Form FHWA FORM # NTI-00 FHWA FORM # NTI-00 PRELIMINARY INVENTORY TUNNEL DATA FORM

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This collection of information is mandatory and will be used to identify critical inspection elements and specify an appropriate inspection frequency of US tunnels. Public reporting burden is estimated to average 1,400 hour per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Avenue, SE, Washington, DC 20590.
APPENDIX A PAGE 1 OF 2: PRELIMINARY INVENTORY TUNNEL DATA FORM
		DATE
		By:
Item No.		Item Name	Item Value
1		Tunnel Name
2		Tunnel Owner
3		Tunnel number
4		Tunnel Operator
5		Location
6		Route Signing Prefix
7		Route Number
8		LRS Inventory Rt
9		LRS Subroute
10		Portals Latitude
11		Portals Milepost
12		Portals Longitude
13		STRAHNET Designation
14		Year Tunnel Construction Completed
15		Posted Speed
16		Design Speed
17		Current ADT
18		% of truck traffic
19		Date of last Inspection
20		No. of Bores
21		No. of Lanes
22		Direction of traffic
FHWA FORM # NTI-001
		Item Name	Item Value
23		Tunnel Length
24		Tunnel Height
24		Lane Width
25		Shoulder Width
26		Pavement Type
27		Tunnel Shape
28		Ground Conditions
29		Ceiling Type
30		PortalType
31		Portal Shape
32		Finish Type
33		Primary Tunnel Support Lining
34		Vertical Clearance
35		Tunnel Cross-sectional Width
FHWA FORM # NTI-001

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APPENDIX A PAGE 2 OF 2: NATIONAL TUNNEL APPRAISAL FORM
	DATE
	By:
		CONDITION CODE (SEE NOTES)
ITEM NO.	Item Name	9	8	7	6	5	4	3	2	1
		GOOD			FAIR			POOR
1	Tunnel roof concrete
2	Tunnel roof steel girders
3	Tunnel roof girder connection
4	Suspened ceiling hanger
5	suspended ceiling panels
6	suspended ceiling beams
7	Suspened ceiling concrete anchors
8	Jet fans concrete anchors
9	Steel Pile in tunnel wall
10	Ceramic tile
11	Prefabricated wall panels
12	Prefabricated wall panel attachment to wall
13	Prefabricated linning elements
14	Prefabricated lining element joints
15	Prefabricated lining element bolts
16	Expansion joints
17	Compression joints
18	Portals Cross drain
19	Overhead sign support
20	Overhead sign attachment anchors
21	roadway slab beams
22	Hand rails on sidewalk
NATIONAL TUNNEL APPRAISAL FORM
	DATE	CONDITION CODES (SEE NOTES)
	By:
ITEM NO.	Item Name	9	8	7	6	5	4	3	2	1
		GOOD			FAIR			POOR
23	Exit doors
24	Overhead Tunnel lighting support
25	Flood Gate Gasket
26	Rock bolt
27	Rock tunnel lining
28	Timber Posts in Tunnel Walls
29	Tunnel wearing surface
30	Tunnel safety walk
NOTES:
CODE	DESCRIPTION
9	Newly completed construction
8	Excellent condition - No defects found.
7	Good condition - No repairs necessary. Isolated defects found.
6	Shading between "5" and "7"
5	Fair condition - Minor repairs required but element is functioning as originally
	designed. Minor, moderate, and isolated severe defects are present but with
	no significant section loss.
4	Shading between '3' and "5"
3	Poor Condition - Major repairs are required and element is not functioning as
	originally designed. Severe defects are present.
2	Serious condition - Major repairs required immediately to keep structure open
	to highway or rail transit traffic.
1	Critical condition - Immediate closure required. Study should be performed to
	determine the feasibility of repairing the structure.
FHWA FORM # NTI-001