Title Page

  • Structure ID

  • Structure Name

  • Location
  • Crossing Name

  • Alt. Name

  • Structure Type

  • Owner

  • Construction Type

  • District

  • Construction Material

  • LGA ID

  • Inspector Name

  • Conducted on

  • Date of Next Inspection

  • Work Item No.

  • Inspection Level 1

  • The following pages will describe various structures at the Approaches, Surface Over Structure, Embankments and Waterways, Substructure, Superstructure, Large Traffic Management Signs and gantries and Miscellaneous. Skip past the structures that are not present, there is no need to enter N/A.

Approaches

Signs/Delineation

  • Completeness

  • Loose/missing fixings

  • Damage

  • Cleanliness

  • Orientation

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Guardrail

  • Correct height/alignment

  • Loose or missing fixings

  • Impact damage

  • Material deterioration (steel corrosion, timber decay etc)

  • Damaged/missing spacer blocks

  • Connection to bridge (the approach barrier and bridge barrier preferably should be interconnected; if not, note in "comments" section)

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Road Drainage

  • Debris/vegetation growth inside drains, channels, inlet/outlet puts and sumps which may obstruct free drainage

  • Leaking drainage pits/structures

  • Scour/erosion at drainage outlets, particularly adjacent to abutments/foundations, culvert outlets and deck run-off

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Wearing Surface

  • Settlement

  • Depressions

  • Potholes

  • Cracking

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Surface over Structure

Wearing Surface

  • Settlement

  • Depressions

  • Potholes

  • Cracking

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Footways (if any)

  • Unevenness/trip hazards

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Bridge Barrier

  • Correct height/alignment

  • Loose or missing fixings

  • Impact damage

  • Material deterioration (steel corrosion, timber decay etc)

  • Damaged/missing spacer blocks

  • Delineators for completeness, damage, cleanliness, orientation, and visibility to road users

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Deck Joints

  • Loose or missing fixings

  • Damaged/missing components

  • Dirt/debris build up in joints which may impede free movements

  • Leakage

  • Damage/deterioration of nosings

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Embankments and Waterways

Embankments

  • Erosion

  • Scour

  • Slope Stability

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Slope/batter protection

  • Undermining

  • Settlement

  • Loss of material

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Vegetation

  • Bushes, trees within 2.0m of abutments and wingwalls

  • Bushes/trees within waterway channel

  • Vegetation affecting sight distance onto/across structure

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Waterway

  • Accumulation of debris against or adjacent to structure

  • Lateral bank erosion adjacent to/beneath the structure

  • Channel degrading

  • Channel aggrading

  • Structure in permanent standing water

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Substructure

Abutments, piers, wingwalls, retaining structures and foundations

  • Cracking

  • Splitting

  • Distortion

  • Movement

  • Steel Corrosion

  • Vegetation growth in joints of coursed masonry/fascia panels

  • Weepholes for blockages affecting free drainages

  • Timber members for decay, termite activity, marine borer, and other insect attach

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Headstocks, bearing pedestals and substructure drains

  • Accumulation of dirt and debris which may obstruct free drainage and cause ponding or restrict bearing movement

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Bearings

  • Corrosion

  • Excessive deflection/bulging

  • Delamination of elastomeric bearings

  • Damage to pedestals/plinths

  • Noticeable build-up of deposits of aggressive salts, silt, debris and bird or bat droppings

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Superstructure

Deck/Girders

  • Obvious evidence of spalling, cracking, staining, dampness, or corrosion

  • Excessive movement/vibration under load

  • For noticeable build-up of deposits of aggressive salts, silt, debris and bird or bat droppings

  • Blocked vent holes

  • Timber members for excessive member deflections

  • Timber girders and corbels for excessive sniping

  • Loose joining and fasteners

  • Propping for tightness of wedges in deck cambering or temporary works

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Culvert Barrel

  • Distortion/deflection of barrel

  • Invert corrosion/abrasion

  • Obvious evidence of spalling, cracking, staining, dampness, or corrosion

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Large Traffic Management Signs (LTMS) and gantries

Footings

  • Obvious evidence of spalling, cracking, or reinforcement corrosion

  • Rotation/settlement

  • Erosion/undermining

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Base Plates, Fittings and Hold-Down Bolts

  • Cracking, spalling or voids in mortar pads

  • Debris/fill over base plate

  • Corrosion of fixings/base plate

  • Loose/missing fixings and thread engagement

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Columns

  • Impact damage

  • Verticality of members

  • Protective coating loss

  • Loose/missing fixings and thread engagement

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Signage and Ancillaries

  • Completeness, damage, cleanliness, orientation, and visibility to road users

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Miscellaneous

Roadway Beneath Structure

  • Delineation

  • Barriers

  • Road Drainage

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Services

  • Location and condition of any services attached to or near the structure

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Appearance

  • Graffiti

  • Location
  • Comments

  • Upload a photo of the problem

  • Rectified?

  • Inspect Required?

  • Maintenance required?

Comments

  • General Comments

  • Vermin Screen Comments

  • Security Measures Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.