QAD - Forms 1 To 55

Project: 4 Laning of Maddur – Mysore Road Section (km 82+500 to km 135+350
Excluding km 97+200 to km 101+000) of SH-17 (Bangalore - Mysore Road)

Quality Assurance Document Page : 38
FORM – F1
DATA SHEET FOR ATTERBERG LIMITS
(As per IS : 2720 (PART 5))
BORROW PIT NO: DATE OF SAMPLING :

LOCATION/CHAINAGE: DATE OF TESTING :
SAMPLE NO & DEPTH (m) : SAMPLING BY :
TESTED BY :
Wt. Of Wt. Of dry Moisture

Weight Wt. Of Can
Wt. Of Can & Water soil Content(%)
Sl. No.of Can of can & dry soil
Wet Soil (W2) (W2-W3), 100x m
No. Blows No. (W1) (W3) (W3-W1) =ds
m ds
(gms) (gms) (gms) (gms) (gms) (%)
1.
2.
3.
4.
5.
PLASTIC LIMIT
1.
2.
3.
Liquid Limit (%) : ……………….. Plastic Limit (%) ………… Plasticity Index (%) …………..
(from Semi-log graph plotted between moisture content and no. of blows –
moisture content corresponding to 25 blows)
When plastic limit test is not possible (Cohesion less soils), the PI should be reported as zero.
Remarks : Approved/Not Approved.
For Contractor For Consultant

FORM – F2
DATA SHEET FOR GRAIN SIZE ANALYSIS OF SOIL (WET/DRY)
(As per IS : 2720 – Part 4) 1985
BORROW PIT NO : DATE OF SAMPLING :

METHOD OF SIEVING : DRY/WET TESTED BY :
WT. OF DRY SAMPLE TAKEN FOR TEST (gms):
Weight of Cumulative Remarks

IS Sieve Soil Cumulative
Soil percent Approved/
Designation Retained Percentage
Retained retained Not
(mm) (%) Passing (%)
(gms) (%) approved
100.00
75.00
40.00
25.00
19.00
10.00
4.75
2.00
0.60
0.30
0.15
0.075
PAN

FORM – F3
DATA SHEET FOR NATURAL MOISTURE CONTENT
(AS PER IS : 2720 (PART 2) – 1973

TESTED BY :
T E S T NO. 1 2 3 4 5 6
Container No.
Wt. Of Container (W1), gm
Wt. Container + Wet Soil (W2) gm
Wt. Of Container +Oven-Dry-Soil

(W3) gm
Wt, of water (W2-W3) gm
Wt, of Oven Dry Soil (W3-W1) gm
Moisture Content
100 x (W2-W3)/(W3-W1) %
Average Moisture Content = ………..%

FORM – F4
DATA SHEET FOR MODIFIED PROCTOR TEST
(AS PER IS : 2720 (PART 8))

TESTED BY :
Volume of Mould : cc
1. DENSITY
Total No. 1 2 3 4 5 6
Wt. of mould (gms)
Wt. of mould + Sample (gms)
Wt. of Sample (gms)
WET Density of Sample (gms / ml)
2. MOISTURE CONTENT
Trial No. 1 2 3 4 5 6
Container No.
Wt. of container, g
Wt. of container + sample, g
Wt. of container + dry sample, g
Wt. of dry sample, g
Wt. of water, g
Moisture content (%)
Dry Density of Sample (gms / cc)
MAX. DRY DENSITY: gm / CC O.M.C.: %

(from graph)

FORM – F5
DATA SHEET FOR FREE SWELLING INDEX
(AS PER IS : 2720 (PART 40))

TESTED BY :
OBSERVATIONS
Height of the Soil Height of the Soil Free Swelling
Sl. Location /
Depth Specimen in Specimen in Index F.S.I = Remarks
No. Chainage
Kerosene (H1) mm Water (H2 ) mm 100*(H2-H1)/H1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

FORM – F6
DATA SHEET FOR CALFORNIA BEARING RATIO TEST
(AS PER IS : 2720 (PART 16))
Road Section : _______________________ Date : ____________
Location : ___________________________ Contract No: ________
PIT No. : ___________ Chainage _____________ Sample No: ___________
Sample Design ____________Description of Soil/Materials ______________________
Mould No mm
Height of Specimen in Mould (h) cc

Vol. Of Mould V2
m
Type of Test (Unsoaked/Soaked)
Method of Preparation (No. of Blows x No. of layers)
Max. Dry Density (Yar) - IS : 2720 – 8 Gm/cc
Q.M.C. (Wo) %
Initial Moisture Content (W1) %
Weight of Soil Sample Taken, (m1) gm
Water Added, M1 x (Wo-W1) cc

(100 + W1)
Weight of Mould + Base plate, M2 gm

Weight of Mould + Base Plate + Soil (Before Soaking) gm
Weight of Soil, m3-m2 (Before Soaking) %
Can No. (For Moisture Content of Composition) gm/cc
Moisture Content of Composition, Wc gm/cc
Bulk Density (Unsoaked), Y = M3-M2 hrs
Vm
Dry Density, (Unsoaked), Yd = 100y kg

100 + Wc
Total Time of Soaking hrs

Surcharge Weight kg
Wt of Mould + Base Plate + Soil, (After soaking), m4 gm
Water Content after soaking,
W3 = %
Swell Reading (in mm) offer Hours 0 hrs

24 hrs
48 hrs
72 hrs
96 hrs
Percent Swelling %
CBR Value (From Graph) of Penetration 2.5/5.0 mm
Moisture Content after Penetration %
NOTE : Rammer as Per AASHTO T-180 (Contd…)

