Appendix- B
Proforma for Inspection Report
[Link]. Details of inspection Observation
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1. General: :
1.1 Name of Bridge: :
1.2 No of the bridge :
1.3 Name of River :
1.2.1 Name, No, of Highways :
1.2.2 Number of Highways :
1.2.3 Bridge Location
1.3.0 Name of Division and the Circle :
2. Type of Bridge :
3 Date of last inspection :
4. Approaches. :
4.1 State the condition of pavement, surface (Report :
unevenness, settlement, cracking, pot-holes etc.)
4.2 Side Slopes (report pitched, or unpitched, :
conditions of pitching turffing, any signs of slope
failure etc.)
4.3 Erosion of embankment by rain cuts or any other :
damage to embankment
4.4 Approach slab (report settlement cracks, :
movement etc.)
4.5 Approach geometrics (report whether it satisfies :
the standards as inforce.)
4.6 Any other specific observations made.
5 Protective works. :
5.1 Type (mention whether gnidebund or protection :
around abutments or spurs are provided.)
5.2 Report damage of the layout, cross-section :
profile (check whether the layout and the cross
section are in order.)
5.3 Report condition of slope pitching, apron and toe :
walls indicating the nature of damage if any,
(check for proper slope. thickness of pitching in
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the slopes, width and thickness of apron, erosion
of toe walls, etc.)
5.4 Report condition of floor, protection works, :
indicate nature of damage, if any, (Condition of
impervious floor, flexible apron, curtain walls
etc.)
5.5 Extent of scour (report any abnormal scour) :
5.6 Reserve stone material (check against specified :
quantity.)
5.7 Any other specific observations made. :
6 Waterway :
6.1 Report presence of obstruction under- growth :
etc.
6.2 Report maximum observed scour, and its location :
and compare with the design value.
6.3 Report any abnormal change in flaw pattern :
6.4 Report maximum flood level observed during the :
year and mark the same on the pier/abutment
both on the U/S. and D./S.
6.5 Report abnormal afllux, if any. :
6.6 Report adequacy of waterway. :
6.7 Any other specific observations made. :
7 Foundations. :
7.1 Report settlement, if any, report probable :
reasons for the same.
7.2 Report cracking, disintegration, decay, erosion, :
cavitation, etc.
7.3 Report damage due to impact of floating bodies, :
boulders, etc.
7.4 For sub-ways, report seeapge, If any, damage to :
the foundations etc.
7.5 Any other observation made. :
8 Substructure. :
(piers, abutments and returns/wingwalls)
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8.1 Report efficiency of drainage of the backfill :
behind abutments and returns. (check
functioning of weep holes, evidence of moisture
of abutment faces, etc.)
8.2 Report cracking, disintegration, decay, :
settlement, tilting etc.
8.3 For sub-ways report condition of side retaining :
walls, like cracking. disintegration settlement,
tilting etc. and seepage, it any.
8.4 Any other observations made. :
9 Bearings. :
9.1 Metallic bearings :
9.1.1 Report general condition (check rusting, :
cleanliness, ceasing of plates.)
9.1.2 Functioning (Report excessive movement, tilting :
jumping off guides.)
9.1.3 Greasing/oil bath (report date of last greasing/oil :
bath and whether to be redone or not.)
9.1.4 Report cracks in supporting member (abutment :
cap, pier cap, pedestal).
9.1.5 Report effectiveness of anchor bolts (check :
whether they are in position and tight. )
9.1.6 Any other observations made. :
9.2 Elastomeric bearings. :
9.2.1 Report condition of pads (oxidation, creep, :
flattening, bulging, splitting.)
9.2.2 Report general cleanliness. :
9.2.3 Any other observations made. :
10 Superstructure. :
10.1 Reinforced concrete and prestressed concrete :
members.
10.1.1 Report, spalling, disintegration or honeycombing :
etc.
10.1.2 Report, cracking (patrern location explain :
preferably by plotting on sketch
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10.1.3 Report corrosion of reinforcements, if any :
.
10.1.4 Report damages, if any, due to moving :
. vehicles.
10.1.5 Report condition of articulation (cracks, if :
. any)
10.1.6 Report perceptible vibrations, if any. :
.
10.1.7 Report excessive deflection or loss of camber, :
. if any. (measure at same point each time).
10.1.8 Report cracks in end anchorage zone (for :
. prestressed concrete members
10.1.9 Report deflection at central hinge, tip of :
. cantilever for cantilever bridges.
10.2. Steel members. :
10.2.1 Report condition of paint :
.
10.2.2 Report corrosion, if any. :
.
10.2.3 Report perceptiple vibrations, if any. :
.
10.2.4 Report on alignment of members. :
.
10.2.5 Report condition of connection (adequacy. :
. looseness of rivets, bolts or worn out welds,
report specially on connection of stringers to
cross girders, cross girders to main girders,
gussets or splices, etc.)
10.2.6 Report camber and deflection. :
.
10.2.7 Report bucking, if any, :
.
