Structural Review Format

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 Local Government Engineering Department Structural Review Format (V-00)
Bridge/Culvert Inspection Form
1. Location:
Division DHAKA District KISHOREGANJ Upazila KISHOREGANJ-S

Road ID 348492001 Road Name Kishorganj-Chowddasata-Adrasapara GC Road Construction Year

Structure ID 34849200117 Chainage (m) 5510 Load Restriction

(Tons)
Latitude Longitude Altitude (If required)

2. Structure Type [ () Tick Mark Only]:

Box Culvert  Box Girder Bridge Bailey Bridge Iron Bridge Others
Slab Culvert Arch Bridge Bailey with Steel Deck Wooden Bridge Existing Gap
OFC Suspension Bridge Truss with RCC Slab Hydraulic Structure Gap Length (m)
RCC Girder Bridge Light Traffic Bridge Truss with Steel Deck Pipe Culvert RCC Continuous Girder
Bridge
PC Girder Bridge Steel Beam & RCC Slab Arch Masonry U-Drain Slab Bridge

Type of Water Way Open Field Drainage Canal  Navigable Canal River Navigable River Others

3. Super-Structure Details [Numeric Value or () Tick Mark Only]:

Width (m) 4.30 Carriageway Width (m) 3.8 Sidewalk (L/S) (m) Nil  Sidewalk (R/S) (m) Nil 
Similar Span/Boxes (No.) 3 Total No. of Span/Boxes 3 Wearing Course Nil
No. of Girder in Each Span (No.) Total No. of Girders (No.) Bitumen  Concrete
Length of Each Similar Span (m) 4 Total Length (m) 13.10 Bank to Bank Distance at Bridge Site (m)

Types of Railing Nil RCC Railing [Bar & Post]  RCC Wall Masonry Steel Composite Other Information (If required)

Tie/Hanger Nil  Concrete Steel Wire Bracing Nil  Concrete Steel

Source of Electricity N/A  REB PDB Solar No. of Light Posts Left Side Right Side Total

4. Sub-Structure Details [ () Tick Mark Only]: 5. Foundation Type [ () Tick Mark Only]:

Description RCC Masonry Steel Weep Hole Abutment Footing Piled Well Box Others Unknown 
Abutment/End Wall  Wing Wall Footing Piled Well Others Unknown 
Wing Wall  Pier Footing Piled Well Others Unknown
Pier/Intermediate Wall No. of Pile Known Y N

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Type of Abutment/Pier A-Back P1 P2 P3 ….. …… ….. ….. ….. Pn A-front Total
No. of Column in Each Pier/Abut.
No. of Piles in Each Pier/Abut.

6. Approach Information [Numeric Value or () Tick Mark Only]:

Abut. Protection including Approach (B- Y N Protection Type Brick Pala Wall Brick Retaining Wall RCC Retaining Wall Toe Wall with CC Toe Wall with Rip- Others
App.) Block Rap
Abut. Protection including Approach (F- Y N Protection Type Brick Pala Wall Brick Retaining Wall RCC Retaining Wall Toe Wall with CC Toe Wall with Rip- Others
App.) Block Rap


Drainage System Back Approach Y N Front Approach Y N Outlet Back App. Y N Front App. Y N Cut-off Wall Y Apron Y N
N
Req. Length of Approach Back Approach Front
Approach Road Y N Material Type BC  RCC/CC HBB Block Earthen Road (m) Approach

Approach Slab Y N
7. Overall Visual Observation on Condition of Non-Structural Elements [ Write NENR/G/F/P/NER/S/B Only]: NENR: Not Exist & Not Required, NER: Not Exist But Required, Note: G=Good (No Maintenance Required); F=Fair (Minor Maintenance); P=Poor
(Major/Re-hab.); S=Severe (Re-Construction); B=Blocked.

