Information
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Audit Title
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Document No.
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Job Number
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Clients Name / Address
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Clients Contact Name / Number
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Site Address
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Site Contact Name / Number
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Location
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Conducted on
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Prepared By
- Conor McHugh
- Theodoros Iskratous
- Liam Griffin
Testing Procedure Requirements:
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- All test are carried out in accordance with: BS 8539:2012 Code of practice for the selection and installation of post-installed anchors in concrete and masonry. CFA Procedure for Site Testing Construction Fixings 2012
Test Details:
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Failure Criteria:
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- If anchor fails to hold the proof load it will be classified as a failure. The maximum load it held will be recorded and the reason of failure will be investigated.
General Information
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Test Carried Out By:
- Conor McHugh
- Theodoros Iskratous
- Liam Griffin
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Date Test Carried Out:
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Purpose Of Test
- Pull Out Test - Proof Loading
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Test Requested By:
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Anchors Installed By:
Anchor Details*
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Anchor Manufacturer
- Hilti
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Anchor Type, Size and Finish
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Purpose Of Anchor
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Characteristic Resistance
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Design Resistance
Test Details
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Type Of Loading
- Tension
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Proof or Allowable Resistance
- Proof Loading
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Required Proof Loading
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Description:
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Result:
- Pass
- Fail
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Test Result Comments:
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Signature:
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Supporting Photo's
Testing Location
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Location
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Anchor Reference
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Edge Distance
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Centre Spacing
Base Material
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Material Type / Strenght
- Reinforced Concrete
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Thickness
Installation Details*
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Hole Diameter
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Drill Bit Cutting Diameter
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Hole Depth
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Resin Type
- N/A
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Embedment Depth
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Hole Cleaning Method
- Brush and Blow
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Temperature When Installed
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Manufacturer Curing Time
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Actual Curing Time Allowed
- 1 - 4 Hours
- 5 - 10 Hours
- 24+ Hours
Test Equipment
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Hydraulic Jack
- hydra jaw 2000
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Hydraulic Pump
- Hydrajaw 2000
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Pressure Gauge
- SWX1C 42820
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Measurement Gauge
- N/A
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Anchor to Support Distance
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*All Details were provided by Client and we're not measured on site.
Drawings
Location Drawings
Certificates
Certificates
Extra Test
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Location:
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Description:
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Pass/Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
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Test Result Comment:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's
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Location:
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Description:
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Pass / Fail
- Pass
- Fail
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Test Result Comments:
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Supporting Photo's