LABORATORY ASSESSMENT REPORT

Laboratory Name: ________________________________________ Date: ___/___/____

Civil Engineer: ___________________________________________________________

Geotechnical Engineer: ____________________________________________________

Laboratory Manager: ______________________________________________________

Other: __________________________________________________________________

1. SOILS AND AGGREGATE

Evaluation Records ASTM D3740
1. Y N AMRL Participation # ______: SOIL AGG. A/C METALS
Last assessment: ___/___/____
2. AASHTO Proficiency Sample Program (PSP) Participation # ______: SOIL AGG.
A/C METALS
Last sample report: ___/___/____
Equipment
3. Y N Scales and balances calib. by: _________________________________
Calibration / Verification Date: ___/___/____
4. Y N Sample splitters coarse/fine ASTM C702
5. Y N Mechanical shakers ASTM C136
6. Y N Ovens ASTM D1557
7. Y N Sieves __________________ calib. by:__________________________
Calibration / Verification Date: ___/___/____
8. Y N Compaction Molds ASTM D1557
9. Y N Sand equivalent apparatus ASTM D2419
10. Y N Liquid limit Device ASTM D4318
11. Y N Thermometers ASTM E77
12. Y N Straight Edges ASTM D1557
13. Y N Calipers ASTM D3740
14. Y N Sand cone apparatus ASTM D1556
15. Y N Sand ASTM D1556
16. Y N Nuclear density gauges
17. Y N Kneading compactor (R value) _________ calib. by: ________________

2. REINFORCING STEEL
Equipment ASTM A370
1. Y N Grips and shims
2. Y N Bend fixture and pins
3. Y N Extensometer for cable testing
4. Y N Grip apparatus for bolt testing
5. Y N Bend test apparatus for weld coupons
 6. Y N Measuring tools for area and elongation __________________________
Universal Testing Machine ASTM E4
Machine Information:
7. Y N Maker: _____________________ Identification Number: ____________
Capacity: ________/K
Calibration Information:
8. Y N Calibration / Verification Date: ___/___/____ By: __________________

3. CONCRETE
Evaluation Records ASTM C1077
1. Y N Cement and Concrete Reference Laboratory (CCRL) Participation #:
MASONRY AGG. CONCRETE REINFORCING
Last assessment: ___/___/____
2. Y N PSP Participation # ________: MASONRY AGG. CONCRETE
REINFORCING
Last sample report: ___/___/____
Procedures / Records
3. Y N Specimen identification procedures
4. Y N Specimen initial curing procedures
5. Y N Transportation of specimens to laboratory
6. Y N Cylindrical molds ASTM C470
Date: ___/___/____
Curing Facilities ASTM C511
Moist Room:
7. Y N Surfaces of all specimens moist
8. Y N Spray not dripping directly on cylinders
9. Y N Thermostatically controlled heating cooling
Y N Recording thermometer check/review charts ASTM C511 calib. by:
_________________________________ Calibration / Verification Date: ___/___/____
10. Y N Temperature @ 23.0 ± 2.0 °C ___________________________________
DSA _______°F/C Ref. _______ °F/C Rec. _______°F/C
11. Humidity not less than 95% ________________________________________________
Water Tanks:
12. Y N Water saturated with high calcium hydrated lime
13. Y N Thermostatically controlled heating cooling
14. Y N Recording thermometer for each tank ASTM C511 calib. by:
_________________________________ Calibration / Verification Date: ___/___/____
15. Y N Recording thermometer for tanks connected with water circulating
16. Y N Temperature @ 23.0 ± 2.0 ° C ___________________________________
17. DSA _______°F/C Ref. _______ °F/C Rec. _______°F/C
Capping Facilities ASTM C617
Equipment:
18. Y N Capping plate (steel machined) > ½" thick
19. Y N Capping plate 1" greater than specimen
20. Y N Working surface plainness < .002 in 6"
21. Y N Free of gouges etc. > .010 deep or .05 surface area
22. Y N Plate with recess requires ½" of plate below
23. Y N Recess in plate ½" or less
24. Y N Alignment device perpendicular within 1/8" – 12"
25. Y N Melting pot for sulfur mortars
26. Y N Exhaust hood
27. Y N 2" cube mold with cover plate ASTM C617
28. Y N Straight edge with feeler gage
29. Y N All metal thermometer
Records of Capping Material: ASTM C617
Trade name or composition __________________________________________________
30. Y N Records compressive strength
Calibration / Verification Date: ___/___/____ by: _____________________________
31. Y N Daily check of planeness of caps
32. Y N Un-bonded pad usage records ASTM C1231
33. Y N Technician certification _______________________________________
Name:
Compression Testing Machine
Machine Information: ASTM C39
34. Y N Maker: _____________________ Identification Number: ____________
Capacity: ________/K
Calibration Information: ASTM E4
35. Y N Calibration / Verification Date: ___/___/____ by: __________________
Apparatus:
36. Y N Sufficient capacity and load rate _________________________________
37. Y N Lubricated spherical bearing block _______________________________
38. Y N Blocks plane to .001" in 6" _____________________________________
39. Y N Bottom bearing block 1" thick, new .9 used ________________________
40. Y N Unbonded caps ASTM C1231 ___________________________________
41. Y N Measuring tools ______________________________________________
Field Equipment
42. Y N Slump cones ASTM C143 calib. by:
Calibration / Verification Date: ___/___/____ by: ______________________________
43. Y N Air meter – volumetric ASTM C173 calib. by:
Calibration / Verification Date: ___/___/____ by: ______________________________
44. Y N Air meter – pressure ASTM C231 calib. by:
Calibration / Verification Date: ___/___/____ by: ______________________________
45. Y N Rebar locator (Pachometer/GPR) _________________________________
46. Y N Torque test equipment ASTM E2428 calib. by:
Calibration / Verification Date: ___/___/____ by: ______________________________
47. Y N Proof load test equipment ASTM E488 calib. by:
Calibration / Verification Date: ___/___/____ by: ______________________________
4. MASONRY
Basic Equipment:
1. Y N Core shear test apparatus (Minimum core diameter reduced from 6 to 3-
3/4 inches to reduce the probability of hitting rebar, Cores to be taken so as to exclude
masonry unit webs and Requirement for compression testing repealed, since materials
and workmanship can be determined from visual examination and shear tests.)
2. Y N Wet saw
3. Y N Length change apparatus ASTM C426
4. Y N Cooling Chamber
Measurement
Equipment: ASTM C140
5. Y N Steel scale to 1/10"
6. Y N Calipers
7. Y N Cube molds and tampers ASTM C109
Oven:
8. Y N Oven of sufficient size ASTM C1093
9. Y N Ventilated oven controlled to 100° to 115°C?
Compression Testing Machine
Machine Information: ASTM C39
10. Y N Maker: Identification Number: Capacity: /K
Calibration Information: ASTM E4
11. Y N Calibration / Verification Date: / / By:
Bearing Blocks:
12. Y N Spherically seated block Upper: Lower:
13. Y N Blocks plane to 0.001" in 6"? Upper: Lower:
14. Y N Bearing face at least 6" in diameter?
Bearing Plates: ASTM C140
15. Y N Single thickness plate
16. Y N Adequate thickness
17. Y N ¼" greater than the specimen plate dimensions
Capping Plates: ASTM C1552
18. Y N Plate made of steel
19. Y N Thickness not less than 1"
20. Y N Capping surface level within 1/16"?
21. Y N Plane to .003" in 16"?
Casting Plates: ASTM C1552
22. Y N Made of transparent glass
23. Y N Thickness not less than ½"
24. Y N Plane to .003" in 16"

