Moisture Condition								BS 1377 : Part 4 : 1990
Single sample/separate batches*			Location					Job ref.
Initial sample mass		g						Borehole/Pit no.
Moisture content		g	Soil description					Sample No.
Dry Mass		g						Depth			m
Mass ret. on 20mm sieve		g						Date
Mass ret. on 20mm sieve		%						Test method  BS1377: Part 4:  1990: 5
				*Delete as appropriate
Total number of blows n	Penetration or protrusion mm	Change in penetration n to 4n mm
1
2
3
4
6
8
12
16
24
32
48
64
96
128
192
256
						Operator		Checked		Approved
										Form 4A