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APPENDIX A. SAMPLE DATA COLLECTION FORMS

Sample forms used for recording the appropriate data during the verification testing are contained in this appendix. A checklist of items to be completed, arranged in an order designed to follow the proficiency procedure from start to finish, also is included.

Inspection Date: ______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________

Channel Designation: ______________________________

Input Voltage Amplitude: (peak-to-peak, pp) _____________________


Data Collection Channels
Input Freq. (Hz) Input Voltage (pp) Data Acquisition Recorded Voltage (pp) Data Acquisition Derived Input-Output Delay (ms)
2 __ __.__ __ __ __.__ __  
4 __ __.__ __ __ __.__ __  
6 __ __.__ __ __ __.__ __  
8 __ __.__ __ __ __.__ __  
10 __ __.__ __ __ __.__ __  
12 __ __.__ __ __ __.__ __  
14 __ __.__ __ __ __.__ __  
16 __ __.__ __ __ __.__ __  
18 __ __.__ __ __ __.__ __  
20 __ __.__ __ __ __.__ __  
50 __ __.__ __ __ __.__ __ __ __ __ __

Gain Setting: ____________________________________

Filter Setting: ____________________________________

Figure 14. Form. Sample form 1—data collection channel check.


Inspection Date: _______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________


Load Cell Zero Reading
Load cell description _____________________________
Vendor _____________________________
Model number _____________________________
Serial number _____________________________
Capacity ______________ kN
Sensitivity __ . __ __ __ mV/V
ax. Zero value (±1.5 percent of sensitivity) ±1.5 percent of full scale
±__ . __ __ __ mV/V
Strain indicator error ±5 micro strain
Gauge factor on strain indicator 2
Balance range 0
Balance pot 500
Measured zero value (including strain indicator error) + or - __ __ __ micro strain
+ or - __ . __ __ __ ±0.0025 mV/V
Load cell zero values within specified tolerances? Yes / No
Last calibration date _____ /_____ / ________

Figure 15. Form. Sample form 2—determination of load cell zero reading.


Inspection Date: _______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________


Load Cell
Nominal Load Level (kN) Dial Gauge Reading Proving Ring Load Level (kN) Laboratory Load Cell (kN) Ratio of Proving Ring to Load Cell Readings
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__
__. __ __ __ __ __ __.__ __ __ __.__ __ __ __.__

Figure 16. Form. Sample form 3—load cell check.


Inspection Date: _______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________


Load versus Deformation
Nominal Target Load* (kN) Mean Applied Load (kN) Mean LVDT Reading, mm Rv=Ymax/Y min 1.1 Point within ±5%?
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No
_ _._ _ _ _._ _ _._ _ _ _ _ Yes / No Yes / No

*Load levels are dependent on the type of load cell and proving ring used to conduct the testing.

Figure 17. Form. Sample form 4—dynamic load versus deformation check.

Inspection Date: _______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________

Triaxial Chamber: Type 1/Type 2 (circle one)


Triaxial Chamber
Time, min. Pressure Level 1 (kPa) Pressure Level 2 (kPa) Pressure Level 3 (kPa) Pressure Level 4 (kPa) Pressure Level 5 (kPa)
System Gauge System Gauge System Gauge System Gauge System Gauge
0 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
1 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
2 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
3 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
4 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
5 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
6 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
7 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
8 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
9 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._
10 _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._ _ _ _._

Figure 18. Form. Sample form 5—triaxial cell check.

Inspection Date: _______/_______/__________

Laboratory Name: ______________________________

Equipment Model: ______________________________


Environmental Chamber
Time, min. Temperature Level 1 (°C) Temperature Level 2 (°C) Temperature Level 3 (°C)
System Gauge System Gauge System Gauge
0.00 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
1 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
2 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
3 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
4 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
5 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
6 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
7 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
8 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
9 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__
10 __ . __ __ . __ __ __ . __ __ __ . __ __ __ . __ __ __.__

Figure 19. Form. Sample form 6—environmental chamber check.

Equipment Availability

Check that the following items are ready prior to beginning the QC procedure:

Latest version of procedure.
_____
Computer with sufficient hardware/software for data analysis.
_____
Pressure gauge.
_____
Triaxial cell and pressure system.
_____
Loading device.
_____
Electronic load cell.
_____
Spring-loaded LVDTs.
_____
Signal excitation, conditioning, and recording equipment.
_____
All other miscellaneous equipment needed for preparing samples.
_____
Bulk material splitter.
_____
152 mm diameter split mold, minimum height of 381 mm.
_____
71 mm diameter mold, minimum height of 152 mm.
_____
Vibratory compaction device.
_____
Spacer plugs for compaction of material lifts.
_____

Electronic Systems Performance Verification Check

The electronic systems performance verification check has been successfully completed.
_____

Calibration Check and Overall System Performance Verification Procedure

Calibration check and overall system performance verification procedure has been successfully completed.
_____

Type 1 (Base/Subbase) Proficiency

Sample preparation is performed satisfactorily.
_____
Moisture content within ±1 percent of specified.
_____
Dry density within ±3 percent of specified.
_____
Specimen is compacted according to appendix B procedure.
_____
Porous stone and sample cap in place.
_____
Specimen is placed in triaxial chamber, with all lines hooked up, and no leakage is noted.
_____
Triaxial chamber checked for levelness.
_____
Initial pressure of 14 kPa applied to specimen in chamber.
_____
Apply confining pressure of 103 kPa.
_____
Load cell and LVDTs ready to begin testing.
_____
Sample is not decreasing in height after preconditioning.
_____
The type 1 (subgrade) test sequence has been performed.
_____
Remove specimen and determine moisture content.
_____
Triaxial pressure maintained within tolerance throughout testing.
_____
LVDT ratios are within acceptable tolerances.
_____
Specimen was handled appropriately throughout the test procedure.
_____

