HomeMy WebLinkAboutQC_Checklist2_Str_3931 Bridae Safety InSDection - [duality Control Checklist
Bridge Data: Bridge Name: Avv"d l ��oAo(ler ovt r-
Bridge No.: 9 q 3-1
Client Project No.:
FTC&H Project No.: f(0053 2— !
Inspector Info: Bridge Inspector: ;h�o oUZ-
Is he/she Qualified Team Leader? : "lam
Quality Control Officer: Mt ck^ate( M►tch0�t
Note: This is a checklist for a quality control field review of a bridge selected as part of the 10%field review
requirement. It is intended to ensure that the inspection was done in general conformance with NBIS and MDOT
standards. It is not intented to certify that every rating and every note has been completely agreed upon, but that
they reasonably convey the condition of the bridge,and that no descriptions of compelling conditions were
missed. Any discrepancies between the bridge inspector and the QC officer by a value of 2 or greater will be
discussed and resolved,as further verified herein.
Condition Assessment: QC Officer has performed independent rating of:
SI&A 58A Deck Surface
SI&A 58B Deck Underside !v
SI&A 59 Stringers
SI&A 60 Abutments
SI&A 60 Piers A-
Are there any ratings of 4 or less? N Jue $e
If so, has the condition been properly conveyed? P
Is there any reason for a Request for Action(RFA)? 41 Pam' ca(u 5
Is there any condition that may provide cause for a new load rating ? No
Have all of the deficiencies warranting attention been addressed in
the inspection report? Yclfe5
Any rating value discrepancies by 2 or more? �a
If so, has rating issue been resolved?
Are Work Recommendations inclusive? 1��6
Is adequate Photograph log included?
Is report content sufficient for MiBridge submittal?
Any issues discussed and resolved: Y1�&
If so, explain:
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