CERTIFICATION OF CUBE MAKING

Testing carried out in accordance with: (please indicate)

BS 1881 : Part 108 BS EN 12390 2

Essential Information

Sample identity number:

Date and time of sampling:
Place of sampling:
Time of making the cubes:
Place where cubes were made:
Number of cubes made in the set:
Size of cubes:
Method of compaction (hand/vibration):
For hand tamping: number of strokes used:
For vibration: type of equipment and duration of vibration:
Identification number or codes of the cubes:
Age(s) at which cubes are to be tested:
Name of person making cubes:

Additional Information

Name of project:
Location of concrete represented by the cubes:
Name of supplier and source of the concrete:
Time of production:
Time of delivery to site:
Specification of the concrete:
Measured consistence:
Air content of concrete (if air-entrained):

Affirmation that the test was made in accordance with BS 1881: Part 108 or BS EN 12390-2 as indicated above

Name and Signature of person responsible for test: