Form CS-5 "Pile Hammer Data" - Pennsylvania

What Is Form CS-5?

This is a legal form that was released by the Pennsylvania Department of Transportation - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the Pennsylvania Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CS-5 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download Form CS-5 "Pile Hammer Data" - Pennsylvania

225 times
Rate (4.6 / 5) 11 votes
CS-5 (1-13)
PILE HAMMER DATA
www.dot.state.pa.us
County: _______________________________ S.R. & Sec.: _______________________________ ECMS#:________________________ S#: _____________________
Steam/Air Hammers
Diesel Hammers
Hydraulic Hammers
Vibratory
TYPE OF HAMMER
Single Act.
Dbl./Dif. Act.
Single Act.
Dbl. Act.
Single Act.
Dbl. Act.
Manufacturer / Model
Maximum rated energy (ft. lb.) / Stroke (ft.)
[1]
[A]
Ram
Minimum rated energy (ft. lb.) / Stroke (ft.)
Energy
Ram weight (kips)
Area of piston (Dbl. Acting) (in
2
)
Double/
Dif.
Area of small piston (Dif. Acting)
Acting
Cylinder weight (kips)
Stm/Air
Total net weight (kips)
[B] [D]
Helmet weight (kips) (include striker plate)
[5]
Material
[C]
Cap
2
Thickness (in.) / Area (in
)
Block
Modulus of elasticity (ksi) / Coefficient of restitution
Material
[6]
[E]
Pile
2
Thickness (in.) / Area (in
)
Cushion
Modulus of elasticity (ksi) / Coefficient of restitution
[F]
Type / size
[3]
Pile
Pile lengths to be driven (ft.)
Size
As ordered ASTM specification, Fy (ksi)
Data
Taper
[4]
Factored resistance (kips)
[G]
Pile tip (n/a, normal, heavy or conical)
[2]
BC-757
Splice(s) requested (Yes / No)
[1] Maximum energy & stroke at fuel input for which hammer is rated
[2] Provide vendor catalog cut of tip
[3] Size and weight of HP; butt diameter, wall thickness and trade name
of shell pipe
[4] Tip diameter, butt diameter and length of taper, e.g. 8-12-30
[5] If drive head is not an integral part of the hammer it shall not be
included in net weight
[6] Pile cushion for concrete piles only
Contractor
Date
Contractor Contact & Phone Number
CS-5 (1-13)
PILE HAMMER DATA
www.dot.state.pa.us
County: _______________________________ S.R. & Sec.: _______________________________ ECMS#:________________________ S#: _____________________
Steam/Air Hammers
Diesel Hammers
Hydraulic Hammers
Vibratory
TYPE OF HAMMER
Single Act.
Dbl./Dif. Act.
Single Act.
Dbl. Act.
Single Act.
Dbl. Act.
Manufacturer / Model
Maximum rated energy (ft. lb.) / Stroke (ft.)
[1]
[A]
Ram
Minimum rated energy (ft. lb.) / Stroke (ft.)
Energy
Ram weight (kips)
Area of piston (Dbl. Acting) (in
2
)
Double/
Dif.
Area of small piston (Dif. Acting)
Acting
Cylinder weight (kips)
Stm/Air
Total net weight (kips)
[B] [D]
Helmet weight (kips) (include striker plate)
[5]
Material
[C]
Cap
2
Thickness (in.) / Area (in
)
Block
Modulus of elasticity (ksi) / Coefficient of restitution
Material
[6]
[E]
Pile
2
Thickness (in.) / Area (in
)
Cushion
Modulus of elasticity (ksi) / Coefficient of restitution
[F]
Type / size
[3]
Pile
Pile lengths to be driven (ft.)
Size
As ordered ASTM specification, Fy (ksi)
Data
Taper
[4]
Factored resistance (kips)
[G]
Pile tip (n/a, normal, heavy or conical)
[2]
BC-757
Splice(s) requested (Yes / No)
[1] Maximum energy & stroke at fuel input for which hammer is rated
[2] Provide vendor catalog cut of tip
[3] Size and weight of HP; butt diameter, wall thickness and trade name
of shell pipe
[4] Tip diameter, butt diameter and length of taper, e.g. 8-12-30
[5] If drive head is not an integral part of the hammer it shall not be
included in net weight
[6] Pile cushion for concrete piles only
Contractor
Date
Contractor Contact & Phone Number