CONTRACT NO: NAME OF LABORATORY:
BORROW PIT NO: DATE OF TESTING:
LOCATION/CHAINAGE: MOULD NO :
SAMPLE NO & DEPTH (M): NO. OF BLOWS :
DESCRIPTION OF SOIL/MATERIALS: LOAD : 1 DIV. = Kg
(Dial Guage)
Penetra Force Dial Force on Corrected *

tion of Reading Plunger (Kg) Force (Kg) Standard CBR %
Remarks
Plunger Force (Kg)
(mm) *Top Bottom Top Bottom Top Bottom Top Bottom
0.00 After Seating Load of 4.0 Kg
0.25
0.50
0.75
1.00
1.25
1.50
1.75
2.00
2.25
2.50 1370
2.75
3.00
3.25
3.50
3.75
4.00
4.25
4.50
4.75
5.00 2055
5.50
6.00
6.50
7.00
7.50
* Corrected force to be obtained from Load Penetration graph.
FORM – F7

DATA SHEET FOR FIELD DRY DENSITY TEST (SAND REPLACEMENT METHOD)
(AS PER IS:2720-PART-8)
Operator :
Date :
Description of Material :
CALIBRATION OF SAND
Sample No. :
Calibration
Mean mass of sand in cone (of pouring cylinder) (m2) g
Volume of calibrating container (V) cm3
Mass of sand (+Cylinder) before pouring (m1) g
Mean mass of sand (+Cylinder) after pouring (m 3) g
Mass of sand to fill calibrating container

(ma = m1 - m3 - m2 ) g
Bulk density of sand Ps = ma
gm/cm3
v
(Contd…)
FIELD DRY DENSITY TEST(SAND REPLACEMENT METHOD)

CHAINAGE: BORROW PIT NO. :
LAYER NO. : O M C (%) :
M D D (gm/cc) :
O.M.C (I.S. 2720 : Part 8) : %)

M.D.D - IS : 2720 – 8 gm/cc
Bulk Density of Sand , Ps gm/cc

Sand retained in cone ,m gm/cc
Test Number 1 2 3 4 5 6
Mass of wet soil from hole (mw) gm/cc
Mass of sand + cylinder before pouring gm
Mass of sand + cylinder after pouring gm
Mass of sand, ( mb = m1-m2-m) gm
Bulk density, p = mv X Ps gm/cc
mb
Container Number
Wt. of container, w gm
Wt. of wet soil container, w1 gm
Wt. of dried soil +Container, w2 gm
Wt. of moisture , w3 = (w1-w2) gm
Wt. of dry Soil w4 = (w2 –w) gm
Moiture Content m = w 3 x100 gm
w4
Dry density y = 100 p gm/cc
100+m
% compaction
Average moisture content %
Average compaction %
Acceptance Criteria
As per MORT&H specification
Clause No. 903
FORM – F8
DATA SHEET FOR GRADATION OF AGGREGATES

(AS PER IS : 2386)

TESTED BY :
OBSERVATIONS
Mass of soil Cumulative
Is Sieve Cumulative Mass Percentage
retained in percentage Remarks
Designation retained in qms. passing
gms retained
45 mm
37.5 mm
26.5 mm
22.4 mm
19.00 mm
13.2 mm
11.2 mm
9.5 mm
5.6 mm
4.75 mm
1.80 mm
2.36 mm
300 mic
90 mic
75 mic
Pan
Total
FORM – F9
DATA SHEET FOR GRADATION OF SAND
(AS PER IS : 2386)

Ref : MORT & H Specifications Clause No. 1008

TESTED BY :
GRADATION OF SAND
Cumulative Cumulative
I.S.Sieve Wt. Retained % Retained As Per Code
% Retained % Retained
10 mm
4.75 mm
2.36 mm
1.18 mm
600 mic
300 mic
150 mic
Pan
Zone :

FORM – F10
DATA SHEET FOR - NUCLEAR MOISTURE-DENSITY GAUGE
(AS PER ASTM:D 3017-88, D 2922-81, D 2950-91)

TESTED BY :
OBSERVATIONS
1. Test No. 1 2 3 4 5 6 7 8 9 10 11 12
Test Longitudinal KM
2.
Location Transverse M
3. Test depth CM
4. Count Time, sec
5. Mode of Test
6. Density bias, g/cm3
7. Moisture bias, g/cm3
MDD g/cm3
8. LAB
OMC %
9. Bulk Density g/cm3
10. Moisture Content %
11. Dry Density g/cm3
12. Compaction %
13. Avg. Compaction %
Specified Minimum
14.
Compaction %


FORM – F12
DATA SHEET FOR GRADATION FOR COARSE GRADED GRANULAR SUB-BASE
(AS PER IS:2386 & MORT&H SPECIFICATIONS Table No.400-1)

TESTED BY :
OBSERVATIONS
Mass of Cumulative Limits Percentage Passing
Cumulative
Is sieve Soil Mass Percentage is Sieve for (Table 400-1)
Percentage
Designation Retained Retained Passing
Retained Grading Grading Grading
(gm.) (gm.)
I II III
75.0 mm
53.0 mm
26.5 mm
4.75 mm
2.36 mm
0.425 mm
0.075
PAN
GRADATION CURVE
10
0
90
PERCENTAGE
80
70
60
50
40
30
20
10
0
SIEVE DESIGNATION (LOG - SCALE)

FORM – F13
DATA SHEET FOR GRADATION FOR CLOSE GRADED GRANULAR SUB-BASE
(AS PER IS:2386)

TESTED BY :
OBSERVATIONS
Mass of Cumulative Limits Percentage Passing
Cumulative is Sieve for
Is sieve Soil Mass Percentage
Percentage
Designation Retained Retained Passing Grading Grading Grading
Retained
(gm.) (gm.) I II III
75.00 mm 100 - -
53.00 mm 80 - 100 100 -
26.50 mm 55 - 90 70 - 100 100
9.50 mm 35 - 65 50 - 80 65 - 95
4.75 mm 25 - 55 40 - 65 50 - 80
2.36 mm 20 - 40 30 - 50 40 - 65
0.425 mm 10 - 25 15 – 25 20 - 35
0.075 3 - 10 3 - 10 3 - 10
PAN
GRADATION CURVE
10
0
90
PERCENTAGE
80
70
60
50
40
30
20
10
0

FORM – F14
DATA SHEET FOR TEN PERCENT FINES VALUE (AS PER IS:2386 (PART-4))

TESTED BY :
SAMPLE - GRANULAR SUB BASE
Depth of penetration: 20 mm
Time of penetration: 10 mins
Test No. 1 2 3 Remarks

Weight of aggregate passing I.S. Sieve 125 mm and
retained on 10 mm I.S.Sieve
Weight of fraction passing I.S.Sieve 2.36 mm after the
test
Weight of fraction retained on I.S.Sieve 2.36 mm after
test
Percent passing I.S.Sieve 2.36 mm
Max compressive force (KN)
10 percent fines value =
14 x X
Y+4
Where X = Loading tones
Y = mean percentages of fines from two
tests at X tones load

FORM - F15
SUMMARY OF TEST RECORD - GRANULAR SUB-BASE MATERIAL

TESTED BY :
Sl.
Tests Specified Valued Test Results
No.
1. Sample Location -
2. Date of Test -
3. Sample Identification No. -
4. Grading (Sieve Size) (See Note)
75 mm 100
53 mm
26.5 mm 55-75
9.5 mm
4.75 mm 10-30
2.36 mm
0.425 mm
0.075 mm < 10
Plasticity Modulus
Max. 90
(P.I x % Passing 0.425 mm)
5. 10% Fines Value (Wet) Max. 50 KN
6. Water Absorption 2%
7. Soundness
8. CBR at 98% of MDD Min. 75
9. MDD & OMC -
10. LL and PI 15%, 0%
11. Deleterious Constituents Nil
12. Suitability / Remarks -
13. Tested / Checked by -
14. Checked / Approved by -
Note : 1. Circle or underline non-confirming values.

FORM – F16
DATA SHEET FOR GRADATION FOR WET MIX MACADAM

TESTED BY :
OBSERVATIONS
Mass of Soil Cumulative Cumulative
Is sieve Percentage Limits Percentage
Retained Mass Retained Percentage
Designation Passing Passing
(gm.) (gm.) Retained
53.00 mm 100
45.00 mm 95 - 100
22.40 mm 60 - 80
11.20 mm 40 - 60
4.75 mm 25 - 40
2.36 mm 15 - 30
0.60 mm 8 - 22
0.075 mm 0-8
PAN
GRADATION CURVE
100
PERCENTAGE PASSING
90
80
70
60
50
40
30
20
10
0

FORM – F17
SUMMARY OF TEST RECORD – WET MIX MACADAM MATERIAL FOR SUBBASE/BASE

TESTED BY :
Sl.
Tests Specified Valued Test Results
No.
1. Sample Location (Km + meter) -
2. Date of Test -
4. Layer -
5. AIV Max 30%
6. Los Angeles Abrasion (alt to AIV) Max 40%
7. Flakiness & Elongation Index (total) Max 30%
8. Plasticity Index (%) Max 6
9. Water Absorption Max 2%
CBR Value > 100
Max 12% with
10. Soundness (if absorption exceeds 2%)
sodium sulphate
11. MDD (by heavy compaction) gm/cc -
12. OMC % -
13. Grading Percentage
I.S Sieve Size Passing
53 mm 100
45 mm 95 - 100
26.5 mm -
22.4 mm 60 - 80
11.2 mm 40 - 60
4.75 mm 25 - 40
2.36 mm 15 - 30
600 micron 8 - 22
75 micron 0-8
15. Tested by -
16. Checked / Approved by -
FORM – F18

DATA SHEET FOR FIELD DENSITY OF BITUMINOUS MACADAM
(AS PER AASHTO:T-166)
LOCATION/CHAINAGE : DATE OF SAMPLING :

SAMPLING BY : DATE OF TESTING :
TESTED BY :
OBSERVATIONS
Location Density (gm./cm3) Marshall Compaction %
Weight S.S.D. Average
Core Thickness Weight in Density
Offset L/R in water Weight Compaction
No. (mm) Air (gm) 8 = 5 x dw (gm./ 10 = 8 x 100
Chainage from Centre (gm) (gm) %
7x6 0.997 cm3) 9
Line
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
* Test Temperature of Water = ………………..0C

* dw = Density of Water at Test Temperature = ……………gm./cm 3
FORM – F19

DATA SHEET FOR MARSHALL DENSITY OF BITUMINOUS MACADAM
(AS PER AASHTO:D-1559)

TESTED BY :
OBSERVATIONS
Bitumen Specimen Specimen Saturated Surface Volume of Marshall
Sample
Content Weight in Air Weight in Dry Weight in Air Specimen Density
No.
% (gm.) Water (gm.) (gm) (cm3) (gm./cm3)
7=
1 2 3 4 5 6=5-4
(3/6)x(dw/0.997)
* Test Temperature of Water = ………………..0C

* dw = Density of Water at Test Temperature = ……………gm./cm 3
FORM – F20

DATA SHEET FOR BINDER CONTENT
(AS PER IRC:SP-11)

TESTED BY :
OBSERVATIONS
Sl.
Description Sample 1 Sample 2 Sample 3 Remarks
No.
1 Weight of Mix, W (gm.)
Weight of Sample (BOWL + MIX) Before

2
Extraction, W1 (gm.)
Weight of Sample (BOWL + MIX) After
3
Extraction, W2 (gm.)
Weight of Filter Paper Before Extraction,
4
W3 (gm.)
Weight of Filter Paper After Extraction,
5
W4 (gm.)
Bitumen Content by WT. of MIX % =
6
[( W1 - W2 ) – (W4 – W3 ) / W] x 100

FORM – F21
DATA SHEET FOR SPECIFIC GRAVITY OF BITUMEN
(AS PER IS:1202)

TESTED BY :
OBSERVATIONS
Sl. Sample Sample Sample

Description Average
No. No. 1 No. 2 No. 3
1 Weight of Pycnometer ( W1)
2 Weight of Pycnometer + Sample (W2)
3 Weight of Pycnometer + Sample + Water (W3)
4 Weight of Pycnometer + Full of Water (W4 )
5 Weight of Sample (W2 - W1)
6 Specific Gravity of Sample ( W2 - W1 )

