The document is a form for collecting information about building structures and foundations. It requests details about the location of the building, type of foundation, condition of the foundation and any signs of distress, including cracks, subsidence, movement or damage. Observations about the basement walls and surrounding ground are also prompted.
The document is a form for collecting information about building structures and foundations. It requests details about the location of the building, type of foundation, condition of the foundation and any signs of distress, including cracks, subsidence, movement or damage. Observations about the basement walls and surrounding ground are also prompted.
The document is a form for collecting information about building structures and foundations. It requests details about the location of the building, type of foundation, condition of the foundation and any signs of distress, including cracks, subsidence, movement or damage. Observations about the basement walls and surrounding ground are also prompted.
The document is a form for collecting information about building structures and foundations. It requests details about the location of the building, type of foundation, condition of the foundation and any signs of distress, including cracks, subsidence, movement or damage. Observations about the basement walls and surrounding ground are also prompted.
Short description of observation: ___________________________ Date of observation: ____________________
I. Location (please be as detailed as possible)
Address Additional Address City State Zip Country Number Street (indicate street, road, avenue, lane, etc.) (room, suite, floor, etc.)
Alternative description or name:__________________________________________________________________
Map Reference Latitude Longitude Direction Thomas Bros. Page No.
II. Building Behavior
What type of foundation is there for the building? What is the condition of the backfill around the structure? Reinforced concrete mat slab No damage Reinforced concrete spread or continuous Water presence footings Cracks Concrete slab-on-grade Subsidence Masonry foundation Slumping Stone foundation Movement of attachments (stairs, walks, etc.) Pile foundation Breakage of utility lines Caisson foundation Other ________________________ Other ________________________ Are there any surface ground ruptures in soils around the Is there excessive vertical foundation movement? building?
No vertical movement Yes (vertical offset)
Punching of columns relative to footing or Yes (horizontal offset) slab-on-grade No Rotation of columns relative to footing or slab- Did subsoil liquefaction (sand boils) occur? on-grade Unknown Gaps under footings Yes Rocking of footings No Damage to grade beams Settlement of foundations What is the condition of the basement walls? Tension cracks in piles Unknown Other ________________________ N/A Poor Is there excessive horizontal foundation movement? Fair No horizontal movement Good Open cracks in basement slab Cracks and/or offsets in basement walls Are there any horizontal cracks in the basement walls that Open cracks between backfill and foundaiton indicate high dynamic soil pressure? walls Unknown Rotation of footings Yes Cracking of pile foundations No Rupture of pile foundations Cripple wall failure Other ________________________ Building Structures--Foundation Engineered Buildings Questions II. Building Behavior (cont.) Is there any evidence of pre-existing deterioration of the Is there any fault displacement present? foundation? Unknown Unknown Yes Yes No No Sketches/Comments: