Routine Maintenance Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DETAILS

• Structure ID

• Crossing

• Structure Type

• Construction Type

• Construction Material

• Bridge Name

• Road Number

• Road Name

• Owner

• District

• Local Authority

• Inspector

• Permanent Standing Water

• Inspection Reason

  Programmed

  Exceptional

• Date of inspection

  Date

• Date of next inspection

  Date

• Chainage (km)

• on the...

• to ......... Road

INSPECTION ELEMENTS

• Approaches

• 1. Signs and Delineation

• Missing damaged obscured (includes ID plate)

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 2. Guardrail

• Accidental damage

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Incorrect alignment

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Connection to Bridge

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Delineators

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 3. Road Drainage

• Blocked inlets/outlets

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Scour of outlets/embankment

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 4. Road Surface

• Material Defects * - concrete

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Material defects* - surfacing

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Settlement, depressions

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Rough joint transition

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 5. Bridge Surface

• Material Defects * - concrete

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Material defects* - surfacing

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Material defects* - timber

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Scuppers

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 6. Footpath

• Clean

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Even

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 7. Barriers

• Impact Damage

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Loose/damaged fixings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Loose post base

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Material Defects *

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Delineators

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 8. Expansion Joints

• Loose/damaged fixings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Damaged/missing seals

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Deck/nosing/ballast wall damage

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Obstructions in gap

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Waterway

• 9. General

• Trees or bushes under bridge

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Debris against structure

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Riverbank/Embankment erosion

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Scour holes in bed

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Damaged bed protection

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Substructure (including culvert wingwalls)

• 10. Material Defect

• Piles

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Footings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Walls/Stems

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Headstocks

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 11. General

• Forward movement of abutments/wings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Blocked drains/weepholes

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Debris on shelf/bearing

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Scour/erosion of spillthrough

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Dampness/leakage from deck

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Substructure protection (over-bridges)

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 12. Bearings

• Gap closed/decks in contact/damaged

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Bearing displaced/damaged

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Poorly seated

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Corroded/Seized/No lubricant

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Superstructure

• 13. Material defects* in:

• Girders (including fasteners)

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Cross Girders

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Deck

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Coatings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 14. General

• Debris/dirt build-up

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Impact damage

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Excessive movement/vibration

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Dampness

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Ventholes

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Miscellaneous

• 15. Damage to services

• Fasteners/Brackets

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Pipe/Conduit

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Openings

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• 16. Roadway under bridge

• Delineation

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Barriers

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Road drainage

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Culverts

• 17. Material Defects* in:

• Walls

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Walls

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Aprons

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Wingwalls/Headwalls

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Steel Culverts **

  Yes

  No

  N/A

• Rectified

  Yes

  No

  N/A

• Maintenance Required

  Yes

  No

  N/A

• Inspection Required

  Yes

  No

  N/A

• Material and Defects Description
  Concrete - Cracking, spalling, corrosion of reinforcement, dummy areas
  Steel - Bending, buckling, cracking, distortion, loose bolts, rivets, corrosion, coating damage
  Timber - Splitting, crushing, decay, infestation, loose bolts or pins
  Masonry - Cracking, opening joints, mortar loss, bulging
  Bituminous Surfacing - Cracking, crazing, breaking up, lifting off, rutting, pushing
  Protective Coating - Cracked, peeling, weathered
  
  ** Steel Culverts - probe or sound culvert walls at normal water level, checking for pitting or loss of culvert material.
  

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