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Format I

NATIONAL INSTITUTE OF TECHNOLOGY KARNATAKA, Surathkal


Department of Civil Engineering

Inspection Report

General Information

Date of Inspection: Job No:

Time of Inspection: Ref No:

Sl. No. Particulers Description


1 Name of building

…...............................................................................

Survey No:, Village, Town and


2 …..............................................................................
District

…..............................................................................

Public/Industry/Residential/ Others(Specify)
3 Nature of building
….......................................................................................................................

4 Number of floors

5 Year of Construction

Load Bearing/ Framed/ Composite/ Pre-engineered


6 Type of Structure
Truss/Others(Specify) ……........................................................

….........................................................................................................................

…..........................................................................................................................

….............................................................................
Name of experts
7
(with Designation)
….............................................................................

….............................................................................

….............................................................................

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