Ashvittha Santhaseelan

BRIDGE STRUCTURES - Defective Component Checklist

To be undertaken as and when required

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Title Page

Prepared by
Conducted on
Location
Crossing Name
Alt. Name
Structure Type
Owner
Construction Type
District
Construction Material
LGA ID
Inspection
- Level 2
- Level 3
- Programmed
- Exceptional
- Underwater

Component Location

Modification
Group
Component
Standard Number
Exposure Class
Condition State

Description of Defects

Detailed Description
Estimated Quantity
"Other" action Required
Urgency of action (what, who, when, how)
Recommended Testing
Reference of Sketches and Photo (roll, Exposure Nos)

Required Action

Monitor
Level 3 Inspection
Other

Ashvittha Santhaseelan

BRIDGE STRUCTURES - Defective Component Checklist

To be undertaken as and when required

Use this Template

Print as PDF

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