| Laboratory Test Sheet |
| Rolling Straight Edge Testing- Details of Pavement Irregularities |
| Job No : |
| Operator : |
| Date Tested : |
| Client : |
| Site : |
| Road No : |
| Material : |
| Supplier/Source : |
| Weather: |
| Laid by: |
| Date Laid: |
| RSE No: |
| Checked to TP.IH/RSE cl.5.1 By: |
| 1 |
| Test Path: |
| 2 |
| Condition of C/W: |
| 3 |
| Start Chainage: |
| Finish Chainage: |
| Direction : |
| Direction : |
| Distance |
| Distance |
| Irregularity |
| Irregularity |
| Remarks |
| Remarks |
| 4 |
| 4 |
| 4-6 |
| 7-10 |
| +10 |
| 4-6 |
| 7-10 |
| +10 |
| Comments : |
| Tested By : Date : Checked By : Date : |
| Check Level (1/2/3) |
| Notes : 1 - See record Usage Form for details |
| 2 - In absence of specific instructions select whell path 1.2m from nearside of each traffic lane. |
| 3 - e.g. brushed / trafficked / untrafficked etc. |
| 4 - Record actual irregularity in excess of 10mm |