(W4 - W1 ) – (W3 – W2)

FORM – F22
DATA SHEET FOR STRIPPING VALUE OF ROAD AGGREGATES
(AS PER IS:6241)

TESTED BY :
OBSERVATIONS
Sl. No. Stripping Percentage Remarks
Average Value :

FORM – F23
DATA SHEET FOR GRADATION FOR BITUMINOUS MACADAM (OVERLAY)
(AS PER IS:2386)

TESTED BY :
OBSERVATIONS
Limits Limits
Mass of Soil Cumulative Cumulative
Is Sieve Percentage Percentage Percentage
Retained Mass Retained Percentage
Designation Passing Passing Passing
(gm.) (gm.) Retained
Grading – I Grading – II
45.0 mm 100 -
37.5 mm 90 - 100 -
26.5 mm 75 - 100 100
22.4 mm 60 - 95 75 - 100
11.2 mm 30 - 55 50 - 85
5.6 mm 15 - 35 20 - 40
2.8 mm 5 - 20 5 - 20
0.09 mm 0-5 0-5
PAN
GRADATION CURVE
100
90
PERCENTAGE PASSING
80
70
60
50
40
30
20
10
0

FORM – F24
DATA SHEET FOR GRADATION FOR BITUMINOUS MACADAM
(PROFILE CORRECTIVE COURSE)
(AS PER IS:2386)

TESTED BY :
OBSERVATIONS
Is Sieve Mass of Soil Cumulative Cumulative Limits Percentage
Percentage
Designatio Retained Mass Retained Percentage Passing Grading
Passing
n (gm.) (gm.) Retained for P.C.C
13.2 mm 100
9.5 mm 85 - 100
6.7 mm 30 - 60
3.35 mm 15 - 25
0.075 mm 2-7
PAN
GRADATION CURVE
100
PERCENTAGE PASSING
90
80
70
60
50
40
30
20
10
0
FORM – F25

DATA SHEET FOR MARSHALL PROPERTIES OF ASPHALTIC MIX
(DAILY PRODUCTION)

TESTED BY :
Specimen Numbers 1 2 3 4
Weight in Air (Dry)
Weight in Air (with Wax)
Bitumen Percent : ………..……………
Weight in Water
Pen. Type AC :….. ……….……………
Bulk Volume (Cm3) Avg. Sp. Gr. Agg : ………..……………
Bulk Sp. Gr. Compacting Temp : ....…..……………
Avg. Bulk Sp. Gr. No. of Blows on each Face : …………
Theo Max. Sp. Gr. Effect Sp. Gr. : …..…………….………
Sp. Gr. Bitumen : ….…………..………
V.I.M (%)
Sp. Gr. Of Paraffin wax :……..………
Bitumen by Volume (%)
V.M.A. (%)
V.F.B. (%)
Stability Measured (kgf)
Volume Correction Factor
Corrected Stability (kgf)
Flow (mm)
Average Flow (mm)
Stiffness (kg / mm)
Test Method
FORM – F26
DATA SHEET FOR SPECIFIC GRAVITY OF FILLER


TESTED BY :
Sample No. 1 2
Weight of Bottle
Weight of Sample + Water
Weight of Sample
Weight of Bottle + Solvent
Weight of Bottle + Solvent + Sample
Density of Solvent
Sp. Gr. of Filler
Avg. Sp. Gr. of Filler
Remarks
FORM – F27
DATA SHEET FOR COMBINED SPECIFIC GRAVITY OF HOT BIN AGGREGATES

TESTED BY :
Size of Material % Used Average of Bulk Sp. Gravity
Combined SG :
FORM – F28
DATA SHEET FOR - DUCTILITY TEST

TESTED BY :
Trial 1 Trial 2
Grade of Bitumen = Cm Cm
Determination of ductility expressed as the

distance in centimeter to which a standard
briquette of bitumen under standard conditions
can be stretched before the thread breaks.
Average
Result : Ductility Value =
IS : 1208 – (1979)
FORM – F29
DATA SHEET FOR PENETRATION VALUE OF BITUMEN

TESTED BY :
OBSERVATIONS
Penetration in Penetration in
Sl. Type of Temp. Initial Reading Initial Reading
1 / 10 mm 1 / 10 mm Remarks
No. Material in (0C) 1/10 mm (R1) 1/10 mm (R2)
(R2 - R1) (Average)

FORM – F30
DATA SHEET FOR - TIME AND TEMPERATURE RECORD OF BITUMEN MIX

TESTED BY :
Departur Location of Paving site

Temp. At Arrival
Sl. e Time Temp. at Laying
Tipper No. departure Time at
No. from site Temp. From To
from HMP site
HMP

FORM – F31
DATA SHEET FOR BITUMEN EXTRACTION OF BM (PROFILE CORRECTIVE COURSE) / BM
(OVERLAY) / MSS

TESTED BY :
Recoded By
Recoded By
Reference
Reference
Layer No.
Layer No.
Remarks
Remarks
Bitumen
Bitumen
Content
Content
Km / m
Km / m
Sl. NO.
Sl. NO.
1 2 3 4 5 6 7 1 2 3 4 5 6 7

FORM – F32
DATA SHEET FOR TIME AND TEMPERATURE RECORD FOR BM / MSS / SD

TESTED BY :
Recorded by
Recorded by
Temperature Temperature
half hourly)
half hourly)
Time (min
Time (min
Remarks
Remarks
Km / m
Km / m
Sl. NO.
Sl. NO.
Date
Date
Rolling
Rolling
Laying
Laying
Binder
Binder
Aggr.
Aggr.
Mix
Mix
1
1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 11
0
FORM – F33

DATA SHEET FOR AGGREGATE CHARACTERISTICS FOR BITUMINOUS MACADAM (OVELAY)

