DEBRIS STRUCTURES

Routine
CONDITION INSPECTION Detailed

Structure Structure Inspection Date

Number Name (yyyy/mm/dd)

COMPONENT PERCENT CONDITION RATING Condition Codes Urgency Rating

Enter % in each condition. E Excellent V Very Poor
See BMIS User Manual 15.2.2 G Good X Not Inspected 2
F Fair N Not Applicable
CHANNEL AND EMBANKMENT P Poor For definition, see
E G F P V X N For Condition Guidelines see BMIS User Manual
1 Debris Rock 9 BMIS User Manual 15.2.2. 15.2.8. "4" and
2 Bank/Bed Scour/Build-up "5" rating must
3 Trash Rack be explained.
4 Inlet Condition
5 Outlet condition General Inspection Notes:
6 Flow Capacity
7 Roadway over Culvert

STRUCTURE Urgency Rating Notes:

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

INSPECTION NOTES BY COMPONENT

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

T. Aucott
Inspection (please type or print) Signature
Side 1 of 2
 DEBRIS STRUCTURES
CONDITION INSPECTION
Structure Number
Inspection Notes
Weather: Temp: ºC
Inspector: Specialized Access:

Side 2 of 2