MnDOT TP-02264-07 (3/13)

TYPE:

COUNTY:DIST.:

(lbs.) ABUTMENT:(ft.lbs.) PIER NO.:

INSP BY:

PER FOOT

PENET IN LAST

10 (inches)

PER FOOT

PENET IN LAST

10 (inches)

FORMULA USEDMPF12 AUTHORIZED PILE LENGTHS

DISTANCEBELOW

CUT-OFF(feet)

BEARINGIN TONS

Rn (tons)

BLOWS

REMARKS ON DRIVING CONDITIONS, PRE-BORING, ETC. (IDENTIFY BY PENET. DISTANCE.)

DROP OFHAMMEROR RAM

(feet)

ENERGYPER

BLOW(ft. lbs.)

DATE:SETUP INCREASE (%)START DRIVING TIME:

END DRIVING TIME:DOWN TIME:

TOTAL DRIVING TIME:MIN. TIP ELEVATION

INSPECTOR SIGNATURE PROJECT ENGINEER SIGNATURE BRIDGE OFFICE (Initial and Date)

Minnesota Department of Transportation - Bridge Office

TEST PILE REPORT(MPF12)

PILE HAMMER DATATEST PILE NO.: BRIDGE NO.:

SINGLE ACTING (Power)

SELECT A SIZESIZE: SELECT A COUNTYSELECT A DISTRICT

BEARINGIN TONS

DISTANCEBELOW

CUT-OFF(feet)

DROP OFHAMMEROR RAM

(feet)

SUBSTRUCTURE

CONTRACTOR:

CUT-OFF ELEV. (FT):WT. RAM (PISTON):MAX. RATED ENERGY:

S.P. (OR S.A.P.) NO.:

SEE INSTRUCTIONS ON OTHER SIDE

PROJECT DESCRIPTIONPILE DATA

BLOWS

MAKE:

MODEL:

INSP. PHONE NO:

SELECT A PILE TEST PILE TYPE:

LENGTH IN LEADS (FT):

PENET.PER

BLOW(inches)

ENERGYPER

BLOW(ft. lbs.)

PENET.PER

BLOW(inches)

MnDOT TP-02264-07 (3/13)

Pile Data:

2. Show Size of pile; when using timber pile show butt and tip size to the nearest one-half inch. Be certain that

Original: County or Municipal EngineerCounty or Municipal Projects:

FOR ALL PROJECTS:Copy: Project Engineer

SHOW SKETCH BELOWShow sketch indicating location of test pile. Show North arrow.

DISTRIBUTION:State Projects:Original: Bridge Const. & Maint. Engineer (MS 610)

5. ENERGY PER BLOW (ft. lbs.) is equal to WH, for single acting power-driven hammers. 6. PENET. PER BLOW (inches) may be based on blows per foot or on a measured penetration for a given number

INSTRUCTIONS FOR COMPLETING

of blows, and should be calculated in inches and decimals of inches.

4. INSP. BY should be the pile driving inspector (print or type name).

Column Tabulation:

3. Length in Leads should be total length in leads in feet.

TEST PILE REPORT

7. BEARING IN TONS should be shown to the nearest ton.

Copy: Railroad

1. Select type of pile as CIP, H-Pile, Treated Timber, Precast Concrete, etc.

diameters comply with the specifications. Butt diameters should be measured 3 feet from the butt end.

MPF12