CONCRETE CUBE TEST RESULTS

Project Title: Name of Testing Lab.:

Proj. Ref. No.: Name of Supplier:

Date of Concrete Concrete Date of Test Cube Strength Result of Action Taken for
S/N Location Cube Ref. No.
Casting Slump Grade 7-day 28-day 7-day 28-day Test Failure

Prepared by: Confirmed by: Checked by:

Name & Signature of Builder's Site Rep. Name & Signature of Site Supervisor Name & Signature of QP

Date: Date: Date:

Note: This form serves as a guideline only