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B-1.1, r. 3 - Code de sécurité

Annexe
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Texte complet
ANNEXE II
(a. 388)
Fiche de vérification annuelle des parcs de stationnement
Nom du propriétaire: ____________________________________________
Adresse du bâtiment: ______________________________________________

______________________________________

Date de la vérification: _________________ Vérifié par: ________________________
Identification de la dalle: ___________

_________________________________________________________________________________
| | | | | | |
| Élément | oui | non | localisation | # de | description |
| | | | | photo | et remarques |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Dalle | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Affaissement/déformation| | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Face supérieure de la | | | | | |
| dalle | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Membrane usée | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Nids de poule | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Fissures superficielles | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Béton détérioré | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Armatures exposées | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Taches de rouille | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Face inférieure de la | | | | | |
| dalle | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Taches d’humidité, | | | | | |
| infiltration d’eau | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Efflorescence | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Armatures exposées | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Taches de rouille | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Béton détérioré | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Murs | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Bombement/déformation | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Fissures | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Infiltration d’eau | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Poutres et colonnes | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Fissures | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Armatures exposées | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Taches de rouille | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Joints de dilatation | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Joints détériorés | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| Drains | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Mauvais état de | | | | | |
| fonctionnement | | | | | |
|___________________________|_______|_______|______________|_______|______________|
| | | | | | |
| - Accumulation d’eau | | | | | |
|___________________________|_______|_______|______________|_______|______________|
D. 1263-2012, a. 1.
© Gouvernement du Québec