00

    3. Conveyance 32 KM bu bike @ 7.25/- (both sides) Rs. 232.00


    -
    ----------------
    TOTAL Rs. 1412.00
    ----------------

    (DHEERAJ PANDEY)

    _____________________________________________________________________________________
    PAN NUMBER CQAPP6081J, A/C No. 20070091746, SBI CHOWK MANDI
    MICR 242002004, IFSC SBIN0004000

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