TESTED BY :
E.I + Water Stripping
Remarks
Location
Grading % Passing IS Sieve A.I.V
Recorde
Km / m
Sl. NO.
F.I Absorption Value
d By
45 26.5 22.4 11.2 5.6 2.8 0.09 Ref
Ref
Ref
Ref
Ref
m mm mm mm m m mm
%
m m m
1 1 1
1 2 3 4 5 6 7 8 9 10 14 15 16 17 18 19 20
1 2 3
FORM – F34
DATA SHEET FOR AGGREGATE CHARACTERISTICS FOR BITUMINOUS MACADAM

(PROFILE CORRECTIVE COURSE)

TESTED BY :
E.I
Grading % Passing IS Sieve (mm)
Recorded By
Water Stripping
AIV +
Layer No.
Remarks
Location
Absorption Value
Km / m
Sl. NO.
F.I
45 37.5 26.5 13.2 4.75 2.36 0.3 0.075
mm mm mm mm mm mm mm mm
%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
FORM – F35
SUMMARY OF TEST RECORD - AGGREGATE FOR BITUMINOUS CONCRETE

TESTED BY :

2. Date of Test -
4. Aggregate Impact Value (AIV) Max 24 %
5. Flakiness & Elongation Index (combined) Max 30%
6. Stripping Value Min Coating 95%
a) Soundness in Sodium Sulphate Max 12 %
7.
b) Soundness in Magnesium Sulphate Max 18 %
8. Water Absorption Max 2 %
9. Grading Percentage
Grading No. Sieve Size passing
Grading 1 45 mm -
37.5 mm -
26.5 mm 100
19 mm 79-100
13.2 mm 59-79
9.5 mm 52-72
4.75 mm 35-55
2.36 mm 28-44
1.18 mm 20-34
0.6 mm 15-27
0.3 mm 10-20
0.15 mm 5-13
0.075 mm 2-8
11. Tested by -
12. Checked/Approved By -
Note : See special specification for the specified grading number of aggregate.
FORM – F36
SUMMARY OF TEST RECORD - AGGREGATE FOR DENSE BITUMINOUS MACADAM

TESTED BY :
Sl.
Tests Specified Value Test Results
No.
2. Date of Test -
4. Aggregate Impact Value Max 27 %
5. Flakiness & Elongation Index (total) Max 30%
6. Coating and Stripping Min Coating 95%
a). Soundness in Sodium Sulphate Max 12 %
7.
b). Soundness in Magnesium Sulphate Max 18 %
9. Sand Equivalent Value Not < 50
10. Percentage passing
Sieve size
Gr I Gr II
Nominal agg. Size 40 25
45 100 -
37.5 95 - 100 100
26.5 63 - 93 90 - 100
19 - 71 - 95
13.2 55 - 75 56 - 80
4.75 38 - 54 38 – 54
2.36 28 - 42 28 - 42
0.3 7 - 21 7 - 21
0.075 2-8 2-8
11. Tested by -
12. Checked/Approved By -
FORM – F37
SUMMARY OF TEST RECORD AGGREGATE FOR DENSE BITUMINOUS MACADAM MIX
TESTED BY :

Sl.
Tests JMF Specified Valued Test Results
No.

1. Sample Location (Km + meter) - -
2. Date of Test - -
3. Sample Identification No. - -
Binder Content (by weight) + 0.30 %
4.
variations
5. Grading % passing
Grading No. Sieve size For base / binder For wearing course
> 19 mm +8 +7
13.2 / 9.5 mm +7 +6
4.75 mm +6 +5
2.36, 1.18 mm,
+5 +4
600 mm
300 mic , 150 mic +4 +3
75 micron +2 + 1.5
6. Mixing Temperature + 100 C
7. Mix Properties Requirement
a) Marshal Stability Min 820 kg at 75 blows 600 C
b) Marshal Flow 2 - 4 mm
c) Air Voids 4 -7 %
d) VMA 10 -12
e) VFB 65 – 75 %
f) Binder content % by Wt.
Not less than 4.5%
Of total mix
g) Stability to flow ratio 205 - 410
h) Air voids in mix by 300
3%
blows
8. Passed / Failed Remarks -
9. Tested by -
10. Checked / approved by -
Note : 1. Fill up JMF (Job Mix Formula) column using Mix Design results
2. Location on road bed, where the mix under test is laid, is to be linked from return copy of chalan delivering
the load of mix.
3. Circle or underline the results not conforming to specification. If more than one out of 10 values of any
sample fail, investigate reasons.

FORM – F38
SUMMARY OF TEST RECORD - AGGREGATE FOR BITUMINOUS CONCRETE

TESTED BY :
Sl.
Tests Specified Value Test Results
No.

2. Date of Test -
4. Aggregate Impact Value Max AIV 24 %
Flakiness & Elongation Index
5. Max 30%
(combined)
6. Coating and Stripping Min Coating 95%
a) Soundness in Sodium Sulphate Max 12 %
7. b) Soundness in Magnesium Max 18 %
Sulphate
9. Sand Equivalent Value Min 50
10. Stone polishing Value Min 55
11. Grading
Sieve Size Grade I Grade II
26.5 mm 100 -
19 mm 79 - 100 100
9.5 mm 59 - 72 70 - 88
4.75 mm 35 - 55 53 - 79
2.36 mm 28 - 44 42 - 58
1.18 mm 20 - 34 34 - 48
600 micron 15 - 27 26 - 38
300 micron 10 - 20 18 - 28
150 micron 5 - 13 12 - 20
75 micron 2-8 4 - 10
13. Tested by -
14. Checked / Approved By -