Type 2 (Subgrade) Proficiency

Sample preparation is performed satisfactorily.
_____
Moisture content within ±0.5 percent of specified.
_____
Dry density within ±3 percent of specified.
_____
Specimen is compacted according to procedure in LTPP Protocol P46.
_____
Porous stone and sample cap in place.
_____
Specimen is placed in triaxial chamber, with all lines hooked up, and no leakage is noted.
_____
Triaxial chamber checked for levelness.
_____
Initial pressure of 14 kPa applied to specimen in chamber.
_____
Apply confining pressure of 41 kPa.
_____
Load cell and LVDTs ready to begin testing.
_____
Sample is not decreasing in height after preconditioning.
_____
The type 2 (subgrade) test sequence has been performed.
_____
Remove specimen and determine moisture content.
_____
Triaxial pressure maintained within tolerance throughout testing.
_____
LVDT ratios are within acceptable tolerances.
_____
Specimen was handled appropriately throughout the test procedure.
_____

Figure 20. Form. Sample form 7—checklist for proficiency procedure

Equipment Availability

Check that the following items are ready prior to beginning the QC procedure.

Latest version of procedure.
_____
Computer with sufficient hardware/software for data analysis.
_____
Environmental chamber and temperature control system.
_____
Loading device.
_____
Diametral loading heads and specimen restraint system.
_____
Gauge points.
_____
Contact point template.
_____
Gauge point mounting system.
_____
Humidity cabinet.
_____
Data reduction and analysis system.
_____
LVDT calibration unit.
_____
Electronic load cell.
_____
Extensometers (4).
_____
Signal excitation, conditioning, and recording equipment.
_____
All other miscellaneous equipment needed for preparing samples.
_____
Masonry saw capable of cutting smooth surfaced specimens.
_____

Electronic Systems Performance Verification Check

The electronic systems performance verification check has been successfully completed.
_____

Calibration Check and Overall System Performance Verification Procedure

Calibration check and overall system performance verification procedure has been successfully completed.
_____

Proficiency Testing

Sample Preparation

Cores for testing have visible cracks or deformed in any manner.
_____
Specimens for test of one pavement layer.
_____
Specimens from one area of test specimen.
_____
Top and bottom surfaces trued as necessary.
_____
Test specimen greater than 25.4 mm but less than 53.3 mm in thickness.
_____
Core examination and thickness performed.
_____
Bulk specific gravity performed.
_____
Bulk specific gravities similar for the three candidate test specimens.
_____
Thickness measurement conducted by averaging four measurements located at quarter points around the sample perimeter and 13 to 25 mm in from the edge.
_____
Diameter measured (1) along the axis parallel to the direction of traffic and (2) the axis perpendicular to the axis measured in (1).
_____
Diameter ≥ 97.8 mm or ≤ 105.4 mm.
_____
Diametral axis marked with loading head contact template.
_____
Specimen sawn to provide smooth, parallel surfaces for mounting the measurement gauges.
_____
Gauge points attached per protocol.
_____
Samples’ temperature and moisture conditioned properly before test.
_____
Core samples in the cabinet/chamber for a minimum of 24 hours before testing at 5 °C and 25 °C.
_____
Specimens held at 40 °C for a minimum of 3 hours, but not exceeding 6 hours, before testing.
_____
Specimens stored in an environment where the temperature is maintained between 5 and 21 °C until they are to be conditioned for testing.
_____
Deformation devices mounted on sample and zeroed/rebalanced before test.
_____

Creep Compliance Testing

Load strip alignment mark on test specimen located in line of action of actuator shaft and loading strips (back and front).
_____
Specimen to strip surface in a contact condition (no obvious projections or depressions).
_____
Static load of fixed magnitude applied without impact to specimen.
_____
Fixed load produce horizontal strain of 150 to 350 micro strain.
_____
Constant static load within 2 percent of required loading during entire test procedure.
_____
Reasonable deformation response.
_____
Data collected at 10 Hz for first 10 s and 1 Hz for remaining 90 s.
_____
Initial load level achieved at end of test.
_____
Three temperatures achieved and within tolerance.
_____

Resilient Modulus Testing

Deformation devices zeroed or rebalanced prior to start of test.
_____
Correct haversine waveform produced.
_____
Reasonable deformation response.
_____
Horizontal strain in the 150 to 350 micro strain range.
_____
Data collected uniformly at 500 Hz.
_____
Five load cycles recorded.
_____
All three temperatures achieved and within tolerance.
_____

Strength Testing

All other testing complete and results checked prior to commencing test.
_____
Test performed at the correct temperature and within tolerance.
_____
Deformation devices zeroed or rebalanced prior to start of test.
_____
Load applied to specimen correctly.
_____
Data collected at 1 Hz.
_____
Test stopped when load begins to decrease.
_____

Calculations

Calculations performed completely and accurately.
_____

Completion of Data Forms

Calculations performed completely and accurately.
_____

Figure 21. Form. Sample form 8—checklist for asphalt proficiency procedure.

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Aramis Lopez
Turner Fairbank
202-493-3145
E-mail Aramis

 
 
This page last modified on 06/26/06
 

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