Engineering Assessment Form

Project Name

Project Location

Project Timeframe

Engineer of Record

Contact Information

Please email the following items to FyfeEngineering@cs-nri.com
1. Dimensioned sketch or drawings2. Dimensioned section of each element3. Inspection reports, if available

Brief Explanation of Project

Existing Conditions

Elements to be strengthened

Section dimensions

Concrete and steel material properties

Steel reinforcing details

Existing capacity

Existing loads

Occupancy & Access:

Clearly Stated Design Goals

Exposure Conditions & Finish Requirements

Would you like to set up a lunch and learn seminar on FRP?

YesNo

Project Name
Project Location

Project Owner

When possible please email the following items to FyfeEngineering@cs-nri.com
Plan and profiles drawingsPipe section shop details/lay schedulesInspection reportsNumber of sections to be repairedTotal length to be repairedEffluent chemical composition

Pipeline Information

Pipeline ID, Internal Diameter

Pipeline Material

PCCP (Pre-stressed Concrete Pipe)Metallic (steel, cast Iron, ductile iron)RCP (Reinforced Concrete Pipe)Bar wrapped pipe (C-303)Other

Installation Use/Design Requirements:

1. Operating pressure:

2. Total pressure (operating + surge):

3. Vacuum pressure:

4. Depth of cover:

5. Soil modulus of reaction:

If unknown okay to assume 1000-PSI/68.9 Bar ?

YesNo

6. Soil weight (lb/ft^3):

7. Water table height above top of pipe:

8. Temperature Fluctuation (°F/°C) :

9. Live Loading (e.g., HS-20):

10. Thrust Load:

Please provide pipe section properties, for example:

1. PCCP/RCP/C-303 pipe section shop drawings and tables

2. Wall thickness:

3. Material strengths
(steel yield, concrete compressive):

4. Design standard/code of existing pipe:

Conveyance/Distribution Use:

Select all that apply

Potable WaterSewerRaw waterStormCirc. waterPenstockOther

Scheduling:

When would you like an estimate:

When is construction:

Desired construction schedule or shutdown window:

Please describe condition issues:

Please describe renewal goals (e.g., full structural, partial structural, local repairs, etc.):