Bridge Inspection Report
Bridge Inspection Report
Bridge Inspection Report
NOTE: a) Spans, abutments and piers are numbered from the left bank, facing downstream; piles, posts, curbs and stringers are numbered
from upstream of bridge; use additional forms for multi-span bridge.
b) Use back of form or separate sheet to sketch and detail problem area and/or materials required for repairs.
c) CONDITION: 1 - Very Good (new); 2 - Good; 3 - Fair; 4 - Poor; 5 - Very Poor; 6 - N/A (not applicable)
BRIDGE ELEMENT CONDITION REMARKS
Running Planks
Structural Decking
Concrete Deck
Gravel Surfacing
DECK Nails
Hand Rails
Hardware
Delineators
Girders / Slabs
SUPER- Diaphragms
STRUCTURE
Bracing
SPAN # ____ Trussing
Hardware
Caps
Piles or Posts
Concrete
Bracing or Sheathing
PIERS
Cribs
Hardware
Riprap
Overall
Cribs
Tie-backs
Bin Walls
Caps or Sills
Piles or Posts
Concrete
Bracing
Hardware
Fill
Riprap
Overall
APPROACHES
PROFESSIONAL
INSPECTION Yes No
REQUIRED?
AS-BUILT CHECKED? NUMBER OF NARROW STRUCTURE SIGNS? PRESENT POSTED RATING SUGGESTED REPLACEMENT DATE
PICTURES tonnes
Yes No Yes No at new load rating: at original
TAKEN
COMMENTS
INSPECTOR'S SIGNATURE NEW LOAD RATING REVIEWED AND NOTED BY (SIGNATURE) DATE SIGNED
YYYY - MM - DD YYYY - MM - DD
tonnes P.Eng.
FS 1052C HTH 2008/03 DISTRIBUTION: WHITE — Region; CANARY — District; PINK — Inspector
NOTES ON BRIDGE INSPECTION REPORTS
Particular attention should be paid to rot in wood, especially at groundline, at connectors and at bearings, as well as at
or near midspan of log stringers.
Where individual problems are noted, they should be clearly identified as to location in bridge (e.g., abutment #1; pier #2
— pile #2; span #2 — stringer #4), complete with a sketch detailing the problem (length, width and depth of a crack).