·TESTING
DSA File No.:
·INSPECTION
DSA Appl. No.:
·ENGINEERING
LEA No.: OSHPD #:
Fireproofing Daily Field Report Project Name Project Location CTS Representative
Job No.
Date
Reported to 1 with 2 at 3 . Assignment cancelled by 4 due to 5 . Fireproofing Observed the application of Sprayed Fire-Resistive Material 10 . Brand 11 . Type 12 , being applied by 13 . Checked material for proper identification and storage 14 . Checked condition of substrate for compliance to manufacturers recommendations 15 . Performed thickness tests 16 , per ASTM E605 17 on 25% of the structural frame member 19 , columns 20 , beams 21 , girders 22 , 10% of the other than structural frame beams and each floor 23 . Floor sections 24 at the following location(s): 25 . Thickness test results are attached 26 . Observed condition of finished application for workmanship & specification compliance at the following location(s) 27 . Verified corrective measures have been applied to areas requiring re-spraying or patching 28 at the following location(s) 29 . Sampled fireproofing for density tests 30 . Size: 6" x 8" 31 , 4" x 12" 32 , (other) 33 , from the following location(s) 34 . (__#__) Samples obtained. Conformance Statement Noncompliance conditions noted were brought to the attention of 35 for corrective action. Work observed was to the best of my knowledge in conformance with approved plans, specifications and applicable standards of workmanship 36 , with the exception(s) of 37 , as follows 38 , contained in the attached noncompliance report(s) 39 .
(___) Work
was
was not inspected and sampled in accordance with DSA-approved plans and specifications.
(___) Work
was
was not inspected and sampled in accordance with OSPHD-approved plans and specifications.
Inspector Signature
Date
·TESTING
DSA File No.:
·INSPECTION
DSA Appl. No.:
·ENGINEERING
LEA No.: OSHPD #:
Fireproofing Thickness Data Sheet Project Name
Job No.
Date
Project Location CTS Representative
Member Type Columns
2 sets of 12
Beams
2 sets of 9
Joists (Trusses)
2 sets of 7
Decks
1 set of 4
*Recording all readings in 1/16"
Structure Type
Floor
Location
1
2
3
4
5
6
7
8
9
10
11
12
Avg. Spec. Thick (in) Thick (in)
*Tests performed in accordance with ASTM E605
(___) Work
was
was not inspected and sampled in accordance with DSA-approved plans and specifications.
(___) Work
was
was not inspected and sampled in accordance with OSPHD-approved plans and specifications.
CTS Inspector
Date
·TESTING
DSA File No.:
·INSPECTION
DSA Appl. No.:
·ENGINEERING
LEA No.: OSHPD #:
Fireproofing Thickness Data Sheet (continued) Structure Type
Floor
Location
1
2
3
4
5
6
7
8
9
10
11
12
Avg. Spec. Thick (in) Thick (in)
*Tests performed in accordance with ASTM E605
(___) Work
was
was not inspected and sampled in accordance with DSA-approved plans and specifications.
(___) Work
was
was not inspected and sampled in accordance with OSPHD-approved plans and specifications.
CTS Inspector
Date
· TESTING
CONSTRUCTION TESTING SERVICES
· INSPECTION
2174 Rheem Drive Ste A, Pleasanton, CA 94588 Tel (925) 462-5151 | Fax (925) 462-5183
· ENGINEERING
DSA File No.: DSA Appl. No.: LEA No.: OSHPD #:
Fireproofing Field/Lab Density Test Data Project Name:
Job No.
Lab Log No.
Sampled By:
Date:
Manufacturer: Low Density Density Requirements:
Lot #
Type:
Medium Density
High Density
Individual:
min.
Average:
min.
ASTM E605, Method 8.2 Density * Minimum Rectangular Template size of 48 sq. in. (No dimension shall be less than 3 in.) * Sample (1) for each protected element (structure type) per every 10,000 sq. ft. per floor * Obtain entire sample within rectangular template in air-tight bag. Leave paperwork attached with sample. Structure Type
Floor
Location
1
2
4
3
5
6
7
Calculated In-Lab 8
9
10
11
12
Avg. Template Template Width Thickness Length (in) (in) (in)
Dry Weight (lbs)
Test performed in accordance with CBC Section 1701.10.3/4 and ASTM E605.8.2 Average Density: ASTM E605, Method 8.3 Displacement *Alternative method to 8.2 for irregular surfaces or dimensions or for specimens that are difficult to remove from substrate *Minimum sample size 8 in3. Leave copy of test data attached with sample. Calculated In-Lab Structure Type
Location
Floor
3
Volume (cm )
Dry Weight (g)
Density (pcf)
Test performed in accordance with CBC Section 1701.10.3/4 and ASTM E605.8.3 Average Density: REMARKS:
(___) Work
was
was not inspected and sampled in accordance with DSA-approved plans and specifications.
(___) Work
was
was not inspected and sampled in accordance with OSPHD-approved plans and specifications.
CTS Inspector
Date
Density (pcf)
Testing Inspection Engineering
FIREPROOFING BOND TEST (COHESION & ADHESION) Project Name
Job No.
Date
Location
Client
Inspector(s)
Permit or OSHPD
Cohesion/Adhesion of SFRM Applied to Structural Members (ASTM E 736) Diameter of Cap (in) 3.3 Area of Cap (ft^2)
Structure
Grid Location
Bond Strength Requirement
2 0.059 Area = πd /4/144
Floor
F
F/Area
Force (lb)
Cohesion / Adhesion (psf)
Type of Failure Cohesive or Adhesive
Cohesive Failure, if separation occurred within the material Adhesive Failure, if separation occurred at the interface of the substrate and the SFRM
Notes:
Reviewed by Brad Quon, PE
psf
Date
Senior Engineer
2174 Rheem Drive, Suite A, Pleasanton, CA 94588 | (928) 462-5151 office | (925) 462-5183 fax 4770 Duckhorn Drive, Sacramento, CA 95834 | (916) 419-4747 office | (916) 419-4774 fax
Approximate Area of material involved in failure
Comments