Pile/Grid Ref.: Pile Size: Date Installed: Penetration: Working Load of Pile: Type of Hammer: Hammer Wt.: Test Load: Drop of Hammer: Set: Temp. Compress.:
Load B.M. Reading Scale Reading Difference Settlement Average
S/N Date Time Remarks (Tonne) I II A B A B A B (mm)
Prepared by: Confirmed by: Checked by:
Name & Signature of Builder's Site Representitive Name & Signature of Site Supervisor Name & Signature of QP