ASPHALT SURFACED ROADS AND PARKING LOTS

SKETCH:

CONDITION SURVEI DATA SHEET FOR SAMPLE

UNIT
Branch____ Section______ Sample Unit_______
Surveied By_______ Date_____ Sample Area___
1. Alligator Cracking (sq.ft)
2. Bleeding (sq.ft)
3. Block Cracking (sq.ft)
4. Bumps and Sags (ft)
5. Corrugation (ft)
6. Depression (sq.ft)

7. Edge cracking (ft)

8. Jt. Reflection cracking (ft)
9. Lane/Shoulder Drop off (ft)
10. Long & Trans Cracking (ft)
11. Patching & Util cut Patch (ft)
12. Polished Aggregate (ft)

DISTRESS
SEVERITY

13. Portholes (count)

14. Rail Road crossing (sq.ft)
15. Rutting (sq.ft)
16. Shoving (sq.ft)
17. Slippage Cracking (sq.ft)
18. Swell (sq.ft)
19. Weathering/Ravelling (sq.ft)

Quantity

SKETCH:

AIRFIELD ASPHALT PAVEMENT

CONDITION SURVEI DATA SHEET FOR SAMPLE
UNIT

Branch____ Section______ Sample Unit_______

Surveied By_______ Date_____ Sample Area___
41. Alligator Cracking
42. Bleeding
43. Block Cracking
44. Corrugation
45. Depression

DISTRESS
SEVERITY

46. Jet Blast

47. Jt. Reflection cracking (PCC)
48. Long & Trans Cracking
49. Oil Slippage
50. Patching

Quantity

51. Polished aggregate

52. Ravelling/weathering
53. Rutting
54. Shoving from PCC
55. Slippage Cracking
56. Swell

(count)
crossing (sq.ft)
q.ft)
sq.ft)
Cracking (sq.ft)
ft)
g/Ravelling (sq.ft)

Total

Density %

Deduct Value

Total

Density %

Deduct Value

ggregate
weathering

rom PCC
Cracking

CONCRETE SURFACED ROADS AND PARKING LOTS

CONDITION SURVEI DATA SHEET FOR SAMPLE UNIT
Bracnh__________ Section_______ Sample Unit__________
Surveied By_________ Date________Sample Area__________
Distress Types

SKETCH :

21. Blow up/Blocking

31. Polished Aggregate

22. Corner break

32. Popout

23. Divided Slab

33. Pumping

24. Durability crack

34. Punchout

25. Faulting

35. Railroad Crossing

26. Joint seal

36. Scalling

27. Lane/Shoulder

37. Shrinkage

28. Linear crack

38. Spalling Corner

29. Patching (large)

39. Spalling Joint

30. Patching (small)

Distress
Types

Sev.

Number of
Slab

Density
%

Deduct
Value

AIRFIELD CONCRETE PAVEMENT

CONDITION SURVEI DATA SHEET FOR SAMPLE UNIT
Bracnh__________ Section_______ Sample Unit__________

Surveied By_________ Date________ Number of Slab__________

SKETCH :

Distress Types
61. Blow up

69. Pumping

62. Corner break

70. Scalling/Map crack/crazing

63. Long/Trans/

71. Settlement/Fault

Diagonal cracks

72. Shattered slab

64. Durability crack

73. Shrinkage crack

65. Joint seal damage

74. Spalling-joint

66. Patching

75. Spalling-corner

67. Patching/utility cut

68. Popouts

Distress
Types

Sev.

Number of
Slab

Density
%

Deduct
Value

RKING LOTS
AMPLE UNIT
nit__________
Area__________
SKETCH :

ENT
AMPLE UNIT
nit__________

10

1
3

f Slab__________
SKETCH :

10

1
3