Republic of the Philippines

Department of Public Works and Highways

Region VIII
OFFICE OF THE DISTRICT ENGINEER
Quality Assurance and Hydrology Section
Fifth Leyte Engineering District
Baybay, Leyte

WORKSHEET FOR ABRASION TEST

Project :
Original Source :
Sampled By :

Item No.
(Name and Designation)

(Office)

Sample Identification :
Date Submitted :
Lab. Report No.
Grading :

Passing
1-1/2"
1"
3/4"
1/2"
3/8"
1/4"
No. 4

SIEVE SIZE
Retained
1"
3/4"
1/2''
3/8''
1/4''
No. 4
No. 8

Weight in Grams

A. Original weight of sample, grams. . . . .

B. Weight (+) No. 12 (washed), grams. . . .
C. Percent (%) Abrasion Loss :
% Abrasion Loss = A - B / A x 100. . .
REMARKS :

Tested By :

O. R. No. :
Date :

Date Tested :

CERTIFIED CORRECT :

t in Grams

(Date)