Repair/Replacement
Activity Repair/Rehabilitation/(Re/New construction) /New construction

Non- Protective works of

Guide Post, Traffic Sign, Electric
Structural Pavement of approaches Wearing course Wheel guard, Walkway Rail Bar, Rail Post Post.
Embankment Slopes of Abutment including Expansion-joint/ Checker Plates,
Elements Approach Roads approaches Nosing/Sealing Nut-Bolts
[G/F/P/S/B] [NENR/G/F/P/NER/S/B] [G/F/P/NER/S] [G/F/P/S] [G/F/P/NER/S] [G/F/P/S] [NENR/G/F/P/NER/S] [G/F/P/NER/S] [NENR/G/F/P/NER/S]

Location Back App. Front App. Back App. Front App. Back App. Front App. Deck Top Deck Top Deck Top Left Side Right Side Left Side Right Side Back App. Front App.
Condition F F NENR NENR F F F F F P P P P P P

Activity Repair/Replacement Painting Cleaning Clearing

Non- Structural Surface of Wing Wall and Guide Post, Traffic Sign, Railing, Rail Posts, Steel members of Deck Slab, Top Slab of Surface of Abutment, End wall, Water flow of Slab/ Obstruction of Water Ways
Elements Abutment Wall Road Marking, Electric Post. Wheel guard Truss & Bailey bridges Box, Verges Ducts & D- Intermediate wall & Wing Wall, Weep Box/ P-Culverts
spouts Holes, Drain outlet [G/F/P/S/B]
[G/F/P/S] [NENR/G/F/P/NER/S] [NENR/G/F/P/NER/S] [NENR/G/F/P/NER/S] [G/F/P/S] [G/F/P/S] [G/F/P/S/B]

Location Back App. Front App. Back App. Front App. Left Side Right Side Above Deck Above Deck/Slab Back App. Front App. Inside of Structure Up Stream D- Stream

P
Condition P P P P P - P P P P P P

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8. Observation of Individual Component of Structure [Put the quantity of elements in each relevant observation]: Note: N=Not Appear; M=Moderate; H=High; S=Severe
Elements Cracks Concrete Rebar Exposed Damaged or Settlement Tilting Movements/ Scouring Overall Overall Overall
Segments

Quantity
Spalling/ (Rusted, Missing Section/ Displacement Condition of Condition of Super- Condition of Sub-
Ravelling/ Section Loss) Section Loss Group of Similar Structure Structure
Corrosion Components
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Description (CS1/CS2/ (CS1/CS2/ (CS1/CS2/
No. N M H S N M H S N M H S N M H S N M H S N M H S N M H S N M H S
CS3/CS4) CS3/CS4) CS3/CS4)
NS River Training Works
Deck (Top & Soffit) 1 1 1 1 1 1 1 1 CS2
Girder/ Beam
Super Structure
(RCC Bridge)

Cross-Girder

Box Girder

Arch

Hanger of Arch
Stringer
Floor Beam
Common

Checker Plates
(Deck)
Super Structure (Steel Truss/Baily)

Bottom Bracing
Bottom Chord

Connector
Baily

Vertical Panel
Vertical Post
CS2 CS2
For Steel Truss

Diagonal
Top Bracing
Strut
Top Chord
Bearing Assembly
Abutment / End Wall 2 2 1 1 2 2 2 2 2 CS2
Sub-Structure

Wing Wall 4 4 4 4 4 4 4 4 CS2

Top Slab of Box Culvert 1 1 1 1 1 1 1 1 CS2
Abutment Base/B-Slab 2 2 2 2 2 2 2 2 CS2

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 Pier Cap
Pier / Intermediate Wall 2 1 1 1 1 2 2 2 2 2 CS2
Bracing of Pier
Pile Cap
Exposed Pile [If any]
Projected Pile (If any)

Note: 1. Please don't write anything on shaded area

2. CS1-Good, CS2-Fair, CS3=Poor, CS4=severe

9. Considering the Information mentioned in the Col. No. 13 & 14 of Sl. No. 8, please confirm the Type of Intervention with justification according to Project Catalogue: (Project Catalogue is attached)

The existing structure is found 13.10m in length, 4.3m in width & 3.8m carriageway. The existing bridge was designed as per light traffic loading consideration but currently traffic volume on that road is quite
high. Though the structure is on UZR (7.3m) but its Carriage Way width is less than UNR (less than 5.5m).

