Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Bridge #

  • Select date

  • Photo 1 - Upstream Face

  • Photo 2 - Downstream Face

  • Photo 3 - Approach From North/West

  • Photo 4 - Approach From South/East

  • Photo 5 -

  • Photo 6 -

BRIDGE ENDS

  • Bridge Open/Posted/Closed

  • Posting Signs Required?

  • Posting Signs in Place?

  • Bridge Rail (36a)

  • Rail Transition (36b)

  • Approach G'Rail (36c)

  • Guard Rail Ends (36d)

  • Bridge End General Comments:

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

DECK

  • Joint Condition

  • Drain Condition

  • Rail Condition

  • Sidewalk Condition

  • Live Load Deflection/Vibration

  • Debris Accumulation on Deck

  • Overall Deck Condition

  • NBI Deck Cond. 9-Excellent; 8-No Problems Noted, 7-Mnr Problems; 6-Mnr Deterioration; 5-Mnr Cracking; 4-Adv Deterioration; 3-Loss of Section; 2-Monitor Closely/Close Til Repair; 1-Br Closed til Repair; 0-Beyond Repair

  • Deck General Comments

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

SUPERSTRUCTURE

  • Girders

  • Diaphragms

  • Stringers

  • Floor Beams

  • Sway Bracing

  • Hangers

  • Paint

  • Cap/Girder Debris

  • Collision Damage

  • Have Flood Waters Reached Superstructure?

  • NBI Superstructure Cond. 9-Excellent; 8-No Problems Noted, 7-Mnr Problems; 6-Mnr Deterioration; 5-Mnr Cracking; 4-Adv Deterioration; 3-Loss of Section; 2-Monitor Closely/Close Til Repair; 1-Br Closed til Repair; 0-Beyond Repair

  • General Super Structure Comments

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

  • Additional Photo If Necessary

SUBSTRUCTURE

  • NBI Superstructure Cond. 9-Excellent; 8-No Problems Noted, 7-Mnr Problems; 6-Mnr Deterioration; 5-Mnr Cracking; 4-Adv Deterioration; 3-Loss of Section; 2-Monitor Closely/Close Til Repair; 1-Br Closed til Repair; 0-Beyond Repair

Abutments

  • Bearings

  • Cap

  • Piling Foundations

  • Pile Type

  • Back Wall

  • Embankment

  • Slope Protection

  • Scour

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

Intermediate Bents

  • Bearings

  • Cap

  • Piles/Columns

  • Pile Type

  • Footings

  • Web Walls

  • Bracing

  • Scour

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • NBI Substructure Cond. 9-Excellent; 8-No Problems Noted, 7-Mnr Problems; 6-Mnr Deterioration; 5-Mnr Cracking; 4-Adv Deterioration; 3-Loss of Section; 2-Monitor Closely/Close Til Repair; 1-Br Closed til Repair; 0-Beyond Repair

  • Underwater Inspection Req'd?

  • General Substructure Comments

Scour/Waterway Appraisal

  • Scour Critical (113)

  • Scour Indicator Notes: (Describe scour condition)

  • Scour Countermeasures in Place?

  • Debris/Drift Upstream?

  • Debris/Drift Site?

  • Debris/Drift Downstream?

  • Overall Channel Condition

  • Indications that High Waters Overtop Structure and/or Approach Roadway?

  • Waterway Adequacy (71) 9-Chance of O.T. Remote; 8-Slight Chance of O.T. Approaches; 7-Slight Chance of O.T. Bridge; 6-Approach Only O.T., Insign. Delay; 5-Approach Only O.T., Sign. Delay; 4-Occas. Br & Appr. w/ Sign. Delay; 3-Freq. O.T. of Br. & Appr. w/ Sign. Delay; 2-Freq. O.T., Sev. Delay; 0-Br. Cl.

  • NBI Channel Rating (61) 9-No Deficiencies; 8-Stable Condition; 7-Bank Needs Minor Repair; 6-Bank Slumping, Light Debris; 5-Bank Eroding, Moderate Debris; 4-Severe Damage; Large Amts of Debris; 3-Bank Failed, Threatening Br.; 2-Br. Near Collapse; 1-Br. Closed Due to Channel; 0-Br. Perm. Closed

  • Route Functional Classification (26)

  • General Waterway/Scour Comments:

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

Inspection Team Summary

  • General Notes

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Additional Photo if Necessary

  • Team Leader

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