TEMPORARY BRIDGE INSPECTION REPORT

INSPECTED BY: ______________________________________________

DATE: ___________

LOCATION: ______________________________________________

______________________________________________

______________________________________________

CONFIGURATION: _______________________________________

WEATHER: ______________________________________________

I. DRIVE ACROSS BRIDGE: __________________________________

II. BRIDGE APPROACH: _____________________________________
III. ABUTMENTS: _____________________________________
IV. BEARINGS: _____________________________________
V. DECKING: _____________________________________
VI. TRUSSES: _____________________________________
VII. TRANSOMS AND BRACING: ______________________________
VIII. GUARD RAIL: _____________________________________
IX. PIERS: _____________________________________
X. DEFLECTION: _____________________________________
XI. LOADING: _____________________________________
XII. FINISHES: _____________________________________

- Check the above categories as they are completed.

- See TEMPORARY BRIDGE INSPECTION NOTES for the explanation
of categories.
 TEMPORARY BRIDGE INSPECTION REPORT

I. DRIVE ACROSS: ________________________________________________

a.) Noise at slow speed: ________________________________________________

b.) Noise at ______mph:________________________________________________

c.) Evenness (slow): ________________________________________________

d.) Evenness at _____mph: _____________________________________________

II. SIGNS ________ approach: ____________________________________________

a.) Speed limit: ________________________________________________

b.) Weight restriction: ________________________________________________

c.) Visibility: ________________________________________________

d.) Appropriateness: ________________________________________________

e.) Striping: ________________________________________________

 TEMPORARY BRIDGE INSPECTION REPORT

III. ABUTMENTS compass pt. __________________________________________

a.) Backwall (sound) __________________________________________

Settled from deck __________________________________________

Gap to deck __________________________________________

Bridge seal __________________________________________

b.) Bearing shelf (sound) __________________________________________

Settled __________________________________________

Clean __________________________________________

IV. BEARINGS compass pt. __________________________________________

a.) Fixed (sound) __________________________________________

Seated correctly __________________________________________

Moved __________________________________________

b.) Sliding (sound) __________________________________________

Seated correctly __________________________________________

Clean __________________________________________

Dust covers on __________________________________________

 TEMPORARY BRIDGE INSPECTION REPORT

V. JOINTS __________________________________________

a.) Fixed (sound) __________________________________________

Seated correctly __________________________________________

b.) Expansion (sound) __________________________________________

Seated correctly __________________________________________

VI. DECKING evenness: __________________________________________

Noise __________________________________________

Damage __________________________________________

Surfacing intact __________________________________________

Side bolts (if fitted) __________________________________________

Curbs intact __________________________________________

Surface angles intact __________________________________________

VII. TRUSSES pins/clips __________________________________________

Transom connection __________________________________________

Rakers __________________________________________

Tie beams __________________________________________

Reinforcing chords __________________________________________

General panel condition __________________________________________

Spacer bolts __________________________________________

 TEMPORARY BRIDGE INSPECTION REPORT

VIII. TRANSOMS/BRACING: __________________________________________

Transom condition __________________________________________

Vertical Bracing __________________________________________

Sway bracing __________________________________________

Bracing frames __________________________________________

Horizontal bracing __________________________________________

IX. GUARD RAILS, ETC.: __________________________________________

a.) Guard rails __________________________________________

Fixed per detail __________________________________________

Secure __________________________________________

Any panel damage __________________________________________

b.) Bollard condition __________________________________________

c.) Upstand wall condition __________________________________________

d.) Crash Barriers __________________________________________

e.) Footwalk condition __________________________________________

f.) Handrail condition __________________________________________

g.) Utility bearers __________________________________________

 TEMPORARY BRIDGE INSPECTION REPORT

X. PIERS

a.) Pier cap condition __________________________________________

b.) Columns plumb __________________________________________

c.) Any settlement __________________________________________

d.) Span junction detail __________________________________________

e.) Distribution beams __________________________________________

XI. DEFLECTION compass pt. __________________________________________

Inner truss (inches) __________________________________________

XII. LOADING

From ____________________AM/PM TO ____________________AM/PM

Day of the week _______________________________________________________

CARS/LIGHT TRUCKS Trucks _____________ Heavy/Special

XIII. FINISHES (explain)

 NOTES

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________