DA Form 5147-r "Section Evaluation Summary"

What Is DA Form 5147-r?

This is a military form that was released by the U.S. Department of the Army (DA) on November 1, 1982. The form, often mistakenly referred to as the DD Form 5147-r, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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Download DA Form 5147-r "Section Evaluation Summary"

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Section Evaluation Summary
For use of this form, see TM 5-623; the proponent agency is USACE.
1. Overall Condition Rating - PCI
Rating - Failed,
Very Poor,
Poor,
Fair,
Good, Very Good, Excellent
PCI
0-10
11-25
26-40
41-55
56-70
71-85
86-100
2. Variation of Condition Within Section -- PCI
Yes
No
a. Localized Random Variation
,
Yes
, No
b. Systematic Variation:
3. Rate of Deterioration of Condition -- PCI
a. Long-term period (since
Low
,
Normal
High
,
construction or last overall repair)
Low
, Normal
b. Short-term period (1 year)
, High
4. Distress Evaluation
a. Cause
percent deduct value
Load Associated Distress
percent deduct value
Climate/Durability Associated
percent deduct value
Other (
) Associated Distress
Minor
Moderate
Major
,
,
b. Moisture (Drainage) Effect on Distress
No
Yes
5. Deficiency of Load-Carrying Capacity
,
Minor
Moderate
Major
,
,
6. Surface Roughness
Minor
Moderate
Major
7. Skid Resistance/Hydroplaning Potential
,
,
8. Previous Maintenance
Low , Normal , High
9. Comments:
APD LC v2.00
DA FORM 5147-R, NOV 1982
Section Evaluation Summary
For use of this form, see TM 5-623; the proponent agency is USACE.
1. Overall Condition Rating - PCI
Rating - Failed,
Very Poor,
Poor,
Fair,
Good, Very Good, Excellent
PCI
0-10
11-25
26-40
41-55
56-70
71-85
86-100
2. Variation of Condition Within Section -- PCI
Yes
No
a. Localized Random Variation
,
Yes
, No
b. Systematic Variation:
3. Rate of Deterioration of Condition -- PCI
a. Long-term period (since
Low
,
Normal
High
,
construction or last overall repair)
Low
, Normal
b. Short-term period (1 year)
, High
4. Distress Evaluation
a. Cause
percent deduct value
Load Associated Distress
percent deduct value
Climate/Durability Associated
percent deduct value
Other (
) Associated Distress
Minor
Moderate
Major
,
,
b. Moisture (Drainage) Effect on Distress
No
Yes
5. Deficiency of Load-Carrying Capacity
,
Minor
Moderate
Major
,
,
6. Surface Roughness
Minor
Moderate
Major
7. Skid Resistance/Hydroplaning Potential
,
,
8. Previous Maintenance
Low , Normal , High
9. Comments:
APD LC v2.00
DA FORM 5147-R, NOV 1982