Format-"A" Format for Inspection of Polling Stations S.No. No & name of Polling Station Name of Building Particulars of the Building (Govt./Semi Govt./ Private No Of Voters in Polling Station Mention, if the Polling Station is situated in the religious place, Police Station, Hospital Physical Condition of the Polling Station. If Polling Station is damaged, is there any appropriate building near by, mention name Whether area of Polling Station is minimum 20 sq./m or not. 1 2 3 4 5 6 7 8 9 Mention, if there is more than one Polling Station in the building Condition of approach road for the Polling station.(Distance in km if P.S. is to be covered on foot.) Appropriate proposal if auxiliary Polling Station is to be established Whether these facilities are available in the Polling Station or not Wheth er perman ent Ramp is availabl e or not Rem ark (If any secti on) Drin king Wat er Toil et Sh ed Lig ht Furnitu re Exi t do or Space for separat e queues for M/ F & for EPIC/ non-EPIC voters 10 11 12 13 14 15 16 17 18 19 20 21