Scaffold anchor tie test report checklist

Template Information

Tie test report form

Category: construction

Template Questions

  • 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