Karyabinayak Municipalily City Area, Risk Assessment of Vulnerable

Building Due to Earthquake on 25th April 2015.

General Information
Owner Name / Name of applicant/s
Property Address: ward no:
Areas Inspected: Exterior Only
Year of Construction:

Contact No:
Inspected Date:
External & Interior both

Building Information
Types of Building: 1. R.C.C Frame Structure
Column Size
Building permit Date:
Permitted Storey/ Floor area:
Building Completion Certificate: Yes/No
Mention if Document is not shown:

2.Load Bearing Structure

Beam Size
Storey / Total Floor Area
Issued Date:

Type of Construction
Mortar type/ Construction material Used :
Tie beam/Sill/Lintel/Beam:
Ground condition :
other Structural observation:

Building Occupancy
Residential

Hospital

Educational

Industry

Commercial

Hotel

Gov.Office
Private Office

Mixed Use
Others

Police Station

Filed Comments / Team Observation/ Failure condition/ Risk and hazards

(Please Use back page for detail write up if more space is needed)

Team Member Names

1.
2.
3.
4.

Designation

Signature

5.

Lalitpur Karyebinayek Municipality Area, Risk Assessment of Vulnerable

Building Due to Earthquake on 25th April 2015.
General Information
Owner Name / Name of applicant/s
Property Address: L.S.M.C, ward no:
Areas Inspected: Exterior Only
Year of Construction:

Contact No:
Inspected Date:
External & Interior both

Building Information
Types of Building: 1. R.C.C Frame Structure
Column Size
Building permit Date:
Permitted Storey/ Floor area:
Building Completion Certificate: Yes/No
Mention if Document is not shown:

2.Load Bearing Structure

Beam Size
Storey / Total Floor Area
Issued Date:

Type of Construction
Mortar type/ Construction material Used :
Tie beam/Sill/Lintel/Beam:
Ground condition :
other Structural observation:

Building Occupancy
Residential

Hospital

Educational

Industry

Commercial

Hotel

Gov.Office
Private Office

Mixed Use
Others

Police Station

Filed Comments / Team Observation/ Failure condition/ Risk and hazards

(Please Use back page for detail write up if more space is needed)

Team Member Names

1.
2.
3.

Designation

Signature

4.
5.

Lalitpur Sub Metropolitan City Area, Risk Assessment of Vulnerable Building

Due to Earthquake on 25th April 2015.
General Information
Owner Name / Name of applicant/s
Property Address: L.S.M.C, ward no:
Areas Inspected: Exterior Only
Year of Construction:

Contact No:
Inspected Date:
External & Interior both

Building Information
Types of Building: 1. R.C.C Frame Structure
Column Size
Building permit Date:
Permitted Storey/ Floor area:
Building Completion Certificate: Yes/No
Mention if Document is not shown:

2.Load Bearing Structure

Beam Size
Storey / Total Floor Area
Issued Date:

Type of Construction
Mortar type/ Construction material Used :
Tie beam/Sill/Lintel/Beam:
Ground condition :
other Structural observation:

Building Occupancy
Residential

Hospital

Educational

Industry

Commercial

Hotel

Gov.Office
Private Office

Mixed Use
Others

Police Station

Filed Comments / Team Observation/ Failure condition/ Risk and hazards

(Please Use back page for detail write up if more space is needed)

Team Member Names

1.
2.

Designation

Signature

3.
4.
5.

Lalitpur Karyebinayek Municipality Area, Risk Assessment of Vulnerable

Building Due to Earthquake on 25th April 2015.
General Information
Owner Name / Name of applicant/s
Property Address: L.S.M.C, ward no:
Areas Inspected: Exterior Only
Year of Construction:

Contact No:
Inspected Date:
External & Interior both

Building Information
Types of Building: 1. R.C.C Frame Structure
Column Size
Building permit Date:
Permitted Storey/ Floor area:
Building Completion Certificate: Yes/No
Mention if Document is not shown:

2.Load Bearing Structure

Beam Size
Storey / Total Floor Area
Issued Date:

Type of Construction
Mortar type/ Construction material Used :
Tie beam/Sill/Lintel/Beam:
Ground condition :
other Structural observation:

Building Occupancy
Residential

Hospital

Educational

Industry

Commercial

Hotel

Gov.Office
Private Office

Mixed Use
Others

Police Station

Filed Comments / Team Observation/ Failure condition/ Risk and hazards

(Please Use back page for detail write up if more space is needed)

Team Member Names

1.

Designation

Signature

2.
3.
4.
5.