FORM – F39
SUMMARY OF TEST RECORD - BITUMINOUS CONCRETE MIX
LOCATION/CHAINAGE: DATE OF SAMPLING :
SAMPLE NO & DEPTH (m) : DATE OF TESTING :
SAMPLING BY : TESTED BY :
Sl.
Tests JMF Specified Value Test Results
No.
1. Sample Location (Km + meter) - -
2. Date of Test - -
3. Sample Identification No. - -
4. Binder Content (by weight) + 0.30 %
5. Grading % passing
Grading No. Sieve size For base / binder For wearing course
> 19 mm +8 +7
13.2 / 9.5 mm +7 +6
4.75 mm +6 +5
2.36, 1.18 mm,
+5 +4
600 mm
300 mic , 150 mic +4 +3
75 micron +2 + 1.5
0
6. Mixing Temperature + 10 C
7. Mix Properties Requirement
a) Marshal Stability Min 1200 kg at 75 blows 600 C
b) Marshal Flow 2 - 4 mm
c) Air Voids 4-7%
d) VMA 11 - 13% 11 - 13%
i) VFB 65 – 75 %
j) Water Sensitivity (retained
Min 75 %
strength)
k) Swell Max 1.5 %
l) Binder content by Wt. Of total
Min 5.5%
mix
m) Stability flow ratio 205 - 410
n) Air voids in mix using 300
3%
blows
8. Passed / Failed Remarks -
9. Tested by -
10. Checked / approved by -
Note : 1. Fill up JMF (Job Mix Formula) column using Mix Design results
2. Location on road bed, where the mix under test is laid, is to be linked from return copy of chalan delivering
be load of mix.
3. Circle or underline the results not conforming to specification. If more than one out or 10 values of any
sample fail, investigate reasons.

FORM – F40
DATA SHEET FOR FLAKINESS INDEX AND ELONGATION INDEX

NAME OF QUARRY : DATE OF TESTING :
OBSERVATIONS
Flakiness Index Elongation Index
Passing Retained on
Sl. through I.S. I.S. Sieve Weight of the Weight of aggregate Weight of Non- Weight of aggregate
No. Sieve in size (mm) aggregate taken in each fraction Flaky aggregate in each fraction not
Size (mm) in each fraction passing Thickness taken in each passing the length
(gm.) gauge (gm.) fraction (gm.) gauge (gm.)
1. 63 50
2. 50 40
3. 40 25
4. 31.5 25
5. 25 20
6. 20 16
7. 16 12.5
8 12.5 10
9 10 6.3
W: w: W1: w1:
(w / W) x 100 : % (w1 / W1) x 100 : %
Combined F.I. + E.I = ________________%

FORM – F41
DATA SHEET FOR TESTS ON FINE AGGREGATES / SAND

SPECIFIC GRAVITY OF FINE AGGREGATES / SAND
Description 1 2 3 Average
Wt. of empty pycnometer (gms) A1
Wt. of empty pycnometer + dry sand (gms) A2

Wt. of empty pycnometer + dry sand + water
(gms) A3
Wt. of dry sand (gms) A2 - A1 = A
Wt. of pycnometer + water (gms) A4
Wt. of wet sand (gms) A3 - A4 = B
Specific Gravity of Sand = A / (A-B)
SIEVE ANALYSIS OF FINE AGGREGATES / SAND

Mass of Sand % age Cumulative
%age I.S.Zone I.S.Zone I.S.Zone
I.S.Sieve Retained Mass %age
Passing I II III
(gm) Retained Retained
10 mm 100 100 100
4.75 mm 90 - 100 90 - 100 90 - 100
2.36 mm 60 – 95 15 - 100 85 - 100
1.18 mm 30 - 70 55 - 90 75 - 100
600 micron 15 – 34 35 - 59 60 - 79
300 micron 5 - 20 8 - 30 12 - 40
150 micron 0 - 10 0 - 10 0 - 10
Total
Weight
Fineness Modulus :

FORM – F42
DATA SHEET FOR SPECIFIC GARVITY & WATER ABSORPTION TESTS ON COARSE
AGGREGATES
(AS PER IS : 2386- PART 3)

COARSE AGGREGATE SIZE LARGER THAN 10 MM

Weight of saturated aggregate in water (A)* (gm)
Weight of saturated surface-dry aggregate (gm)
in air (B)
Weight of oven dried aggregate in air (C) (gm)
Specific Gravity= C/(B-A)
Apparent specific gravity = C/(C-A)
Water absorption (% of dry weight)=100(B-C)/C %
COARSE AGGREATEB SIZE SMALLER THAN 10 MM

Weight of saturated surface-dry sample (A)** (gm)
Weight of pycnometer or gas jar with sample
and distilled water (B) (gm)
Weight of pycnometer or gas jar with distilled
water only (C) (gm)
Weight of oven-dried sample (D) (gm)
Specific gravity = D/(A-(B-C))
Apparent specific gravity = D/(D-(B-C)
Water absorption (% of dry weight)=100 (A-D)/D
NOTE : *Minimum sample Weight 2000gms
**Minimum Sample Weight 1000gms.

FORM – F43
DATA SHEET FOR SOUNDNESS OF AGGREGATE


Recording Test Data

Grading of Weight of Test Percentage
Sieve Size Weight
Original Sample Fractions Passing
Percentage Remarks
Percent Before Test Designated
Passing Retained Loss
(Retained) (gms) After Test
Soundness of Fine Aggregates
150 mic -
300 mic 150 mic
600 mic 300 mic
1.18 mm 600 mic
2.36 mm 1.18 mm
4.75 mm 2.36 mm
10 mm 4.75 mm
Total
Soundness of Coarse Aggregates

63 mm 50 mm
50 mm 40 mm
40 mm 25 mm
25 mm 20 mm
20 mm 12 mm
12 mm 10 mm
10 mm 4.75 mm
Totals

FORM – F44
DATA SHEET FOR LOS ANGELES ABRASION VALUE TEST


Cycles (33 R.P.M.) 500 No. 1 2
Initial Wight A …………….. gm
Weight Retained after Test on No. 12

B …………….. gm
Sieve
A–B
LAV = ------- x 100
A
% By Weight Passing No. 12 Sieve ………….. gm

FORM – F45
DATA SHEET FOR AGGREGATE IMPACT VALUE TEST


TEST NO
S.No. DESCRIPTION ACCEPTABLE UNIT
1 2
1. Wt. of cylindrical measure (W1) (gms)
2. Wt. of cylindrical measure + test

sample (W2) (gms)
3. Wt. of test sample placed in cylindrical

(W2-W1) (gms)
4. Wt. of crushed material passing

IS sieve 2.36 mm . (W3) (gms)
5. Aggregate impact value %

100*W3/(W2-W1)

FORM – F46
DATA SHEET FOR SUMMARY OF TEST RESULTS FOR ORDINARY PORTLAND CEMENT
(AS PER IS : 269- 1989)
SOURCE : DATE OF SAMPLING :

QUANTITY (M.TONNES): DATE OF TESTING :
SL.
NO. TEST RESULT ACCEPTABLE LIMIT
1. Fineness by BLAINE’S air permeability method Not less than 225

as per IS: 4031 (Part 2) , m2/Kg.
2. Compressive strength as per IS:4031

(Part 6), Mpa :
a. 72  1 hour Not less than 160

b. 168  2 hours Not less than 220
c. 672  4 hours Not less than 330
3. Setting time as per IS :4031 (Part 5), minutes :
a. Initial Not less than 300

b. Final Not more than 600
4. Soundnees (as per IS: 4031 (Part 3)) :
a. Lechatelier method , mm Not more than 1.

b. Autoclave method , percent Not more than 0.
5. Total Chloride content % by mass of Not more than 0.05 %

cement , as per IS: 12423- 1988
6. Total Sulphur content % (as SO3) Not more than 2.5 % &
3.0% *
7. Normal Consistency, %
CONFORMS TO SPECIFICATION DOES NOT CONFORM
(* - when tri calcium aluminate percent by mass is up to 5 or greater than 5 respectively)

FORM – F47
DATA SHEET FOR SUMMARY OF TEST RESULTS FOR CEMENT (CHEMICAL COMPOSITION)
(AS PER IS : 269- 1989 & IS : 8112)

SI. TEST RESULT ACCEPTABLE LIMIT

NO.
Ratio of percentage of lime to that of silica Not greater than 1.02 and not
1.
alumina and iron oxide less than 0.66
2. % of alumina/% Iron oxide Not less than 0.66
3. Insoluble residue, %by mass Not more than 2%
4. Magnesia , % by mass Not more than 6%

I) Not more than 2.5
5. Sulphur content, calculated as SO3,%by mass
when C3A not more
than 5%.
II) Not more than 3.0
when C3A is greater
than 5%.
6. Total chloride content, % of mass of cement
(to be treated as per IS: -1988). Not more than 0.05%.
CONFORMS TO SPECIFICATION DOES NOT CONFORM

FORM – F48
CONCRETE POUR CARD

Drawing No. Type of Concrete Mix :
Concrete Source : Site Batching Plant Total Vol. of Concrete:

Time Time Time Time Cumulative
Load Truck Air Concrete Quantity Concrete
Concrete Concrete Start Finish Slump Quantity in Remarks
No. No. Temp. Temp in M3 sample
Batch Arrive Pour Pour M3

FORM – F49
DATA SHEET FOR SUMMARY OF TEST RESULTS OF SAND FOR CONCRETE WORKS
(AS PER IS : 383 & IS : 2386)

NAME OF QUARRY :
SI. ACCEPTABLE RANGE

TESTS RESULTS
NO.
1. Grading (zone) zone I, II, III
3
2. Bulk Density (Kg/m )
3. Moisture content (%)
4. Percentage of bulking
5. Coal & lignite (%by weight) Max 1.0
6. Clay lump (%by wt.) Max 1.0
7. Material finer than 75 micron Max 3.0*
IS sieve (% by wt)
8. Shale (% by wt.) Max 1.0
9. Soundness I) 10% in sodium
sulphate.
ii) 15% in magnesium
sulphate
10. Chloride content as Cl (%)
11. Sulphate as SO4 (%)
* 15% for crushed fine aggregate

FORM – F50
DATA SHEET FOR SUMMARY OF TEST RESULTS OF COARSE AGGREGATE FOR CONCRETE
WORKS (AS PER IS : 383 & IS : 2386)

NAME OF QUARRY : TESTED BY :
SI TEST RESULT ACCEPTABLE LIMIT

NO
1. Grading 40/20/10 mm
graded aggregate
2. Coal and lignite (% by wt.) Max 1.0
3. Clay lumps (% by wt) Max 1.0
4. Material finer than 75 micron IS sieve (% by wt) Max 3.0
5. Soft flagments Nil *
6. Aggregate Impact (%) 30 %
7. Aggregate Abrasion value (%) 30 for wearing surface &

50 for others
8. Soundness (I) 12% in sodium
sulphate
(II) 18% in magnesium

sulphate
9. Flakiness Index (%) 35 %
10. Angularity Number -
11. bulk density/voids -
12. Specific gravity -
*3% for uncrushed aggregate.

FORM – F51
DATA SHEET FOR STRIPPING VALUE OF ROAD AGGREGATES (AS PER IS : 6241:1971)

NAME OF QUARRY :
STRIPPING VALUE OF ROAD AGGREGATES

METHOD : IS - 6241: 1971
Sample No. 1 2 3 4 5
Stripping value at 40
(1)
deg C (%)
(2)
(3)
Av:
Stripping value at 60
(1)
deg C (Additional to IS
6241-1971)
(2)
(3)
Av:

FORM – F52
DATA SHEET FOR – SOUNDNESS OF CEMENT (AS PER IS : 4031 (PART 3) – 1988)

SOUNDNESS OF CEMENT
AS PER IS : 4031 (PART 3) - 1998
1 2 Average
Initial length of the specimen = A (mm)
Final Length of the Specimen = B (mm)
Expansion = (B-A) mm
Remarks :

FORM – F53
SUMMARY OF TEST RESULTS FOR RC PIPES

(AS PER IS: 458 – 1988 & IS : 3597 – 1985)
SUPPLIER/MANUFACTURERS: CLASS OF PIPE :

