With the widespread application of tunnel boring machines (TBM) in underground tunnel construction, the accurate and real-time identification of geological indicators has become a key factor for ensuring construction safety. In this study, we introduced the nomogram method into the field of civil engineering for the first time to predict surrounding rock grades. Against the backdrop of a major water conservancy project in China, an in-depth analysis of construction data from the ascending phase was conducted to establish the relationship between surrounding rock grade predictions and key construction parameters. Compared with traditional models, the nomogram method has shown advantages in terms of prediction accuracy. Furthermore, by providing a personalized scoring mechanism for specific construction data, the nomogram method not only achieves the real-time prediction of rock grades but also clearly reveals the dynamic relationships between input parameters and rock grades, clarifying the entire prediction process. We identified the main factors related to rock grade prediction among TBM construction parameters, including the slurry conveyor belt speed, jacking pressure, cutterhead torque, cutterhead thrust, thrust pressure, and actual rotation speed. The training process revealed that the nomogram prediction model achieved optimal performance with seven input parameters, balancing accuracy and training time. According to the prediction results, the nomogram model’s area under the curve index is 0.92, providing greater accuracy than the traditional random forest model (0.89). Therefore, this study enhances the transparency and interpretability of model predictions by providing personalized assessments of construction parameters for predicting surrounding rock grades, overcoming the black-box issue of existing prediction methods and offering a novel and effective tool for rock grade prediction.