Structure Condition Inspection Report - Level 2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspection Details

• Structure ID

• Crossing

• Structure type

• Construction Type

• Construction Material

• Bridge Name

• Road Number

• Road Name

• Owner

• District

• Local Authority

• Date of Next Inspection

  Date

• Date of Inspection

  Date

• Chainage (km)

• On the

• to................... Road

• Inspection

  Level 2

  Level 3

• Inspection Type

  Programmed

  Exceptional

  Underwater

Structure Condition Inspection Report

• Component Location

• Modification

• Group

• Standard Number

• Exposure Class

• Quantity

• Unit

• Quantity per condition state

• 1

• 2

• 3

• 4

• Maintenance Required

• Comments

Defective Components Report

• Is a Defective Components Report Required?

  Yes

  No

  N/A

• Component Location

• Modification

• Group

• Component

• Standard Number

• Exposure Class

• Condition State

• Description of Defect

• Action Required

• Monitor

  Yes

  No

  N/A

• Level 3 Inspection

  Yes

  No

  N/A

Standard Procedure Exceptions Report

• Is a Standard Procedure Exceptions Report Required?

  Yes

  No

  N/A

• Component Location

• Modification

• Group

• Component

• Standard Number

• Exposure Class

• Undefined Component

• Components not Inspected

• Less than 25 % components inspected

• Other

• Comments

• Other

  Yes

  No

  N/A

Timber Drilling Survey Report

• Is a Timber Drilling Survey Report Required?

  Yes

  No

  N/A

• Component Location

• Modification

• Group

• Component

• Standard Number

• Diameter (mm)

• Test Details

• Location

• Diameter

• Orientation (H, V, Other)

• Test Results

• Solid

• Rot.

• Pipe

• % Consumed

• Condition State

• Undersize

• Snipe Depth

• Comments

Photographic and Sketches Record

Photographs

• Add media

  Media
Sketches

• Add drawing

  Drawing