DAMAGE ASSESSMENT FORM

FOR QUICK INSPECTION OF PUBLIC BUILDINGS

Version 2 | April 2014
SUBDEPARTMENT OF ENGINEERING AND CONSTRUCTION DIVISION
PUBLIC BUILDING.
ARCHITECTURE DIRECTORATE | MOP

1. SCOPE
The quick inspection form is a document adapted and updated from the Japanese version, in order to evaluate
a property for the safety of people both inside and in the vicinity, strongly oriented
its performance in the face of replicas from the perspective of its usability security. It should be used by
professionals in the Construction area.

2. IDENTIFICATION OF THE INSPECTOR

Nº Serie: __________ Fecha de Inspección: ____________________Hora de Inspección: _____________________
Nombre del Evaluador:______________________________________________Firma:
Institución a la que pertenece: _____________________________________Profesión:_______________________

3. IDENTIFICATION OF THE PROPERTY

Región: ______ Provincia: ____________________Comuna:_______________ Localidad: ___________________
Nombre del Edificio: ________________________________Dirección (O coord. UTM) ______________________
Sector: __________________________Uso o Tipo de Edificio: __________________________________________
Ho: Hospital; MI: Ministerio; CA: Cárcel; CC: Centro Cultural; ES: Estadio; Gi: Gimnasio; IG: Iglesia; MU: Municipio; IN: Intendencia; GO:
Gobernación; SE: Seremi; FI: Fiscalía; DE: Defensoría; PO: Posta; CO: Consultorio; ESC: Escuela; LI: Liceo; JI: Jardín Infantil; SC: Sala Cuna; RE:
Reten; TE: Tenencia; COM: Comisaría; PRE: Prefectura; EP: Edificio Público; O: Otros (Indicar Tipo)

Nº de pisos_________ Nº de subterráneos _____________Superficie ___________ x _________ = ________ m2

4. STRUCTURAL SYSTEM. Mark with an X or a check in the corresponding circle.

Concrete Masonry Steel Wood
Armed

Structure Structure Type of Blocks Structure Unions Structure

Marcos Simple Fiscal Marcos Arriostrados Soldiers Wooden Frames

Walls Confined Ceramic Rigid Frames Apernadas Wooden Walls

Mixed Armada Concrete Mixed Quincha

Buttress Adobe

Stone

Another

5. GENERAL INSPECTION. Property Inspection Method.

Exterior inspection only Exterior inspection and visual interior, indicate floors ____________________________

INSPECTION 1. General Inspection of the Entire Property.

Here, the damage is normally assessed at first glance from the outside. If the property is obviously unsafe due to the observed damage, mark the
appropriate alternative, skip inspections 2 and 3, classify the building as UNSAFE in the final summary.
 c) Settlement of the Building due to Failure of < 0.2 m Between 0.2 and 1.0 m 1.0 m
Ground

d) Inclination of the entire building or a part < 1/60 rad Between 1/60 and 1/30 rad ⃝> 1/30 rad (easy to notice)
due to Differential Settlement (apparently inclined)

S U B D E PAR TAM E N T O D E I N G E N I E R IAY C O N S T R U C C I O N | D E P U | DA| M O P

6. SPECIFIC INSPECTION.
INSPECTION 2. Risk of Damage to Adjacent Buildings, Contiguous Land, and Structural Segments.
A. Inspect the most seriously damaged floor, draw a floor plan, count the damaged columns and walls, and fill in the table that
continue.
B. If no serious damage is found in the walls or in the columns, but in some beams and/or beam-column connections, above or below the
column (or wall), take into account the damage as of the column (or wall).

Calculation Memory of Structural Damage. Account for damage by range and type of structural element.
DAMAGE RANGE

ELEMENTS
None (I) Level (II) Moderate (III) Strong (IV) Severe (V) Total Reviewed Elements

Columns

Walls

Beams

Unions or knots

Welded Joints

Bolted Joints

Slabs

Wooden Intermediate Floor

Roof

TOTAL RANGE

Structural Damage
CATEGORY A B C

Damage to the Columns

Percentage of Damage IV or V < 1/100 (1%) 0.01 - 0.1 (1% - 10%) 1/10 (10 %)

e2) Reason for Damage III < l/ 8(12.5 %) 1/8 - 1/4 (12.5% - 25%) ¼ (25 %)

