PLS FILL THIS FORM WITH RANDOM DATA

Defective Components Report

A2/3

Structure Id		Name
Crossing Name		Alt. Name
Structure Type		Owner
Construction Type		District
Construction Material		LGA Id
Inspector		Date

Road Section	Start	End	TDist
Id	Description	S	Cway	S	RPC	Dist	RPC	Dist	Start	End

Structure Id	name	Inspection date	Inspection level
			2 3 Programmed exceptional underwater

Component location	Exposure class	Condition state	Description of defects Detailed description Estimated quantity Other action required Urgency of action(what, who, when, how) Recommended testing Reference of sketches and photo (roll/ exposure nos)	Required action (x)
modification	group	component	standard	monitor	Level 3 inspection	other