Bolt Trace Record

• Conducted on

  Date

• Prepared by

• Location
  Address

• Project Name

• Confirm name of Installer?

• Bolt Manufacturer

• Bolt Grade

• Bolt Size/Dimensions

• Batch # (Include photo of original packaging cert)

• Structural Connection (Include Photo)

  Media

• Connection Type (I.e PFC to UB)

  Media

Inspection Checklist

• Correct bolt type and grade used

  Yes

  No

  N/A

• Correct bolt size and length

  Yes

  No

  N/A

• Batch number and grade recorded

  Yes

  No

  N/A

• Bolt head markings verified

  Yes

  No

  N/A

• Proper alignment of bolts

  Yes

  No

  N/A

• Use of washers as specified

  Yes

  No

  N/A

Sign-Off

• Name of Inspector

• Date

  Date

• Signature

  Sign