Template

Tie Test Report Template

by Jordan Coffin, from the Community

Use this Tie Test Report template to record and verify scaffold tie performance during installation and routine inspections. Capture base materials, anchor type, required test loads, achieved loads, torque readings, test equipment details, and calibration dates. Reference TG20/TG4 guidance, note elevations and lifts, and sign off with tester information. Helps demonstrate compliance and ensure scaffold stability and site safety.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
NJS Scaffolding Scaffold Anchor Tie Test Report
Use this scaffold anchor tie test report to document physical pull tests in line with NASC TG4. Capture client and site details, anchor type and location, base materials, the number of tests, required and achieved test loads, and pass or fail outcomes. Record test equipment used and its calibration date, attach calibration certificates, and note the installer of ties. Select the tester, sign the report, and include corrective actions or retests where needed. Supports TG20 and TG4 compliance and helps verify anchorage before scaffold use.
by Ryan Miller, from the Community
Downloads: 20+
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Template
Scaffold Anchor Tie Test Report
Use this Scaffold Anchor Tie Test Report to document physical anchor testing in accordance with NASC TG4. Capture anchor type, base materials, test locations, required and achieved test loads, and pass or fail outcomes. Record equipment details and calibration dates, attach calibration certificates, and note the installer of ties. Identify the tester, sign off, and keep an auditable record for compliance and site safety. Ideal for scaffolding contractors and site managers who need a consistent, professional way to verify anchor performance and maintain TG4 compliance across projects.
by Andrew Housecroft, from the Community
Downloads: 0
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Template
NJS Scaffolding - Scaffold Anchor Tie Test Report
This scaffold anchor tie test report template supports physical anchor testing in accordance with NASC TG4. Capture the type and location of anchors, base materials (brick, mortar joints, blockwork, timber, concrete), and the number of tests. Record required and achieved test loads, equipment and calibration details, pass or fail outcomes, installer details, and tester sign-off for compliance and traceability.
by David Kearney, from the Community
Downloads: 70+
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Template
Scaffold Anchors and Tie Pull Test Report
This Scaffold Anchors and Tie Pull Test Report template helps teams document preliminary and proof tests for scaffold ties and anchors across various base materials. Record tester details, calibration dates, tie classes and working loads, anchor types, hole dimensions and depths, applied torque, and tensile load. Track multiple tie pull tests with locations, pass or fail outcomes, and notes. Includes guidance on testing frequency, actions after failures, and best practices for distributing tests around the scaffold. Designed to verify correct installation and substrate capacity, support compliance, and provide a clear audit trail with inspector sign-off.
by Seb Lik, from the Community
Downloads: 30+
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NJS Scaffolding Scaffold Anchor Tie Test Report

Use this scaffold anchor tie test report to document physical pull tests in line with NASC TG4. Capture client and site details, anchor type and location, base materials, the number of tests, required and achieved test loads, and pass or fail outcomes. Record test equipment used and its calibration date, attach calibration certificates, and note the installer of ties. Select the tester, sign the report, and include corrective actions or retests where needed. Supports TG20 and TG4 compliance and helps verify anchorage before scaffold use.

by Ryan Miller, from the Community

20+

Get

Template

Scaffold Anchor Tie Test Report

Use this Scaffold Anchor Tie Test Report to document physical anchor testing in accordance with NASC TG4. Capture anchor type, base materials, test locations, required and achieved test loads, and pass or fail outcomes. Record equipment details and calibration dates, attach calibration certificates, and note the installer of ties. Identify the tester, sign off, and keep an auditable record for compliance and site safety. Ideal for scaffolding contractors and site managers who need a consistent, professional way to verify anchor performance and maintain TG4 compliance across projects.

by Andrew Housecroft, from the Community

Get

Template

NJS Scaffolding - Scaffold Anchor Tie Test Report

This scaffold anchor tie test report template supports physical anchor testing in accordance with NASC TG4. Capture the type and location of anchors, base materials (brick, mortar joints, blockwork, timber, concrete), and the number of tests. Record required and achieved test loads, equipment and calibration details, pass or fail outcomes, installer details, and tester sign-off for compliance and traceability.

by David Kearney, from the Community

70+

Get

Template

Scaffold Anchors and Tie Pull Test Report

This Scaffold Anchors and Tie Pull Test Report template helps teams document preliminary and proof tests for scaffold ties and anchors across various base materials. Record tester details, calibration dates, tie classes and working loads, anchor types, hole dimensions and depths, applied torque, and tensile load. Track multiple tie pull tests with locations, pass or fail outcomes, and notes. Includes guidance on testing frequency, actions after failures, and best practices for distributing tests around the scaffold. Designed to verify correct installation and substrate capacity, support compliance, and provide a clear audit trail with inspector sign-off.

by Seb Lik, from the Community

30+

Get

Tie Test Report Template

About author

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