Free template

Proof load test certificate template

En resumen

Download Staht's free proof load test record: a one-page fillable PDF for anchors, eyebolts and anchor points. It records what was tested, the proof load and who set it, the load each item held and for how long, anything seen, and the result. It states what happened on the day; it isn't a LOLER thorough examination report and doesn't approve anything for use.

This page explains how anchors, eyebolts and anchor points are commonly tested, inspected and recorded. It does not replace the law, the standards it names, the manufacturer's instructions, or the decisions of the person responsible for the job or the system, who sets the tests, the loads and the inspection regime. A test records what happened on the day; it does not approve an anchor for use.

Download the template

Key figures

FormatFillable PDF, A4, one page: type on screen or print
Results16 rows, one per item
ForAnchors, eyebolts, anchor points and davit sockets

What's in the template?

PartFields
The jobRecord number, date of tests, client, site address and contact
What was tested, and to whatItems tested (type, make and size); who installed them and when; proof load; hold time, if set; who set the proof load, and where it comes from
ResultsFor each item: reference, location, load applied, how long it was held, movement or damage seen, pass or fail, marked
Tester and equipmentName, company, qualifications and signature; tester make, model, capacity and serial number; last calibration and by whom; notes

Where does the proof load come from?

Never from the template. It comes from the person responsible: the anchor or system maker's instructions, the designer's specification, or the examination scheme. For anchors in concrete and masonry under BS 8539, the specifier sets it; for scaffold tie anchors, NASC TG4:25 gives 1.25 times the tie duty; for rope access anchors at detailed inspection, IRATA's code recommends 6 kN. Write down who set it and on what basis.

Is it a LOLER certificate?

No. Equipment that lifts people or loads, such as a cleaning cradle, has a thorough examination report under LOLER, with the details LOLER's Schedule 1 lists, made by the competent person examining it. A proof test record can support that examination where the examiner asks for tests, but it isn't the report itself. Eyebolts fixed to a building for fall arrest are outside LOLER, HSE says; their inspections fall under the Work at Height Regulations.

What if an item fails?

Record an item that moved, was damaged or deformed as a fail, mark it, and keep it out of use until the person responsible decides what happens next.

More questions

Fuentes

  1. The Work at Height Regulations 2005, regulation 12: Inspection of work equipment, legislation.gov.uk
  2. The Lifting Operations and Lifting Equipment Regulations 1998, Schedule 1: Information to be contained in a report of a thorough examination, legislation.gov.uk
  3. L113 Safe use of lifting equipment: Lifting Operations and Lifting Equipment Regulations 1998. Approved Code of Practice and guidance (second edition), HSE
  4. BS 8539:2012+A1:2021 Code of practice for the selection and installation of post-installed anchors in concrete and masonry, BSI
  5. NASC TG4:25 Anchorage Systems for Scaffolding, NASC
  6. IRATA International code of practice for industrial rope access (ICOP), TC-102ENG, IRATA International

Proof test anchors and eyebolts

The t25 and t60 record every proof test in the Staht Connect app.

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