Engineering Apps

Earthquake Rapid Assessment Form

After an earthquake, it is critical to respond by conducting a rapid assessment of building conditions to estimate earthquake losses. Use this Earthquake Rapid Assessment Form to evaluate structural and non-structural building components including walls, ceilings, light fixtures, utilities, etc., and avoid any secondary risks. Photograph visual evidence of building damages and gather accurate location data of all affected buildings. This form is 100% customizable to accommodate your specific assessment criteria and can be used in both on and offline environments.

Earthquake Rapid Assessment Form iPhone, iPad Earthquake Rapid Assessment Form Android Earthquake Rapid Assessment Form Web, Desktop
Earthquake Rapid Assessment Form

Asessment

Assessor Name

Assessor ID

Territorial Authority

Assessment Date

Assessment Time

Building Identification

Building Address

Other ID or Access

Photos

Contact Name

Type

Existing Placard

Date

Team ID

Building Description

Dimensions

Storeys above ground incl. ground floor

Storeys below ground

Footprints

Construction Age

Structure Type

Cladding Type

External Risks

Potential External Risks

Objects falling from adjacent buildings.

Adjacent building ID or address:

Land instability above

Land instability below

Other

Damage Assessment

Overall Hazard

Collapse or partial collapse

Building or storey leaning

Other

Other

Photos

Structural Hazards

Foundations

Floors

Walls

Roofs and ceilings

Diaphragms and bracing

Photos

Non-structural Hazards

Parapets, ornamentation, chimneys

Cladding, glazing

Ceilings, light fixtures

Interior walls, partitions

Access/egress (stairs, exits)

Fire safety concerns

Utilities

Estimated Building Damage

Photos

End of Inspection Data Entry

Data entry completed

Date

Completed by

Signature

Photos