Department of Public Works and Highways

INVENTORY INSPECTION FORM

LOCATION

BRIDGE ID
Bridge Name

Road Name

Road ID
Section ID
Location

Region
Province
Congressional District
Engineering District
Municipality
Barangay
River Name

Date of Field Inspection

Total No. of Span :

Total No. of Abutments :

Total No. of Pier :

Accomplished by: Submitted by:

Bridge Inspector District Engineer

BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

INVENTORY YEAR OF CONSTRUCTION OF BRIDGE

Year of construction Year known
SPECIAL INSPECTION REQUIREMENTS Spanish era (1600-1899)
Boat American era (1899-1941)
Bridge Inspection Vehicle Japanese era (1941-1945)
Ladder 1945 - 1970
Binoculars Post 1970
Other Insert year if known
None
Note any unusual requirements: END OF WARRANTY PERIOD
Insert year of end of warranty period -

PUBLIC UTILITIES CARRIED

Utility Identification No. 1 2 3 4 5 6
Up to three (3) options may be selected : Electricity
Gas
GENERAL BRIDGE DATA Telephone
Posted load limit? Yes Oil, fuel
No Water
If yes, give limit (tons) Sewage
Height Over (bridge Yes Other
clearance? structure over), No
(m) PUBLIC UTILITIES DETAIL
If yes, give Under (road Yes Description for each utility, listed by Utility Identification No.
clearance under bridge), No 1 1-6" daimeter PVC Pipe LHS
(m) (m) Under
Maximum bridge height (m) RHS
Other
NAVIGATION CLEARANCES 2. LHS
Horizontal, (m) Under
Vertical, (m) RHS
Other
BRIDGE GEOMETRY 3. LHS
Overall length, (m) Under
Overall width, (m) RHS
Number of lanes Other
Number of span 4. LHS
Width of carriageway, (m) Under
Width of Island(s), (m) RHS
Width of Left Other
shoulder, (m) Right 5. LHS
Sidewalk width, Left Under
(m) Right RHS
Other
TRAFFIC DIRECTION 6. LHS
Two way Under
One way in direction of increasing chainage RHS
One way in direction of decreasing chainage Other

TYPE OF BRIDGE LIGHTING TO BRIDGE

Standard Bridge Yes No
Special Bridge
Special bridges are major complex bridges and require INTERVAL OF LIGHT POLES
additional inventory information outside the RBIA. Left, (m)
Right, (m)
GENERAL BRIDGE TYPE
/ Concrete Steel Bailey Timber
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

TERRAIN CROSSED SUBSTRUCTURE TYPE

Sea (exposed) Concrete
Estuary (salt water) Steel
River or waterway (fresh water) Masonry
Canal Gabion
Railway Timber
Road Other
Open ground Not known
Swamp
Other DECK MATERIAL
Up to three (3) types of terrain may be selected Timber
Steel
BRIDGE COMMENTS Concrete
Insert comments about unusual bridges: Masonry
Other

DECK WEARING SURFACE

Asphaltic concrete
Other
None

DECK DRAINAGE
BRIDGE TYPE OF CONSTRUCTION Scuppers through deck
Type of construction Identification No. 1 2 3 Piped drainage
Girder Other
Box girder None
Slab
Voided slab DESIGN LOAD
Demountable (Bailey type) Available ? Yes
Truss No
Trestle If year, insert as: Not known
Cable stayed % of MS18
Suspension
Arch DESIGN DRAWING
Portal frame Available ? Yes
Other structure No
Spillway/Overflow Not known
Most structures are of only one type of construction; If yes, insert location
Some bridges are of more than one type of construction;
these shall be listed in order of importance.

MAIN MEMBER MATERIAL AS BUILT DRAWINGS

Type of construction Identification No. 1 2 3 Available ? Yes
Timber No
Steel Not known
Concrete If yes, insert location
Masonry
Other
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

BRIDGE MODIFICATION SHEET TYPE OF ABUTMENT WIDENING

Widening original abutments
MODIFICATION TYPE Bored pile bents
Bridge widened? Yes Driven pile bents
If yes, complete below No Coping widening
Year of widening Other
Bridge strengthened? Yes
If yes, complete below No PIER/ABUTMENT WIDENING MATERIAL
Year of strengthening Timber
Bridge retrofitted? Yes Steel
If yes, complete below No Concrete
Year of retrofitting Masonry
Bridge lengthened? Yes Other
If yes, complete below No
Year of lengthening TYPE OF STRENGTHENING
Main member reinforcement
SUPERSTRUCTURE WIDENING FORM Deck reinforcement
Widened left side Additional pier
Widened right side Substructure reinforcement
Widened both side Other

SUPERSTRUCTURE WIDENING DETAIL TYPE OF SEISMIC RETROFIT

Same detail/material as existing bridge Sleeves to columns
Same detail/modified material Lateral restraints
Different detail Longitudinal restraints
Beam continuity
SUPERSTRUCTURE WIDENING TYPE Deck continuity
Cantilever box girder Other
Girder
Box girder TYPE OF LENGTHENING
Slab Low chainage end, original and widening
Voided slab Low chainage end, widened part only
Demountable (Bailey type) High chainage end, original and widening
Truss High chainage end, widened part only
Trestle
Cable stayed No. of span added
Suspension
Arch MODIFICATION COMMENTS
Portal frame Insert comments about unusual modification to
Other structure bridges:

