Fire-Damaged Concrete Condition Assessment Form
Assess fire-damaged concrete condition by recording site details, visible damage, condition indicators, and follow-up recommendations.
Site and Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site or Project Name
*
Location / Address of Concrete Area
*
Inspector Name or Team Name
*
Concrete Damage Assessment
Concrete element assessed
*
Slab
Column
Beam
Wall
Other
Visible fire impact severity
*
None
1
2
3
4
Severe
5
1 is None, 5 is Severe
Spalling or cracking observed
Spalling
Cracking
Both
Neither
Surface discoloration or sooting observed
Discoloration
Sooting
Both
Neither
Condition checklist
*
Rows
None
Minor
Moderate
Severe
Cracking
1
2
3
4
Delamination
5
6
7
8
Exposed rebar
9
10
11
12
Surface scaling
13
14
15
16
Deformation
17
18
19
20
Findings and Follow-Up
Overall condition status
*
No significant damage observed
Minor damage - monitor
Moderate damage - repair recommended
Severe damage - immediate intervention required
Unsafe - restrict use
Unable to determine - further review needed
Immediate action required
Monitor
Repair
Engineering review
Restrict use
Temporary shoring
Demolition consideration
Other
Additional notes or recommendations
Submit Assessment
Should be Empty: