PROJECT SUMMARY FORM

CONSULTANT NAME	RATING PERIOD
PROJECT ENGINEER	DATE

REPORT ERRORS/OMMISIONS

Structure Number	Yes	Format

Report	Returned S.D./F.O.

Was Affected	Resubmission

Required
TOTAL # OF BRIDGES WITH ERRORS

Total # of bridges in Col. #1
A. Report Errors =	X 100 =	% of reports with errors
Total # of bridges
Total # of bridges in Col. #3
B. Errors affecting SD/FO =	X 100 =	% of reports
Total #of bridges
affecting the SD/FO

NOTE: Items 1-4 are from the individual Bridge Check List.

STRUCTURAL EVALUATION

njdot

2004-09-23

TPSPALM

njdot