US DEPARTMENT OF TRANSPORTATION -- FEDERAL HIGHWAY ADMINISTRATION

***Construction Inspection Checklist***

**Section 258 Reinforced Concrete Retaining Walls**

  ------------------------------------ ----------------------------------
  Project Name:                        Project No.:

  Date:                                Weather:

  Contractor:                          Subcontractor:

  Inspector:                           Location/Station:

  Description of work being inspected: 
  ------------------------------------ ----------------------------------

+-----------+-----+----------------------------------------------------+
| **Conf    | **  |                                                    |
| ormance** | CHE |                                                    |
|           | CKS |                                                    |
|           | (   |                                                    |
|           | cha |                                                    |
|           | rac |                                                    |
|           | ter |                                                    |
|           | ist |                                                    |
|           | ics |                                                    |
|           | )** |                                                    |
+-----------+-----+----------------------------------------------------+
| *         |     |                                                    |
| *[Yes]{.u |     |                                                    |
| nderline} |     |                                                    |
| [No]{.u   |     |                                                    |
| nderline} |     |                                                    |
| [N        |     |                                                    |
| .A.]{.und |     |                                                    |
| erline}** |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           | **  |                                                    |
|           | Gen |                                                    |
|           | era |                                                    |
|           | l** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | ar  |                                                    |
|           | eas |                                                    |
|           | su  |                                                    |
|           | rve |                                                    |
|           | yed |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 152 |                                                    |
|           | and |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | the |                                                    |
|           | lim |                                                    |
|           | its |                                                    |
|           | of  |                                                    |
|           | the |                                                    |
|           | w   |                                                    |
|           | all |                                                    |
|           | ins |                                                    |
|           | tal |                                                    |
|           | lat |                                                    |
|           | ion |                                                    |
|           | ver |                                                    |
|           | ifi |                                                    |
|           | ed? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 03) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 2\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | fo  |                                                    |
|           | rms |                                                    |
|           | and |                                                    |
|           | fal |                                                    |
|           | sew |                                                    |
|           | ork |                                                    |
|           | dr  |                                                    |
|           | awi |                                                    |
|           | ngs |                                                    |
|           | sub |                                                    |
|           | mit |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 5   |                                                    |
|           | 62? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 03) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 3\. |                                                    |
|           | Was |                                                    |
|           | w   |                                                    |
|           | ork |                                                    |
|           | per |                                                    |
|           | for |                                                    |
|           | med |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 2   |                                                    |
|           | 09? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 03) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | *   |                                                    |
|           | *Re |                                                    |
|           | inf |                                                    |
|           | orc |                                                    |
|           | ing |                                                    |
|           | S   |                                                    |
|           | tee |                                                    |
|           | l** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 4\. |                                                    |
|           | W   |                                                    |
|           | ere |                                                    |
|           | all |                                                    |
|           | or  |                                                    |
|           | der |                                                    |
|           | li  |                                                    |
|           | sts |                                                    |
|           | and |                                                    |
|           | b   |                                                    |
|           | end |                                                    |
|           | ing |                                                    |
|           | di  |                                                    |
|           | agr |                                                    |
|           | ams |                                                    |
|           | sub |                                                    |
|           | mit |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | su  |                                                    |
|           | bse |                                                    |
|           | cti |                                                    |
|           | ons |                                                    |
|           | 104 |                                                    |
|           | .03 |                                                    |
|           | and |                                                    |
|           | 5   |                                                    |
|           | 54. |                                                    |
|           | 03? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 5\. |                                                    |
|           | Was |                                                    |
|           | re  |                                                    |
|           | inf |                                                    |
|           | orc |                                                    |
|           | ing |                                                    |
|           | st  |                                                    |
|           | eel |                                                    |
|           | f   |                                                    |
|           | abr |                                                    |
|           | ica |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 5   |                                                    |
|           | 54. |                                                    |
|           | 05? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 6\. |                                                    |
|           | Was |                                                    |
|           | ma  |                                                    |
|           | ter |                                                    |
|           | ial |                                                    |
|           | s   |                                                    |
|           | hip |                                                    |
|           | ped |                                                    |
|           | and |                                                    |
|           | pro |                                                    |
|           | tec |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 554 |                                                    |
|           | .04 |                                                    |
|           | and |                                                    |
|           | 5   |                                                    |
|           | 54. |                                                    |
|           | 06? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 7\. |                                                    |
|           | Was |                                                    |
|           | re  |                                                    |
|           | inf |                                                    |
|           | orc |                                                    |
|           | ing |                                                    |
|           | st  |                                                    |
|           | eel |                                                    |
|           | p   |                                                    |
|           | lac |                                                    |
|           | ed, |                                                    |
|           | fa  |                                                    |
|           | ste |                                                    |
|           | ned |                                                    |
|           | and |                                                    |
|           | s   |                                                    |
|           | pli |                                                    |
|           | ced |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 554 |                                                    |
|           | .08 |                                                    |
|           | and |                                                    |
|           | 5   |                                                    |
|           | 54. |                                                    |
|           | 09? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 04) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | **S |                                                    |
|           | tru |                                                    |
|           | ctu |                                                    |
|           | ral |                                                    |
|           | C   |                                                    |
|           | onc |                                                    |
|           | ret |                                                    |
|           | e** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 8\. |                                                    |
|           | Was |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | m   |                                                    |
|           | ixt |                                                    |
|           | ure |                                                    |
|           | de  |                                                    |
|           | sig |                                                    |
