Clear Form
Michigan Department
of Transportation
FOUNDATION PILING RECORD File 307
1161 (02/20) Attach pile layout sketch showing footing outline and numbering of piles. Identify test piles.
DISTRIBUTION: ORIGINAL -Construction Engineer, COPIES - Region Soil/Materials Engineer
Bureau of Bridges and Structures - Geotechnical Services Section, Bridge Design
CONTRACT ID
I PROJECT NO.
I STRUCTURE NO. ROUTE
SHEET
CROSSING
TYPE OF PILE
I CONTRACTOR
WEIGHT PER FOOT
I SUBST. UNIT
MAKE, MODEL & TYPE OF HAMMER
OF
ENERGY PER BLOW (kip ft) WEIGHT OF RAM ryJr) (lbs) COEFFICIENT OF RESTITUTION (k)
I WEIGHT OF DRIVEN PARTS (not including
pile) (lbs)
BLOWS BEARING ORIGINAL SPLICE TOTAL CUT-OFF DRIVEN MOOT QA VERIFICATION*
DATE
ITEM PILE NO. Per CAPACITY LENGTH LENGTH LENGTH LENGTH LENGTH
DRIVEN
FOOT (tons) (ft) (ft) (ft) (ft) (ft) Welded Splices
# of Splices
Accepted
TOTAL THIS SHEET
TOTAL THIS UNIT
AVERAGE
DEPTH AND DIAMETER OF PREBORE
REMARKS
INSPECTOR CONSTRUCTION ENGINEER DATE
* QA verification shall be performed on a minimum of 10% of the piles. See the MOOT Field Manual for Pile Welding for more details.