5. STEEL / WELDING
Field Equipment
1. Y N Bolt tension calibrator calib. by:
Calibration / Verification Date: / /
2. Y N 200 to 600 ft. / lb. torque wrench ASTM E2428 calib. by:
Calibration / Verification Date: / /
3. Y N 4 to 1 multiplier Corrective Action Date / / Required
 4. Y N Assortment of high impact sockets
5. Y N Thickness gauges
6. Y N Rockwell hardness ASTM E18 calib. by:
Calibration Date: / /
7. Y N Brinell hardness ASTM E10 calib. by:
Calibration Date: / /
8. Y N Fillet weld test gauge
9. Y N Impact ASTM E23
10. Y N Dye penetrant test equipment ASTM E165
11. Y N Magnetic particle test equipment ASTM E709 calib. by:
Calibration / Verification Date: / /
12. Y N Ultrasonic test equipment ASTM E164 calib. by:
Calibration / Verification Date: / /
13. Y N Radiographic test equipment
14. Y N DC volt / ammeters calib. by:
Calibration / Verification Date: / /

6. REQUIRED REFERENCE MATERIAL

Codes and Standards

American Concrete Institute (ACI)

1. 318-08 Y N
2. 530-08 Y N

American Institute of Steel Construction (AISC)

3. 341-05 Y N
4. 360-05 Y N

American Welding Society (AWS)

5. Structural Welding Code –Steel D1.1-06 Y N
6. Structural Welding Code –Sheet Steel D1.3 Y N
7. Structural Welding Code –Reinforcing D1.4-05 American Society for Nondestructive Testing
(ASNT) Y N
8. CP-189-2001 Y N
9. Written Practice for Nondestructive Testing

Annual Book of ASTM Standards:

10. Y N Volume 01.04 Steel; Structural and Reinforcing year: ______
11. Y N Volume 03.03 Nondestructive Testing year: ______
12. Y N Volume 04.01 Cement, Lime, and Gypsum year: ______
13. Y N Volume 04.02 Concrete and Aggregates year: ______
14. Y N Volume 04.03 Road and Paving Materials year: ______

15. Y N Volume 04.05 Mortars, Grouts, and Masonry year: ______

16. Y N Volume 04.08 Soil and Rock year: ______
AAP – AASHTO Accreditation Program

A2LA – American Association for Laboratory Accreditation

IAS – International Accreditation Service

NVLAP – National Voluntary Laboratory Accreditation Program

CCRL – Cement and Concrete Reference Laboratory