Title Page

  • Report No:

  • Sample No:

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General:

  • Has a Health and Safety assessment been carried out prior to conducting the test?

  • Have any hazards identified been addressed prior to testing being carried?

Training:

  • Does the technician have a training record for the testing being performed?

Equipment - Initial Check:

  • Do you have all the required PPE where necessary?

  • Is all the equipment being used in good working order and calibrated?

Equipment I.D - Calibration:

  • Stack No / Serial No and Calibration Dates:

  • Balance Serial No / Calibration Date:

  • Riffle Box Serial No / Calibration Date:

Preparation of Sample:

  • Has the sample been prepared in accordance with lab testing procedure - LTP S1

  • Do you have the correct Minimum mass of sample for testing?

  • Will the sample require the use of Soduim Hexametaphosphate?

Testing Performance Observations:

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