FDOT Matrix Derived from Specification PCH-7 Effective 01/30/2013 Rev 2.0
FDOT Traffic Engineering Research Laboratory (TERL)
Test Lab Compliance Matrix
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Manufacturer:
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Item, Model No.:
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ID
No
Section
Requirement
The following compliance matrix criteria are for all test labs
1
PCH-7.2
1)
All test equipment used, as required by the manufacturer of the
test equipment, is independently calibrated. Test
measurements are within the calibration range indicated in the
laboratory report.
2
2)
Independent testing laboratories indicate that it and its
personnel are not in any way associated with the manufacturer
or any parent or subsidiary of same.
3
3)
The laboratory report is neatly organized in a binder that
includes tab-separated sections and contains a CD or other
storage device for storing the electronic form of the report.
4
4) a) The laboratory report contains the laboratory name, address,
phone number, and web site address.
5
4) b) The laboratory report contains the names and titles of staff
performing the test and approving test results.
6
4) c) The laboratory report contains an executive summary of test
results indicating whether the product passed (i.e. met product
specifications) or failed.
7
4) d) The laboratory report contains a description of the test
procedure and date of testing.
8
4) e) The laboratory report contains a description of the test
equipment used and certificate of calibration current at the time
of testing.
9
4) f) The laboratory report contains the test conditions.
10
11
12
13
14
Item
Comply?
(Yes/No)
4) g) The laboratory report contains the product specifications used
for testing.
4) h) The laboratory report contains the test results including a
pass/fail status relative to each test performed and supporting
test data (graphs, measured data, etc.).
4) i) The laboratory report contains the product description,
part/model number, and date of manufacture of product being
tested.
4) j) The laboratory report contains before, during, and after-test
photographs of the product being tested.
4) k) The laboratory report contains photographs of the test set-up
and location of gauges (if used).
Page 1 of 2
By signing this form, the applicant declares that he/she has read and
understands the provisions of Section 7 of the FDOT Product Certification
Handbook. The requirements listed on this matrix are derived from Section 7,
and are the basis for determining a product’s compliance and its acceptability
for use on Florida’s roads.
Comments
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TERL Evaluation
Method
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Document Review
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Document Review
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FDOT Matrix Derived from Specification PCH-7 Effective 01/30/2013 Rev 2.0
ID
No
15
Section
Item
Comply?
(Yes/No)
Requirement
4) l) The laboratory report contains a description of the location and
type of failure and photographs of each failure.
The following compliance matrix criteria are supplemental requirements for testing pull and splice boxes
16 PCH-7.3.1
a)
The laboratory report contains the weight of box and cover
tested (box and cover weighed and listed separately).
17
b)
The laboratory report contains load versus deflection graphs
for each structural load test listed in Section 7.0 of the
ANSI/SCTE 77 2010 specification (for each of the ten design
load cycles, and when loaded to the test load or failure,
whichever occurs first).
18
c)
The laboratory report contains certificates of calibration
including, but not limited to, load cells and deflection gauges.
Page 2 of 2
Comments
(Applicant must provide information as indicated)
Applicant may provide comments in this field.
TERL Evaluation
Method
Document Review
Applicant may provide comments in this field.
Document Review
Applicant may provide comments in this field.
Document Review
Applicant may provide comments in this field.
Document Review