FORM No: PR808-01-A10

Concrete Cube Compression Report Subc. No.

Consecutive No.
BS 1881 Part 116 Test Method Sheet : 1
of 1
DATE OF POUR: CONCRETE GRADE:
CONSTRUCTION SITE: MIX DESIGN:
DESTINATION (AREA): MIXING PLANT:
CONSTRUCTION UNIT: DATE OF TESTING:
DRAWING NO.: LABORATORY:
Cube Sample No. : Mix Design No.
Delivery Note No.
Delivery time : Concrete Grade
Time sample taken
Time cubes made 28 days strength N / mm²
Slump test (cm)
Remarks Retarder order : Hours
Curing of cubes:
Days in water On site concrete placed by: Poured direct
Days out of water
Age of cubes by testing Pump

Bucket / skip

7 DAYS
Mark on Weight Density Crushed Strength
Date of testing Age Size of cubes
cubes in kg kg / dm³ at KN N / mm²

Average

DATE TESTED BY CHECKED BY ENGINEER'S REPRESENTATIVE

28 DAYS
Mark on Date of testing Age Size of cubes Weight Density Crushed Strength
cubes in kg kg / dm³ at KN N / mm²

Average

Test certificate No. : ACCEPTED REJECTED

TESTED BY: _____________________________ ________________________ _____________________

Name (Subcontractor) Signed Date

CHECKED BY: ___________________________ ________________________ _____________________

Name (Subcontractor) Signed Date

WITNESS BY: ____________________________ ________________________ _____________________

Name (Contractor) Signed Date

WITNESS BY: ____________________________ ________________________ _____________________

Name (Company) Signed Date

JP 1000 NLG
Attachment PR 808-01-A10 (01/03)