Anchor Bolt Certification / Concrete Letter

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

This document will serve as notification for the purpose of compliance with OSHA's subpart-R Steel Erection standard 1926.755 (b)(1) and (2).

As the project engineer, I have inspected all anchor bolts, concrete piers, footings, masonry walls, and other structures where structural steel will be placed and/or secured. I acknowledge that they meet the intended structural integrity required by design for the placement of steel members. I have also attached a copy of all ASTM tests to document that these materials have cured to 75% of their required strength, by design, before the work is to proceed.

• Check one:

  All anchor bolts have been installed according to deign and that NO filed modifications or repairs have been made.

  Field modifications have been made to the anchor bolts at the locations listed below.

• List locations below.

• Add media

  Media

As a representative of the erection contractor, I have been given copies of all necessary concrete strength certifications and have been directed to proceed with structural steel placement.

• Project Engineer for Controlling Contractor

  Sign

• Erection Contractor Supervisor

  Sign

• Other Interested Parties

  Sign