Structural Wall Damage

e3) Damage Percentage IV or V < 1/100 (1%) 0.01 - 0.1 (1% - 10%) 1/10 (10 %)
INSPECTION 3. Hazards of elements that may fall and/or tip over Damage
No Structurals.
CATEGORY A B C

frame and window glass Without a little damage Visible deformation and/or cracks Fall hazard

g) Exterior Finishes No damage Minor cracks Significant cracks

Interior Finishes No damage Minor cracks Significant cracks

False Ceilings No damage Damage is observed ☠️ Fall Hazard

j) Ventilation Ducts No damage Damage is observed Fall Hazard

k) Stairs Or a little damage Large number of cracks but the inclination/separation of

reinforcement bars are anchored the elements with which one
connect, anchor bars
separated from the element

l) Non-structural walls with Without a little damage Cracks are observed without Extensive cracks
Marco out-of-plane deformation interconnected, or
deformation outside of
plan

m) Non-structural walls without No damage Minor cracks Cutting cracks

Marco

Ponds, Antennas, Without inclination A little inclined Fall hazard

Balconies, Signboards
Machinery, etc.

o) Roof Cover No harm Some damage observed but there is no tilt, deformation or
danger of falling objects perceptible separation of
upper floor

Lighting No harm Some damage observed but no falling hazard

danger of falling objects

Movable Assets 1 ________ Without inclination A little tilted Fall hazard

Movable Goods 2 ________ With no inclination A little tilted Fall hazard

Movable Property 3 ________ Without inclination A little tilted Fall danger

Other Hazard(s) No damage Damage is observed Danger to life

Non-Structural Security INSPECTED (Only A) LIMITED ENTRY (B≥1 and C = 0) UNSAFE (B≥2 or C≥1)

Movable Assets (Heritage) considers:Ar. Archivos, Al: Altar, P: Púlpito, AT: Arco Toral, C: Confesionario, I: Imágenes, B: Butacas
o Asientos, In: Incensario, R: Retablos, IM. Instrumentos Musicales, OA. Obra de Arte (cuadros, esculturas, entre otros), V: Vitrinas, O: Otros
(Indicate Type). A maximum of three types to declare in case fewer assets are present; the other rows will not be considered.
 Total Sum A= B= C=

RESUMEN
FINAL EVALUATION OF
BUILDING Property Security Trial

INSPECTED (Only A) LIMITED ENTRY (B≥1 and C = 0) UNSAFE (B≥2 or C≥1)

7.

8. INITIAL RECOMMENDATIONS
RECOMMENDED ACTION DETAILED WITH COORDINATES VISUAL ESTIMATION OF THE AREA OF
SPECIFIC PLACE(S) INTERVENTION

Support

Alzaprimar

Remove Hazardous Objects

To cordon off

Rain Facade Protection or

Outdoors

Others

9. SKETCH OF THE FLOOR PLAN WITH RESISTANT STRUCTURAL ELEMENTS.

GUIDE WITH INSTRUCTIONS FOR RAPID BUILDING INSPECTION DUE TO EARTHQUAKES

FOR PUBLIC BUILDINGS DAMAGED BY EARTHQUAKES

For use with Quick Inspection Sheet

Developed by the Architecture Department.
Version 2 - April 2014

Eduardo Hurtado G.
Civil Engineer
Santiago, April 2014

1. SCOPE AND OBJECTIVES

Identify the buildings that can be entered and those where it is not possible to enter for
avoid a secondary disaster due to the replicas.

2. RECOMMENDATIONS FOR LAND

2.1 General

(1) Field Equipment: - Plastic helmet (not metal), safety shoes, glasses (goggles)
Each inspector must be clear and dark), jacket for cold weather or overalls, kid leather gloves (type
properly equipped for electric), Lead Wire and 50 m tape.
your task. As a way of Personal emergency kit and basic supplies.
 Inspection Crew: Each inspection team should consist of two inspectors.

General Damage to the The inspection should start with a study of general exterior damage.
Building: - If the building is obviously unsafe, one should not enter.
From a security point of view, the inspector must define and
secure escape routes or safe spaces in case of aftershocks,
especially when inspections are conducted inside.
In case of an aftershock, leave the inspection as quickly as possible until
Your life and personal integrity are the most important.

2.2 Quick Inspection Procedure

Fill out all the data on the inspection form, both the identification of the
STEP 0: General Information inspector like that of the property. One of the most important pieces of information is the
about the Inspection and of address or georeferencing (whichever is easier) for the maps of
the Inspected Building disasters. The identification of the building should be coded or
numbered according to the instruction of the local authority in charge.
The requested area is that of the first floor in general.
Define the structural system. If you have doubts, consult the sheets.

