UFC 4-150-08
01 April 2001
Figure B-1. Example Deck Fitting Load Test Report
Fitting No.:____________
DECK FITTING LOAD TEST REPORT
Pre-Test Condition:
Casting
Anchor Bolts
Concrete Foundation
Size:
Size:
Geometry: ____________
(dim., ht. Above grd.)
Type :
Type :
Condition :
Condition :
Condition :
(paint, rust)
(lead fill, paint, rust)
(cracks, spalls, stains)
______________
________________
__________________
______________
________________
__________________
Distress : (cracks, abrasions)
________________________________________________________________
Description of Testing Method _____ Pull Test
___ Bolt Test
Fitting Position : (with respect to reference point)
Pre-Test Coordinates
Post-Test Coordinates
X =____________
X =___________
Y =____________
Y =___________
Z =____________
Z =___________
TEST DATE :____________________ TEST LOAD :____________________
Test Time : Start ______Finish______ TEST ANGLE :___________________
RESULTS : (Record any manifestation of distress observed, change to cracks in
foundation, rust flakes shed, foundation movement, fitting rotation, distortion, fastener
yield, etc.)
Test Director: ________________________________________ Date:__________
B-7
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