Table #: Effect of [test material] on [mortality/immobilisation] of [test organism]

Treatment (mg a.i./L) [record measured and nominal conc. used]

No. of organ-isms at test begin

Observation period

[Time] x

[Time] xx

[Time] xxx

Cumul. no. of dead

% morta-lity

Cumul. no. of dead

% morta-lity

Cumul. no. of dead

% morta-lity

Control (dilution water only)

Replicate #1

Replicate #2

Solvent control

Replicate #1

Replicate #2

Test concentration 1

Replicate #1

Replicate #2

Test concentration 2

Replicate #1

Replicate #2

Test concentration 3

Replicate #1

Replicate #2

Test concentration n

Replicate #1

Replicate #2