PLACE OF TESTS: DATE OF TESTING :
INSPECTION & TESTING BY :
SL.NO Tests/Checks Test Method Results Acceptable Range
1. Dimensional Tolerances
a) Internal Diameter IS : 458 As per Table 4.10
b) Wall thickness As per Table 4.10
2. Water Absorption Tests IS: 3597 i) 2.5% for first 10
minutes immersion
ii) 6.5% for 20 hrs
immersion
3. 3-edge bearing tests IS: 3597 As per Table-3 of
(load to produce 0.25 mm IS:458-1988
crack)
4. Ultimate Load IS: 3597 As per Table-3 of
IS:458-1988
5. Hydrostatic Pressure Tests IS: 516
6. Concrete Cube compressive
strength

FORM – F54
SUMMARY OF TEST RESULTS OF WATER

(AS PER IS : 3025 – 1964)
SOURCE/LOCATION : DATE OF SAMPLING :

TO BE USED IN STRUCTURE NO: …………… DATE OF TESTING :
SAMPLING BY :
TESTED BY :
SL. PERMISSIBLE LIMIT

TEST RESULT
NO. (MAXIMUM)
1. pH Value Greater than 6
2. Chlorides, mg/1 2000 (PCC)
1000 (RCC)
500 (PSC)
3. Sulphates, mg/1 500
4. Organic solid, mg/1 200
5. Inorganic Solid, mg/1 3000
6. Suspended Solid, mg/1 2000
7. Qty. of 0.1 normal NaOH to neutralize 200 ml sample of 2 ml

water
8. Qty. of 0.1 normal NC1 to neutralize 200 ml sample of 10 ml

water
CONFORMS OF SPECIFICATION DOES NOT CONFORM

FORM – F55
SUMMARY OF TEST RESULTS OF REINFORCEMENT HYSD BARS

(AS PER IS : 1786 (GRADE 415) )
SUPPLIER/MANUFACTURER : DATE OF SAMPLING

:
DIA OF BAR, mm : DATE OF TESTING :
SAMPLING BY :
QUANTITY (M. TONNE) : TESTED BY :
TO BE USED IN STRUCTURE (name) :
SL. PERMISSIBLE
TEST RESULT
NO.
1. Weight in Kg/m As per IS: 1786
2. 0.2% Proof stress/Yield stress, N/mm2 415 (min.)

(as per IS: 1608 – 1972)
10% more than actual
3. Tensile strength, N/mm2 0.2% proof stress but not
(as per IS:1608 – 1972) less than 485 N/mm2
4. Elongation, %, on gauge length 5.65 A 14.5 (min.)

where A = Sectional area of test piece
(as per IS: 1608 – 1972).
5. Bend Test, as per IS:1599 – 1974
6. Rebend Test as per 1786
7. Deformations and Surface Characteristics

as per IS: 1786
8. Chemical Composition as per IS: 1786.
CONFORMS OF SPECIFICATION DOES NOT CONFORM

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Project: 4 Laning of Maddur – Mysore Road Section (km 82+500 to km 135+350

Excluding km 97+200 to km 101+000) of SH-17 (Bangalore - Mysore Road)

BORROW PIT NO: DATE OF SAMPLING :

Wt. Of Wt. Of dry Moisture

(gms) (gms) (gms) (gms) (gms) (%)

Remarks : Approved/Not Approved.

For Contractor For Consultant

BORROW PIT NO : DATE OF SAMPLING :

Weight of Cumulative Remarks

For Contractor For Consultant

BORROW PIT NO: DATE OF SAMPLING :

Wt. Of Container (W1), gm

Wt. Container + Wet Soil (W2) gm

Wt. Of Container +Oven-Dry-Soil

Wt, of water (W2-W3) gm

Wt, of Oven Dry Soil (W3-W1) gm

Average Moisture Content = ………..%

For Contractor For Consultant

BORROW PIT NO: DATE OF SAMPLING :

Wt. of mould (gms)

Wt. of mould + Sample (gms)

Wt. of Sample (gms)

WET Density of Sample (gms / ml)

Wt. of container + sample, g

Wt. of container + dry sample, g

Wt. of dry sample, g

Moisture content (%)

Dry Density of Sample (gms / cc)

MAX. DRY DENSITY: gm / CC O.M.C.: %

For Contractor For Consultant

BORROW PIT NO: DATE OF SAMPLING :

For Contractor For Consultant

Height of Specimen in Mould (h) cc

Type of Test (Unsoaked/Soaked)

Method of Preparation (No. of Blows x No. of layers)

Max. Dry Density (Yar) - IS : 2720 – 8 Gm/cc

Initial Moisture Content (W1) %

Weight of Soil Sample Taken, (m1) gm

Water Added, M1 x (Wo-W1) cc

Weight of Mould + Base plate, M2 gm

Dry Density, (Unsoaked), Yd = 100y kg

Total Time of Soaking hrs

Swell Reading (in mm) offer Hours 0 hrs

CBR Value (From Graph) of Penetration 2.5/5.0 mm

Moisture Content after Penetration %

NOTE : Rammer as Per AASHTO T-180 (Contd…)

For Contractor For Consultant

Penetra Force Dial Force on Corrected *

0.00 After Seating Load of 4.0 Kg

* Corrected force to be obtained from Load Penetration graph.

For Contractor For Consultant

Mean mass of sand in cone (of pouring cylinder) (m2) g

Volume of calibrating container (V) cm3

Mass of sand (+Cylinder) before pouring (m1) g

Mean mass of sand (+Cylinder) after pouring (m 3) g

Mass of sand to fill calibrating container

Bulk density of sand Ps = ma

FIELD DRY DENSITY TEST(SAND REPLACEMENT METHOD)

For Contractor For Consultant

CHAINAGE: BORROW PIT NO. :

LAYER NO. : O M C (%) :

O.M.C (I.S. 2720 : Part 8) : %)

Bulk Density of Sand , Ps gm/cc