NBI Culvert Inspection Rev. 1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Bridge #

• Select date

  Date

• Photo 1 - Upstream Face

  Media

• Photo 2 - Downstream Face

  Media

• Photo 3 - Approach From North/West

  Media

• Photo 4 - Approach From South/East

  Media

BOX BRIDGE (OR CULVERT)

• Structural Condition

  Good

  Fair

  Poor

  Critical

  N/A

• Sidewalks

  Good

  Fair

  Poor

  Critical

  N/A

• Live Load Deflection/Vibration

  Light

  Moderate

  Severe

• Debris Accumulation

  Light

  Moderate

  Severe

• Condition Cell 1

  Good

  Fair

  Poor

  Critical

  N/A

• Condition Cell 2

  Good

  Fair

  Poor

  Critical

  N/A

• Condition Cell 3

  Good

  Fair

  Poor

  Critical

  N/A

• Condition Cell 4

  Good

  Fair

  Poor

  Critical

  N/A

• Condition Cell 5

  Good

  Fair

  Poor

  Critical

  N/A

• Condition Cell 6

  Good

  Fair

  Poor

  Critical

  N/A

• Upstream Apron/Wings

  Good

  Fair

  Poor

  Critical

  N/A

• Downstream Apron/Wings

  Good

  Fair

  Poor

  Critical

  N/A

• Additional Photo If Necessary

  Media

• Additional Photo If Necessary

  Media

• Additional Photo If Necessary

  Media

• Additional Photo If Necessary

  Media

• General Culvert Comments:

NBI RATING

• NBI RATING (62). 9-Excellent; 8-No Problems Noted, 7-Shrinkage Cracks, Light Spalling; 6-Light Deterioration, Chloride Contamination, Minor Scouring; 5-Moderate Deterioration, Extensive Cracking, Minor Settlement ; 4-Large Spalls, Heavy Scaling, Considerable Settlement; 3-Same as 4 but Excessive in Scope; 2-Wingwalls Have Collapsed, Severe Settlement; 1-Br Closed til Repair; 0-Beyond Repair

Scour/Waterway Appraisal

• Scour Critical (113)

  Select N-Bridge Not Over Water 9-All Piling on Dry Land 8-Br. Stable w/ Scour Above Top of Footing 7-Countermeasures Installed 6-Not Calc/Assessed 5-Br. Stable w/ Scour Within Limits of Footing 4-Action Req'd, Exposed Foundation 3-Scour Critical, Below Footing 2-Extensive Scour 1-Failure Imminent 0-Bridge Failed

  • N-Bridge Not Over Water
  • 9-All Piling on Dry Land
  • 8-Br. Stable w/ Scour Above Top of Footing
  • 7-Countermeasures Installed
  • 6-Not Calc/Assessed
  • 5-Br. Stable w/ Scour Within Limits of Footing
  • 4-Action Req'd, Exposed Foundation
  • 3-Scour Critical, Below Footing
  • 2-Extensive Scour
  • 1-Failure Imminent
  • 0-Bridge Failed

• Scour Indicator Notes: (Describe scour condition)

• Scour Countermeasures in Place?

  Yes

  No

• Debris/Drift Upstream?

  Yes

  No

• Debris/Drift Site?

  Yes

  No

• Debris/Drift Downstream?

  Yes

  No

• Overall Channel Condition

  Good

  Fair

  Poor

  Critical

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

  Yes

  No

  Rarely

  Frequently

  Unknown

• 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)

  Select 1-Rural Principal Arterial Interstate 2-Princ. Art. Other 6-Rural Mnr Art. 7-Rural Mjr Collector 8-Rural Mnr Collector 9-Rural Local 11-Urban Princ. Art Interstate 12-Urban Princ. Art Freeway 14-Urban Princ. Other 16-Urban Mnr Arterial 17-Urban Collector 19-Urban Local

  • 1-Rural Principal Arterial Interstate
  • 2-Princ. Art. Other
  • 6-Rural Mnr Art.
  • 7-Rural Mjr Collector
  • 8-Rural Mnr Collector
  • 9-Rural Local
  • 11-Urban Princ. Art Interstate
  • 12-Urban Princ. Art Freeway
  • 14-Urban Princ. Other
  • 16-Urban Mnr Arterial
  • 17-Urban Collector
  • 19-Urban Local

• General Waterway/Scour Comments:

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

Inspection Team Summary

• General Notes

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Additional Photo if Necessary

  Media

• Team Leader

  Jason Lamb, P.E.

  Dustin Gatlin, P.E.