DEBRIS STRUCTURES

CONDITION INSPECTION

Structure Structure Inspection Date

Number Name (yyyy/mm/dd)

Routine Detailed

COMPONENT PERCENT CONDITION RATING Condition Codes Urgency

Enter % in each condition. E Excellent V Very Poor Rating
See BMIS User Manual 16.2.3 Y G Good X Not Inspected
F Fair N Not Applicable
CHANNEL AND EMBANKMENT E G F P V X N P Poor
1 Debris Rock Y For Condition Guidelines see BMIS Manual 15.2.8
2 Bank/Bed Scour/Build-up Y BMIS User Manual 15.2.2. 4 & 5 Must be
3 Trash Rack Y explained
4 Inlet Condition Y
5 Outlet Condition Y General Inspection Notes:
6 Flow Capacity Y
7 Roadway Over Culvert Y

STRUCTURE Urgency Rating Notes:

8 Wing Walls Y
9 Head Walls Y
10 Cutoff Walls Y
11 Roof / Crown Y
12 Sidewalls Y
13 Floor Y Rehabilitation Notes:
14 Foundation Y
15 Fisheries Features Y
16 Joints Y
17 Bolts Y

INSPECTION NOTES BY COMPONENT

All poor or very poor conditions must be explained. (Label explanation(s) with component numbers.)

MAINTENANCE WORK NOTES:

Structure Condition Index = 0.00 Adjusted Structure Condition Index = 0.00

Inspection (please type or print) Signature

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