Structural Review Committee found that abutment & wing wall of the existing bridge consists of RCC which are in Fair condition. Vegetation grown on its abutment and wing wall and Corrosion is found on
Abutment. Top Slab of Box Culvert, Abutment Base, Intermediate Wall Pier are also found in Fair Condition (CS-2) with moderate corrosion. That’s why the committee stated Sub-structure condition as CS-2
(Fair). Super Structural Components like Deck is found in Fair Condition (CS-2) with moderate cracks and corrosion and overall visual observation on condition of Non-Structural Elements are also found in
Fair Condition (CS-2). As the Super Structure and Sub Structure of the Bridge is in Fair Condition but Carriage-way width is insufficient to uphold the large volume of traffic, so, according to POM & Catalogue,
Capacity Expansion is much essential for this bridge.

So, the Structural Review Committee highly recommended that the capacity of the existing structure is needed to be expanded with a new structure of 15m (Proposed) length and 7.3m Carriage-way width
based on topographical survey, sub-soil Investigation & appraisal format.

Signature: Signature: Signature: Signature:

Name: Name: Name: Name:
Designation: Designation: Designation: Designation:

Date: Date: Date: Date:

Signature: Signature: Signature:

Name: Name: Name:
Designation: Designation: Designation:

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 Date: Date: Date:

Note: 1. Please specify if any selection criteria not mentioned in the Project Catalogue for replacing the whole Structure in Sl. No. 9.

2. If any component of a bridge need Retrofitting or type of intervention will be Rehabilitation, then Structure Review Committee should collect design data during review and should submit Structure Review Report with detail
design.

3. If the structure will be recommended for Replacement or Capacity Expansion, then the Committee will submit the Review report along with detail available site condition for Replacement or Capacity expansion.

4. For Replacement or New Construction of Bridges this Committee will arrange a design discussion meeting and submit the Minutes with hand sketch of that proposed site.

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10. Please attach Photograph (5” x 3”) the Damaged Components of the Structure with Caption: (It needs to several pages)

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 Type of Intervention as per Catalogue
Type of Intervention Overall Condition Overall Overall Condition Additional Information for selection Limitation of the Intervention
State of Super Condition State of
Structure State of Non-Structure
Sub Structure
Minor Maintenance CS-1 CS-1 CS-2/CS-3/CS-4 ● Except Protection work with CS-3/CS-4 ● No restriction of Total Bridge Length
● Except Pavement approach with CS-4 ● Carriage Width ≥ 5.5m
● Except Arch Masonry Bridge, Iron Bridge,
Wooden Bridge, Light Traffic/Weight Bridge
(carriage width< 3m)

Major Maintenance CS-1 CS-2 CS-1/CS-2/CS-3/CS-4 ● Except Protection work with CS-3/CS-4 ● No restriction of Total Bridge Length
(including Minor CS-2 CS-1 ● Except Pavement approach with CS-4 ● Carriage Width ≥ 5.5m
Maintenance) CS-2 CS-2 ● Carriage Width in between >3m and < 5.5m
● Except Arch Masonry Bridge, Iron Bridge,
CS-1/CS-2 CS-1/CS-2 CS-2/CS-3/CS-4 ● Only for River training work Wooden Bridge, Light Traffic/Weight Bridge
(carriage width< 3m)
CS-1/CS-2 CS-1/CS-2 CS-3/CS-4 ● only for Protection work

CS-1/CS-2 CS-1/CS-2 CS-4 ● only for Pavement approach

CS-1/CS-2 CS-1/CS-2 CS-1/CS-2/CS-3/CS-4 ● If Structural review suggests that Capacity Expansion

is not possible for Structure with Carriage width
between >3m and < 5.5m then go for Major
Maintenance

