Free template

Anchor pull test report template

Kort fortalt

Download Staht's free anchor site test report as a fillable PDF. It follows what BS 8539 recommends a report records: the job, the anchor and the test asked for, the base material, the installation, each anchor's position and result, the equipment and its calibration, and a sign-off saying the report records facts only.

Denne veiledningen forklarer hvordan prøving på byggeplass planlegges og gjennomføres i henhold til BS 8539:2012+A1:2021. Den erstatter ikke standarden, ankerprodusentens data eller instruksene fra den som spesifiserer eller den ansvarlige ingeniøren for oppdraget, som bestemmer prøveplanen, lastene og faktorene. En prøving dokumenterer hva som skjedde den aktuelle dagen; den godkjenner ikke et feste for bruk.

Download the template

Key figures

FormatFillable PDF, A4, two pages: type on screen or print
Results13 rows, one per anchor
CostFree to use, copy and adapt

What's in the template?

PartFields
1. The jobReport number, date of tests, who asked for them, client and contact, site address and contact
2. The anchor and the testAnchor make, type, size and finish; the fixture; characteristic action N_Ek; design or recommended resistance; test type; procedure; test load; how many to test
3. The base materialWhat it is, solid or hollow, strength if known
4. InstallationInstaller; hole diameter; drill bit cutting diameter to 0.1 mm; hole depth; effective embedment; cleaning; torque specified and applied; temperature and curing times for bonded anchors
5. ResultsFor each anchor: position, edge distance and spacing, member thickness, distance to the nearest support, highest load, first movement load if asked for, condition and failure mode, pass or fail; movement at each load step, if asked for, attached
6. EquipmentTester make, type, capacity and serial number; last calibration and who did it; movement gauge and torque wrench
7 to 9. Notes, sign-off, attachmentsDepartures from the procedure; tester's name, job title and qualifications; witnesses; method statement, calibration certificate and drawing attached; the statement

Is it a certificate or a report?

People search for an "anchor pull test certificate", and the document is the same thing: a record of the tests. We call it a report because it doesn't certify that a fixing is fit for use. It states what each anchor did on the day; the specifier or responsible engineer decides what that means.

How to fill it in

  1. Fill in parts 1 to 3 before the visit, from the test request.
  2. Fill in part 4 only if you installed the anchors or watched them go in.
  3. Give each anchor's position on a drawing, or describe it well enough for someone on site to find it.
  4. Name any failure mode using the groups in first movement and failure modes.
  5. Sign, and attach the method statement and the tester's calibration certificate.
  6. Give the report to the person who asked for the tests.

Do I need it if I use Staht Connect?

Not for the results: the Staht Connect app records each test's peak load, target load, pass or fail and time, with photos and a map pin, and the dashboard makes a report in one click. Check that whatever produces your report covers every item in the template: use the app's custom form fields, or this template, for items such as the drill bit diameter.

More questions

Kilder

  1. BS 8539:2012+A1:2021 Code of practice for the selection and installation of post-installed anchors in concrete and masonry, BSI
  2. Anchor Pull Test Report: What It Should Record, Staht

Record tests as you go

The t25 and t60 send every result to the Staht Connect app.

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