U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000


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Bridges & Structures

 

Drilled Shaft Inspection

Project Name
 
Page
  of  
FIN Project No.
 
Pier No.
 
Contractor
 
Shaft No.
 
Inspected By
  Date  
Station
 
Approved By
  Date  
Offset
 

Type of Drilling Fluid   Rebar Cage:  
Drilling Fluid Check   Proper # Vert. Bars  
Bottom Cleanout Method   Proper # Horz. Bars  
Time/Date Final Cleanout   Side Standoffs  
Shaft Bottom Elevation   Bottom Standoffs  
Est. Shaft Bottom Diameter   Epoxy Conditions  
Shaft Plumbness Check   Ties & Connections  

Inspected By: 12:00 Job North At  
Visual   graph    
Sounding      
Time Started      
Time Finished      
   
   
   
   
   
9:00 3:00
   
   
   
   
   
   
Comments Recommendations
       
       
    6:00    

Results:   Satisfactory Given to   Verbal / Written
    Unatisfactory By   Time   Date   /   /  

Contents

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Updated: 06/29/2015
Federal Highway Administration | 1200 New Jersey Avenue, SE | Washington, DC 20590 | 202-366-4000