Concrete Pour Quality Control Report

Project Information

Project Name Location Date Pour Number Weather Conditions

Personnel

Supervisor Contractor Testing Agency

Concrete Mix Information

Supplier Mix Design No. Batch Time Target Slump (mm/inches) Target Strength (MPa/psi)

Test Results

Time Sampled	Slump (mm/inches)	Air Content (%)	Temperature (°C/°F)	Cylinder No.	Remarks

Observations

Signatures

Name	Title	Signature	Date