Culvert - Inspection Report.docx

MASSACHUSETTS BAY TRANSPORTATION AUTHORITY

[INSPECTION TYPES] CULVERT INSPECTION

ADD ELEVATION PHOTO OF STRUCTURE

[CARRIED (LINE)] OVER [INTERSECTED]

[TOWN], MA

CULVERT NO. X-00-123

BIN NO. ABC

MILE POINT X.XX

STRUCTURE NO. X-00-123-MBT-TRO

PREPARED BY:

Prime Consultant

INSERT

PE STAMP,

SIGNATURE,

DATE

685 Canton Street, Suite 102 Norwood, MA 02062

CONTRACT NO. Z94PS30

Task Order No. 2

DATE OF INSPECTION: MONTH XX, 2024

MASSACHUSETTS BAY TRANSPORTATION AUTHORITY

[INSPECTION TYPES] CULVERT INSPECTION

ADD ELEVATION PHOTO OF STRUCTURE

[CARRIED (LINE)] OVER [INTERSECTED]

[TOWN], MA

CULVERT NO. X-00-123

BIN NO. ABC

MILE POINT X.XX

STRUCTURE NO. X-00-123-MBT-TRO

PREPARED BY:

Prime Consultant

INSERT

PE STAMP,

SIGNATURE,

DATE

685 Canton Street, Suite 102 Norwood, MA 02062

CONTRACT NO. Z94PS30

Task Order No. 2

DATE OF INSPECTION: AUGUST 18, 2024

Chelsea, MA East Route Over Mill Creek C-09-021 (A5C)

RECOMMENDATIONS

FINDINGS (MINOR/MAJOR/CRITICAL) WITH LOCATIONS

No critical findings were found during the inspection. See Item 59 - Superstructure, Item 60 - Substructure, and Item 61 - Channel and Channel Protection sections in this inspection report for non-critical findings.

RECOMMENDATIONS

A. Structural Repair:

Program repairs should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) years or prior to the next Routine Inspection:

- Item XX.X - XXXXXXX: Recommendation

- Item XX.X - XXXXXXX: Recommendation

- Item XX.X - XXXXXXX: Recommendation

B. Monitoring:

Deficiencies to the following items should be monitored during future inspections:

C. Maintenance:

Program maintenance should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) years or prior to the next Routine Inspection:

Miscellaneous Items:

Improvements should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) yeas or prior to the next Routine inspection:

None at this time.

TABLE OF CONTENTS

APPENDIX A – 4D MBTA ROUTINE CULVERT INSPECTION REPORT

APPENDIX B – CRITICAL FINDINGS – MBTA NOTIFICATION (if any)

APPENDIX C – MBTA UNDERWATER INSPECTION REPORT

APPENDIX D – MASSDOT BRIDGE NO/BIN REQUEST (if any)

APPENDIX E – PRELIMINARY REPAIR COST ESTIMATE

APPENDIX F – NATIONAL BRIDGE ELEMENT INSPECTION (NBEI) SHEET or PONTIS BMS ELEMENT INSPECTION SHEET)

APPENDIX G – STRUCTURE INVENTORY AND APPRAISAL (SI&A) SHEETS

CITY, MA XXXXXXXX Line Over XXXXXXX X-XX-XXX (XXX)

LOCATION MAP

DESCRIPTION OF CULVERT

Structure ID Number:

Structure Number:

BIN Number:

Mile Point (if any):

Location:

Date of Construction:

Original Design Loading:

Date of Rehabilitation/Reconstruction (If any):

New Design Loading (If any):

Structure Type:

Skew:

Spans:

Width of Structure Deck:

Track Surface:

Curbs:

Sidewalk/Walkway/Median:

Structure Railing:

Protective Screen:

Approach Railing:

Superstructure:

Structure Bearing Type:

Modifications to Original Superstructure:

Utilities:

Substructure:

CITY, MA XXXXXXXX Line Over XXXXXXX X-XX-XXX (XXX) Modifications to Original Substructure:

APPENDIX A –

4D MBTA ROUTINE CULVERT INSPECTION REPORT

APPENDIX B –

CRITICAL FINDINGS – MBTA NOTIFICATION (IF ANY)

APPENDIX C –

MBTA UNDERWATER CULVERT INSPECTION REPORT

APPENDIX D –

MASSDOT BRIDGE NO/BIN REQUEST (IF ANY)

APPENDIX E –

PRELIMINARY REPAIR COST ESTIMATE

Note:

1. The estimated costs are of a rough preliminary nature only for the purpose of giving an understanding to the order of magnitude of the expenses required to correct the deficiencies existing for this structure.

2. This is not intended as a formal estimate of the actual costs to correct the deficiencies present and should not be considered in procuring costs and materials for performing bridge improvements.

3. This Preliminary Repair Cost Estimate was based on 2024 costs and would need adjustments for future dates.

RECOMMENDATIONS

Structural Repair Program repairs should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) years or prior to the next Routine Inspection:

- Item XX.X - XXXXXX: RECOMMENDATION ($X,XXX)

Monitoring Deficiencies to the following items should be monitored on future inspections:

- Item XX.X - XXXXXX: RECOMMENDATION ($X,XXX)

Maintenance Program maintenance should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) years or prior to the next Routine Inspection:

- Item XX.X - XXXXXX: RECOMMENDATION ($X,XXX)

Miscellaneous Items Improvements should be made to the following items as part of the MBTA's Bridge Management Program within the next two (2) yeas or prior to the next Routine inspection:

None at this time.

APPENDIX F –

NATIONAL BRIDGE ELEMENT INSPECTION (NBEI) SHEET

Or

PONTIS BMS ELEMENT INSPECTION SHEET

APPENDIX G –

STRUCTURE INVENTORY AND APPRAISAL (SI&A) SHEETS

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