Rehabilitation CS-3/CS-4 CS-1/CS-2 CS-1/CS-2/CS-3/CS-4 ● Structure for Carriage width ≥ 5.5m ● No restriction of Total Bridge Length
(including Minor and
Major Maintenance) ● If Structural review suggests that Replacement is not ● Except Arch Masonry Bridge, Iron Bridge,
possible for Structure with Carriage width < 3m, then Wooden Bridge, Light Traffic/Weight Bridge
go for Rehabilitation (carriage width< 3m)
● If Structural review suggests that Capacity Expansion
is not possible for Structure with Carriage width
between >3m and < 5.5m then go for Rehabilitation

Capacity Expansion CS-1/CS-2/ CS-3/CS-4 CS-1/CS-2 CS-1/CS-2/CS-3/CS-4 ● Structure for Carriage width < 5.5m ● Total Bridge Length < 100m
● Except Arch Masonry Bridge, Iron Bridge,
Wooden Bridge, Light Traffic/Weight Bridge
(carriage width< 3m)
● Attaining minimum minor maintenance of
existing structure (if required) to comply with
Catalogue-A
● Attaining minimum major maintenance of

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 Type of Intervention Overall Condition Overall Overall Condition Additional Information for selection Limitation of the Intervention
State of Super Condition State of
Structure State of Non-Structure
Sub Structure
existing structure (if required) to comply with
Catalogue-B
● Capacity expansion of both super and sub
structure of existing structure or capacity
expansion of only super structure
● Attaining minimum minor maintenance of
existing structure (if required) to comply with
Catalogue-A

● Attaining minimum major maintenance of

existing structure (if required) to comply with
Catalogue-B

● Attaining minimum rehabilitation works of

existing structure (if required) to comply with
Catalogue-C

● New construction of bridge (Carriage width ≤3.6

m) without any significant and irreversible social
and environmental consequences.

Replacement n.a. n.a. CS-1/CS-2/CS-3/CS-4 ● Applicable for Arch Masonry Bridge, Iron Bridge, ● Total Bridge Length < 100m
Wooden Bridge, Light Traffic/Weight Bridge (carriage
width< 3m) ● Replacement of existing structure with new
bridge (Carriage width ≥5.5 m)

CS-1/CS-2/ CS-3/CS-4 CS-4 CS-1/CS-2/CS-3/CS-4 ● Structure for Carriage width ≥5.5m ● Replacement of existing structure with new
bridge (Carriage width ≥5.5 m)

CS-1/CS-2/ CS-3/CS-4 CS-3 CS-1/CS-2/CS-3/CS-4 ● Structure for Carriage width ≥ 5.5m and Structural ● Replacement of existing structure with new
review suggests that no Rehabilitation bridge (Carriage width ≥5.5 m)

CS-1/CS-2/ CS-3/CS-4 CS-3/CS-4 CS-1/CS-2/CS-3/CS-4 ● Structure for Carriage width < 5.5m ● Replacement of existing structure with new
bridge (Carriage width ≥5.5 m)

CS-3/CS-4 CS-1/CS-2 Cs-1/CS-2/CS-3/CS-4 ● If Structural review suggests that Rehabilitation is not ● Replacement of existing structure with new
possible for Structure with Carriage width < 3m, then bridge (Carriage width ≥5.5 m)
go for Replacement

CS-1/CS-2 CS-1/CS-2 CS-1/CS-2/CS-3/CS-4 ● If Structural review suggests that Capacity Expansion ● Replacement of existing structure with new
is not possible for Structure with Carriage width <3m bridge (Carriage width ≥5.5 m)
then go for Replacement

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Type of Intervention Overall Condition Overall Overall Condition Additional Information for selection Limitation of the Intervention
State of Super Condition State of
Structure State of Non-Structure
Sub Structure

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