David Kearney

NJS Scaffolding - Scaffold Anchor Tie Test Report

Physical Anchor Testing in Accordance with NASC Guidance TG4 (Current Edition)

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Information

Client / Site
Conducted on
Prepared by
Location

Report

Type of Anchor Tested:
Location of Tests Carried Out:
Base Materials:
- Masonry (Into Face of Brick)
- Masonry (Into Mortar Joints)
- Blockwork (excluding Thermalite)
- Timber
- Concrete
Number of Tests Carried Out:
Design No. or TG20 Compliance Sheet Ref:
Required Test Load On Anchors:
Test Load Achieved:
Did Anchors Achieve Required Test Loading?
- Pass
- Fail
Details of Test Equipment Used:
Equipment Calibration Date:
Copy of Calibration Certificate
Installer of Ties:
Name of Tester:
- Jordan Howard
- Kev Dewey
- Jon Grantham
- David Kearney
- Steve Penfold
- Chris Betsworth
- Matt Walker
- Other
State Name
Signed By Tester

David Kearney

NJS Scaffolding - Scaffold Anchor Tie Test Report

Physical Anchor Testing in Accordance with NASC Guidance TG4 (Current Edition)

Use this Template

Print as PDF

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