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10.2.8 Report on the cleanliness of members and :
. joints (checks chocking of drainage holes
provided in the bottom booms.)
10.3. Masonry arches. :
10.3.1 Report condition of joints mortar, pointing, :
. masonry etc.
10.3.2 Profile report flattening by observing rise of
. the arch at centre and quarter points.
10.3.3 Report cracks, if any (indicate location, :
. pattern, extent, depth, explain by sketches.)
10.3.4 Check drainage of spandel-fillings (report :
. bulging of spandrel walls if any)
10.3.5 Check growth of vegetation. :
.
10.3.6 Any other observations made. :
.
10.4. Timber members. :
10.4.1 Report condition of paint. :
.
10.4.2 Check decay, wear and tear, structural :
. defects needing immediate replacement, if
any.
10.4.3 Report condition of joints, splices, spikes, etc. :
.
10.4.4 Report excessive sag, if any. :
.
11. Expansion joints. :
11.1. Functioning (Report cracks in deck in the :
existing gap and approximate temperatures.)
11.2. Report condition of sealing material (for :
neoprene sealing material, check for
splitting, oxidation, creep, flattening, bulging
and for bitumen filler, check for hardening,
cracking etc).
11.3. Report condition of the joint at fixing points. :
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11.4. Top sliding plate Report corrosion, damage to :
welds etc.)
11.5. Locking of joints (Report Locking of joints :
especially for finger type expansion joints).
11.6. Check for debris in open joints. :
11.7. Report rattling, if any. :
11.8. Any other observations made. :
12. Wearing Coat (concrete/bitumen); :
12.1. Report surface condition (cracks, spalling, :
disintegration, pot-holes etc.)
12.2. Report evidence of wear (tell tale rings, check :
for thickness as against actual thick- ness,
report date of last inspection)
13. Drainage spouts :
13.1 Check clogging, deterioration and damage if :
any.
13.2 Check the projection of the spout on the :
underside (see whether structural members
are being affected.)
13.3 Report adequacy thereof. :
13.4 For sub-ways Report about adequacy of :
pumping arrangements, etc.
13.5 Any other observations made. :
14. Handrails. :
14.1 Report general condition (check expansion :
gaps, missing parts, if any, etc.)
14.2 Report damage due to collision, if any. :
14.3 Check alignment (report any abruptness :
in profile)
15. Footpaths. :
15.1 Report general condition (damage due to :
mounting of vehicles).
15.2 Report missing footpath slab. if any. :
15.3 Any other observations made. :
16. Utilities. :
16.1 Report leakage of water and sewage pipes :
16.2 Report any damage by telephone and :
electric cables.
16.3 Report condition of lighting facilities. :
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16.4 Report damages due to any other utilities. :
17. Bridge number. :
17.1 Report condition of painting on number :
plates and nameplate and date of last
painting
18. Aesthetics. :
18.1 Report any visual intrusion (Bill-boards, :
paints on structural members, etc.)
19. Report whether maintenance, :
recommended during last inspection has
been done or not (give details).
20. Maintenance and improvement :
recommendations.
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Appendix- B-(contd)
Sr. No. Item needing Action Time when to be Remarks
attention. recommended completed
1 2 3 4 5
21. Certified that I have personally inspected this bridge
Date : Signature :
Place :
Designation of the Municipal Engineer-
____Municipality / Sr. Engineer-
UDA/ADA
Inspecting Officer:
22. I have inspected bridge on dt………. And I agree with the above inspection report dated ………..
of the Deputy Executive Engineer except for the followings : -
Sr. No. [Link]. of the Item of the Details of inspection Observation made
inspection report
Date : Signature :
Place :
Designation of the RCM - Deputy Executive Engineer/
DEE- UDA/ADA
Inspecting Officer:
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Appendix- B-(contd)
23. Report regarding the post monsoon inspection done for the items which is
having observations different from what were observed in pre-monsoon
observations.
Sr. No. Sr. No. of the Item of the Details of inspection where observation are
above inspection report made different then what is stated in pre-
monsoon inspection
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24. Certified that I have personally inspected this bridge
Date : Signature : Municipal Engineer -____ Municipality /
Place: Designation of the Sr. Engineer _____ UDA/ADA
inspecting Officer:
25. I have inspected the bridge on dt………………………..and agree with the above inspection
report dated ……………………..of the deputy Executive Engineer Except for the followings.
[Link] Sr. No. of the Item of Details of inspection Observation made
inspection report
1 2 3 4
Date Signature: RCM-
Place : Designation of the Superintending
Inspecting Officer: Engineer.-
UDA- ADA-
Executive /
Superintending
Engineer
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Appendix- B-(contd)
26. I agree with the inspection reports dt……………and dt…………….of the deputy Executive
Engineer and dt…………………and dt…………………..of the Executive Engineer. Except for the
Following.
[Link] Sr. No. of the Item of Details of inspection Observation made
inspection report
1 2 3 4
Date Signature: CE / GM Tech at
Place : Designation of the GUDM/ GUDC level-
Inspecting Officer: CEA/ CEO- for
UDA/ADA
******
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