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E 41.1-E e88fr15 1/3
Additional questionnaire for the construction of bridges No.
1. Title of contract
2. Site� flat � hilly � mountainous
� built-up area � semi-built-up area � open area
If project is in built-up or semi-built-up area, state minimum distance to and type of neighbouring structures.
3. Breakdown of valuesItem Value (currency )
Site installations and temporary work
Workshops,stores, camps, etc.
Earthwork and approaches
Foundations
Piers and abutments
Falsework and cantilever formwork, etc.
Superstructure and roadway
Other work (railing, lighting, installations, etc.)
Total value
4. Type of bridge� beam bridge � arch bridge � suspension bridge
� truss bridge � cable-stayed bridge
5. Technical dataa) Superstructure Length m
ft Width mft
Number of spans Max. length of span mft
Max. height above grade mft
� steel � reinforced concrete � pre-stressed concrete
� post-tensioned concrete � other (specify)
b) PiersMax. height m
ft � concrete � other materials (specify)
E 41.1-E e88fr15 2/3
6. Construction of super-structure � precast concrete members Distance from works km
miles
Transport � by rail � by lorry by barge
Assembly � by mobile crane � with travelling shutter � in free cantileverconstruction
� cast in situ � falsework � travelling shutter � free cantileverconstruction
� incremental launching � orthotropic plate
7. Type of foundation� caissons Depth m
ft
� piles Depth mft
� slabs Depth mft
8. Details of subsoilAttach soil strata diagram.
9. Ground waterLevel below grade m
ft � dewatering required
Quantities of water to be removed m3/s
Reserve capacity of pumps m3/s
Pumps are driven � electrically � by combustion engines
Electric power supply � off the main � by site generator(s)
10. Bridge over body water� river � lake � bay � other (specify)
Name of body water
� tidal � non-tidal
High and low water levelsObservation period years months
Normal in dry season mft Normal flood
Highest ever recorded mft Date
Flow ratesObservation period years months
Normal in dry season m3/s
Normal flood discharge m3/s
Highest ever recorded m3/s Date
Protection from flooddamage � cofferdam Height above
normal flood levelmft
Dimensioned forreturn period of years
� filled � sheet pile wall � cellular cofferdam � other
Interior bracing of cofferdam? � yes � no
� diversion channel Discharge m3/s
Is risk of flooding reduced by upstream dams? � yes � no
Details
Is there a flood warning system? � yes � no
Time lapse between warning andtime when flood reaches site hours
E 41.1-E e88fr15 3/3
Component Execution dats, anticipated period of work(months)
11. Construction schedule(unless separate sheet isattached)
Site installations and temporary work
Earthwork and approaches
Flood protection facilities
Foundations
Piers and abutments
Superstructures and roadway
Other work (railing, lighting, installations, etc.)
� yes � no12. Must traffic bemaintained duringconstruction of thebridge? Details
13. To what extent mightthe contract work bedestroyed in one lossevent?
14.What work will be doneby subcontractors?
15. Which contractors willwork independently of theinsured at the site or in itsimediate vicinity?What will be done by suchcontractors?
16. a) Where are theoffices, stores,workshops, camps, etc.located?Where are constructionplant and equipment andconstruction materialsstored?Give details or attachdrawings.
b) To what extent willthese facilities beprotected against flood?Give details.