SUPERSTRUCTURE WIDENING MATERIAL

Timber
Steel
Concrete
Masonry
Other

TYPE OF PIER WIDENING

Widening original pier
Bored pile bents
Driven pile bents
Coping widening
Other
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

GENERAL SPAN INFORMATION SECONDARY MEMBER MATERIALS

Masonry
Span Number Concrete
Length of span, (m) Steel
Skew (in Degrees) Timber
Number of main member Other

MAIN MEMBER TYPE SECONDARY Yes

Girder - Also complete girder form MEMBER No
Cantilever girder continuous PRESTRESSED? Not known
Cantilever girder with suspension span
Slab OTHER MEMBER TYPE
Voided slab Diaphragms
Demountable (Bailey type) Bracings
Trough truss Other
Deck truss None
Cable supported
Arch DECK MATERIAL
Timber
GIRDER FORM Steel
I Beam Concrete
Channel beam Masonry
Rectangular beam Other
Tee beam
Box girder RAILING TYPE L R
Built-Up (Plate) girder Concrete wall
Concrete wall and top rail
MAIN MEMBER MATERIAL Concrete posts and rails
Timber Steel posts and rails
Steel Aluminum posts and rails
Concrete Timber posts and rails
Masonry Masonry wall
Other Other
None
MAIN MEMBER Yes L Left side
PRESTRESSED? No R Right side
Not known

CONTINUITY L H SPAN COMMENTS

Fixed Insert comments about unusual spans and special
Continuous components:
Simply supported
Not supported
Not known
L Low chainage end
H High chainage end

SECONDARY MEMBER TYPE

Transverse/longitudinal girders
Other
None
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

GENERAL PIER INFORMATION LATERAL RESTRAINT TYPE

Pier Number Concrete
Pier height, (m) Steel
Pier height case Cable or bolts
Other
PIER TYPE None
Wall Not known
Single column
Multiple column LONGITUDINAL RESTRAINT TYPE
Single pile bent Concrete
Multiple pile bent Steel
Other Cable or bolts
Not known Other
None
PILE MATERIAL Not known
Timber
Steel EXPANSION JOINT TYPE
Concrete Continuous deck
Masonry Steel plate
Other Rubber
None (open gap)
PIER FOUNDATION TYPE Other
Spread footing None
Bored piles
Driven piles SCOUR PROTECTION
Caisson Dumped riprap
Other Grouted riprap
Not known Gabions or mattresses
Concrete
BEARING TYPE LOW CHAINAGE Steel sheet piling
Elastomeric pad Concrete sheet piling
Pot bearing Other
Steel plate None
PTFE coated plate Not known
Metal rocker
Monolithic PIER COMMENTS
None Insert comments about unusual piers:
Other Pier foundation below water level (not visible)
Not known

BEARING TYPE HIGH CHAINAGE

Elastomeric pad
Pot bearing
Steel plate
PTFE coated plate
Metal rocker
Monolithic
None
Other
Not known
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

GENERAL ABUTMENT DATA LONGITUDINAL RESTRAINT TYPE

Concrete
Abutment Number Steel
Abutment height, (m) Cable or bolts
Abutment height case Other
Not known
ABUTMENT TYPE None
Solid wall
Spill through EXPANSION JOINT TYPE
Pile bent Continuous deck
Reinforced earth Steel plate
Diaphragm wall Rubber
Other None(open gap)
None (cantilever superstructure) Other
None (superstructure on ground) None
Not known
SCOUR PROTECTION
ABUTMENT MATERIAL Dumped riprap
Concrete Grouted riprap
Steel Gabions or mattresses
Timber Concrete ( Old Abutment )
Masonry Steel sheet piling
Gabions Concrete sheet piling
Other Other
None
ABUTMENT FOUNDATION Not known
Spread footing
Bored piles SLOPE PROTECTION
Driven piles Dumped riprap
Caisson Grouted riprap
Diaphragm wall Gabions or mattresses
Other Concrete
Not known Paving
Other
BEARING TYPE None
Elastomeric pad
Pot bearing ABUTMENT COMMENTS
Steel plate Insert comments about unusual piers:
PTFE coated plate
Metal rocker
Monolithic
None
Other
Not known

LATERAL RESTRAINT TYPE

Concrete
Steel
Cable or bolts
Other
Not known
None
BMS - Inventory Inspection (Type 5) Form

BRIDGE ID Bridge Name

Abutment Number

WING WALL TYPE L R

Solid wall
Reinforced earth
Protected slope
Other
None

WING WALL MATERIAL L R

Concrete
Masonry
Timber
Gabions or mattresses
Other

WING WALL FOUNDATION TYPE L R

Spread footing
Bored piles
Driven piles
Other
None (attached to abutment)
Not known

WING WALL LENGTH

Left (m)
Right (m)

BRIDGE APPROACH
Overall length of approach, (m)

TYPE OF APPROACH
At grade
Embankment up to 3.0 meters high, no retaining
structures
Embankment in excess of 3.0 meters high, no
retaining structures
Embankment up to 3.0 meters high, retained at road
shoulders
Embankment in excess of 3.0 meters high, retained
at road shoulders

BRIDGE APPROACH COMMENTS

Insert comments about unusual or long bridge
approaches: