Vietnam's seaport system currently includes 298 ports with 588 wharves (a total length of approximately 92,275 m), which is vital in developing Vietnam's marine economy. The piled pier, a type of wharf structure, is widely used and accounts for up to 90%, while the remaining 10% is made up of other types of wharf structures, such as gravity and sheet pile quay walls. Most wharves have been operating for over 10 years and some for even more than 50 years. Noticeably, wharves are highly vulnerable and degrade rapidly due to many factors, especially heavy load impacts and severe environmental conditions. Additionally, wharves have a higher risk of deterioration than other inland infrastructure, such as buildings and bridges. Consequently, determining a wharf's health is an important task in maintaining normal working conditions, extending its lifecycle, and avoiding other severe damage that could lead to dangers to the safety of vehicles, facilities, and humans. Moreover, regulated quality inspections usually include only simple inspections, e.g., displacement, settlement, geometric height, and tilt; the visual inspection and determination of dimensions by simple length-measuring equipment; concrete strength testing by ultrasonic and rebound hammers; and the experimental identification of the chloride ion concentration, chloride diffusion coefficient, corrosion activity of rebar in concrete, and steel thickness. These testing methods often give local results depending on the number of test samples. Therefore, advanced diagnostic techniques for assessing the technical condition of piled piers need to be studied. The impact vibration test (IVT) is a powerful non-destructive evaluation method that indicates the overall health of structures, e.g., underground and foundation structures, according to official standards. Hence, the IVT is expected to help engineers detect the potential deterioration of overall structures. It is fundamental that, if a structure is degraded, its natural frequency will be affected. A structure's health index and technical condition are determined based on this change. However, the IVT does not seem to be widely applied to piled piers, with no published standard; hence, controversial issues related to accuracy and reliability still remain. This motivates the present study to recommend an adjusted factor (equal to 1.16) for the health index (classified in official standards for other structures) through numerical and experimental approaches before officially applying the IVT method to piled piers. The current work focuses on the health index using the design natural frequency, which is more practical in common cases where previous historical data and the standard natural frequency are unavailable. This study also examines a huge number of influencing factors and situations through theoretical analysis, experience, and field experiments to propose an adjusted indicator. The results are achieved with several assumptions of damages, such as the degradation of materials and local damages to structural components. With the proposed adjusted indicator, the overall health of piled piers can be assessed quickly and accurately by IVT inspections in cases of incidents, accidents due to collisions, cargo falls during loading and unloading, or subsidence and erosion due to natural disasters, storms, and floods. [ABSTRACT FROM AUTHOR]