|           | ned |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 5   |                                                    |
|           | 52. |                                                    |
|           | 03? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 9\. |                                                    |
|           | Was |                                                    |
|           | co  |                                                    |
|           | ncr |                                                    |
|           | ete |                                                    |
|           | s   |                                                    |
|           | tor |                                                    |
|           | ed, |                                                    |
|           | ha  |                                                    |
|           | ndl |                                                    |
|           | ed, |                                                    |
|           | ba  |                                                    |
|           | tch |                                                    |
|           | ed, |                                                    |
|           | mi  |                                                    |
|           | xed |                                                    |
|           | and |                                                    |
|           | del |                                                    |
|           | ive |                                                    |
|           | red |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | su  |                                                    |
|           | bse |                                                    |
|           | cti |                                                    |
|           | ons |                                                    |
|           | 552 |                                                    |
|           | .04 |                                                    |
|           | and |                                                    |
|           | 5   |                                                    |
|           | 52. |                                                    |
|           | 08? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 0\. |                                                    |
|           | Was |                                                    |
|           | w   |                                                    |
|           | all |                                                    |
|           | co  |                                                    |
|           | nst |                                                    |
|           | ruc |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | su  |                                                    |
|           | bse |                                                    |
|           | cti |                                                    |
|           | ons |                                                    |
|           | 552 |                                                    |
|           | .10 |                                                    |
|           | t   |                                                    |
|           | hro |                                                    |
|           | ugh |                                                    |
|           | 5   |                                                    |
|           | 52. |                                                    |
|           | 16? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 05) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | **B |                                                    |
|           | ack |                                                    |
|           | fil |                                                    |
|           | lin |                                                    |
|           | g** |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 1\. |                                                    |
|           | Was |                                                    |
|           | the |                                                    |
|           | a   |                                                    |
|           | rea |                                                    |
|           | beh |                                                    |
|           | ind |                                                    |
|           | the |                                                    |
|           | w   |                                                    |
|           | all |                                                    |
|           | b   |                                                    |
|           | ack |                                                    |
|           | fil |                                                    |
|           | led |                                                    |
|           | w   |                                                    |
|           | ith |                                                    |
|           | s   |                                                    |
|           | tru |                                                    |
|           | ctu |                                                    |
|           | ral |                                                    |
|           | ba  |                                                    |
|           | ckf |                                                    |
|           | ill |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 2   |                                                    |
|           | 09. |                                                    |
|           | 10? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 06) |                                                    |
+-----------+-----+----------------------------------------------------+
| **Conf    | **  |                                                    |
| ormance** | CHE |                                                    |
|           | CKS |                                                    |
|           | (   |                                                    |
|           | cha |                                                    |
|           | rac |                                                    |
|           | ter |                                                    |
|           | ist |                                                    |
|           | ics |                                                    |
|           | )** |                                                    |
+-----------+-----+----------------------------------------------------+
| *         |     |                                                    |
| *[Yes]{.u |     |                                                    |
| nderline} |     |                                                    |
| [No]{.u   |     |                                                    |
| nderline} |     |                                                    |
| [N        |     |                                                    |
| .A.]{.und |     |                                                    |
| erline}** |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 2\. |                                                    |
|           | Was |                                                    |
|           | e   |                                                    |
|           | ach |                                                    |
|           | la  |                                                    |
|           | yer |                                                    |
|           | com |                                                    |
|           | pac |                                                    |
|           | ted |                                                    |
|           | acc |                                                    |
|           | ord |                                                    |
|           | ing |                                                    |
|           | to  |                                                    |
|           | s   |                                                    |
|           | ubs |                                                    |
|           | ect |                                                    |
|           | ion |                                                    |
|           | 209 |                                                    |
|           | .11 |                                                    |
|           | exc |                                                    |
|           | ept |                                                    |
|           | wit |                                                    |
|           | hin |                                                    |
|           | 3   |                                                    |
|           | f   |                                                    |
|           | eet |                                                    |
|           | of  |                                                    |
|           | the |                                                    |
|           | w   |                                                    |
|           | all |                                                    |
|           | w   |                                                    |
|           | ere |                                                    |
|           | an  |                                                    |
|           | ap  |                                                    |
|           | pro |                                                    |
|           | ved |                                                    |
|           | li  |                                                    |
|           | ght |                                                    |
|           | wei |                                                    |
|           | ght |                                                    |
|           | m   |                                                    |
|           | ech |                                                    |
|           | ani |                                                    |
|           | cal |                                                    |
|           | or  |                                                    |
|           | vib |                                                    |
|           | rat |                                                    |
|           | ory |                                                    |
|           | com |                                                    |
|           | pac |                                                    |
|           | tor |                                                    |
|           | sho |                                                    |
|           | uld |                                                    |
|           | h   |                                                    |
|           | ave |                                                    |
|           | b   |                                                    |
|           | een |                                                    |
|           | us  |                                                    |
|           | ed? |                                                    |
|           | (2  |                                                    |
|           | 58. |                                                    |
|           | 06) |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 3\. |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 4\. |                                                    |
+-----------+-----+----------------------------------------------------+
|           | 1   |                                                    |
|           | 5\. |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
|           |     |                                                    |
+-----------+-----+----------------------------------------------------+
| Percent   |     | $\frac{\text{Yes}}{\text{Yes + No}}(\text{100})$=  |
| Co        |     | $\frac{\text{                   }}{}(\text{100})$= |
| nformance |     | $\frac{\text{               }}{}\text{\%}$         |
|           |     | Conformance                                        |
| Cal       |     |                                                    |
| culations |     |                                                    |
+-----------+-----+----------------------------------------------------+

Comments: