Anonymous

Scaffold Anchor Tie Test Report

Tie Test Report Form

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Use this Template

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location

Type of Anchor Tested:
Location/s of Tests Carried Out:
Base Materials:
Number of Tests Carried Out:
Design No.
Required Test Load On Anchors:
Did Anchors Achieve Required Test Loading?
Details of Test Equipment Used:
Calibration Date:
Installer of Ties:
Name of Tester:
Witnessed By:
Signed By Tester

Anonymous

Scaffold Anchor Tie Test Report

Tie Test Report Form

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.