Investigate the damage to the entire building from the outside. If possible, walk around.
STEP 1: (Inspection 1)
around the building.
General Inspection of everything
the Building If the inspected building is obviously unsafe due to damage
suffered for her, write the reason(s), and identify the building as
UNSAFE. Do not enter an obviously unsafe building.
If the building is obviously insecure and is classified as
"UNSECURE", skip the following inspections and return to the SUMMARY
on the first page and label it as "UNSAFE".
Fill in only the first row Total or Partial Collapse. This considers
landslides, huge damage and/or displacements of the superstructure
since the foundation, or a noticeable inclination of the entire building or a floor
specific.
STEP 2: (Inspection 1) If the building is not collapsed, apply the following:
Danger of Damages to - When any damage is found around the building, refer to
Adjacent Buildings the questions from b) to d). The commonly detectable inclination
Adjacent Lands and it can be greater than 2 degrees (1/30 rad.) it would be appropriate to establish it
Structural Elements as category C, while the undetectable tilt can be
less than 1 degree (1/60 rad.) and it may be appropriate to establish it as
category A.
- If the building appears to be tilted, but the degree of
The inclination is uncertain, it is recommended to carry out this measurement. Use a
pendulum type measuring instrument (lead wire). For this, it must
having a vertical length measured at 60 cm between the support point and the
pendulum tip (lead wire), measure the distance at the bottom
absolute horizontal with a tape measure and record it in your logbook. (fig. 1)
If the building is not collapsed and you can enter safely to it
apply the following judgment:
- Identify the most damaged floor and inspect the damage of the element
vertical (column, pillar, wall or partition) most important in that floor
or more injured.
- Draw the building plant configuration on the sketch sheet.
Choose an analysis direction (whichever has the most elements visible)
significantly committed) that contains the location of the
important vertical element of the inspected floor and find the
elements with damage category > III and then identify them in the drawing. If
no serious damage is found to vertical elements such as the
columns (or pillars), but some damage to the beams and/or connection between the
beams-columns, above or below the column, take it into account assuming
what is damage to the vertical element. The definitions of the category of
damage is in the files.
- Count the number of vertical elements (such as columns) that
They have damage category III, IV, or V as indicated in the area on the right side.
from the drawing and calculate the rate of damage as indicated in questions d-
1 and d-2.
- To assess structural safety as defined in the document. It is necessary.
Note that the interior inspection may lead to found damage.
recently and that either an interior inspection or a
interview with the occupants/users if the building is classified as
INSPECTED

Fig.
1.
 - Check for hazards of falling objects and/or tipping of the
STEP 3: Risk of falls or occupants, general public users. Note that the inspections should
volcanic eruptions (Inspection 3) to be performed on objects that have the possibility of falling or tipping over
and not in those that have already fallen or tipped over.

- Consider structural safety as defined in the sheet.

they should carefully consider the dangers to the general public as well
as well as the users and occupants of the building. Once again
We should note that the internal inspection may lead to discovering a
new damage and it is strongly recommended to have an interview with the
occupants/users if the building is classified as
INSPECTED

- Indicate the inspected areas. As described above, it

STEP 4: Sub-summary recommend either an internal inspection or an interview with the
about Inspections 2 and occupants/users if the building is classified as
3. INSPECTED
Fill one in Inspections 2 and 3 and then choose the highest classification.
among them like the GENERAL CLASSIFICATION.

STEP 5: Summary of the Following the aforementioned results, fill in the SUMMARY in the
Inspections third page of the sheet and categorize the building in one of the
following classifications.
UNSAFE: There is notable damage from the aftershocks. It is necessary a
emergency reinforcement to prevent a sudden collapse, but the
Entry and its temporary use are not allowed.
LIMITED ENTRY: A structural and/or non-structural damage has been found
to the elements. Its temporary use is not allowed unless it is carried out
a temporary reinforcement to prevent the damage from increasing,
repairs to remove hazards that threaten life and/or
barricades around the danger area(s). Only entry is allowed in
in case of emergency and at your own risk.
INSPECTED: No structural damage has been found or if there is any, it is minimal.
it is not thought to pose a danger currently, although some
Repairs are necessary. The original lateral support is not present.
significantly degraded and temporary use or occupation is allowed.
Inform the final results to the users and/or occupants of the
building, preferably attach them to each building with signs of
colores (INSEGURO: ROJO / INGRESO LIMITADO: AMARILLO /
INSPECTED: GREEN) so that all occupants, users
and the general public can easily know the results. The
The aforementioned results do not imply safety for long-term use.
deadline.

3. DEFINITIONS OF THE DAMAGE CATEGORY

3.1 Category of Damage to Structural Elements

 Large crack. In case of doubts, classify in the most unfavorable scenario. To assess the category of
damage refer to the attached sheets.

3.2 Category of Damage to Non-Structural Walls

Definition of Damage Category for Non-structural Walls
It is divided into three levels called Hazard Category A to C, considering the potential danger to the
occupants and residents. The definition of the danger category is as follows. Non-structural walls (without
Marco

Category A Without harm

Category B Local cracks and small and/or cracks on the top and/or bottom in the
limit of the walls

Category C Diagonal cracks and/or generalized penetrating cracks or deviation are observed
of the reinforced concrete frame or out-of-plane deformation.

NOTE: SEE ATTACHED FORM TYPICAL INJURIES OF EARTHQUAKE DAMAGE IN BUILDINGS

FOR MORE DETAIL.