INSPECTION SHEET 1

A. General Information

Reference Drawings of the Structure

 Tower Name or Identification No:

 Location: ; Year built:

 Its Primary function:

 General Dimensions:

Plan area (m x m); height (m)

 Type of foundation:

Pinned Fixed
Height of concrete foundation above GL (m)

 Materials:

Type of steel:
Type of bolts/rivets:

 Environmental Conditions:

Annual temperature: max min

Corrosivity: mild severe very severe

 Past Painting/Repair
If done, when last painted (date)
Type of repair (if any)

 Past Inspection report

Available YesDated
No

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 MEMBERS INSPECTION SHEET 2

MEMBER NO.

 From Joint No. To Length

(mm)

Bottom Joint Elevation (m)

Section Type Angle I beam

Size Size

 Corrosion of Metal

Surface rust Yes No

Loss of thickness Yes No

If yes Extent of Damage (m2)

Approx. area
Reduce thickness (mm)

loss of material Yes No

If yes remaining section (net) size

(Provide sketch of net section shape)

 Fracture & Damage

Not visible Visible Location

Severity (1-5)
 Deformation & Distortion

No Yes
If yes Specify Type Buckled (Bent-out) Twisted (warped)

Magnitude Obvious
Strong
Severe
 Other observations, if any

Specify:

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 JOINTS INSPECTION SHEET 3

JOINT NO. Elevation (m)

No. of plates connected to it

(Fill the information on inspection sheet # 4 for each plate)

 Bolts (for connections without plates) Diameter (mm)

Missing bolts, damaged, or loose No Yes

If yes, No. of Bolts

Corrosion of bolts No Yes

If yes, Specify Type Surface rust
Loss of material

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 PLATE INSPECTION SHEET 4

PLATE NO. Thickness (mm)

Total No. of bolts connected to it

Total No. of welds connected to it

 Paint

Defected or damaged Yes No

If yes
Defect Type
Extent of damage / defect (m2)
Approx. area
Severity of damage / defect (1-5)

 Corrosion of Metal

Surface rust Yes No

Loss of thickness Yes No
If yes extent of damage (m2)
Reduced thickness (mm)

Loss of material Yes No

If yes remaining section (net) size
(Provide Sketch of net section shape)

 Fracture & Damage

Not visible Visible Location

Severity (1-5)
 Deformation & Distortion

No Yes
If yes, Specify Type Buckled (Bent-out)
Twisted (Warped)
Magnitude Obvious
Strong
Serve

 Bolts Diameter (mm)

Missing bolts or damaged or loose No Yes

If yes No. of Bolts

Corrosion of bolts No Yes

If yes Surface rust
Loss of material Reduced diameter (m)

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 APPENDIX “B”

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