The successful installation of long piles driven into very dense sands relies on the occurrence of the reduction in local friction with increased pile embedment, a phenomenon known as 'friction fatigue'. The underlying mechanisms controlling friction fatigue are poorly understood, with some design methods including an adjustment for the influence of pile diameter while others do not. This paper back calculates the installation resistance of 0.356m to 2m (14in to 78in) diameter open ended piles driven into very dense sands using wave equation analyses. Cone penetration test data are used to link soil properties to installation resistance. The study illustrates consistent interpretation of a variety of case histories of open ended piles driven in very dense sands using newly developed analysis techniques and normalized parameters. Results provide information on methods for incorporating friction fatigue into drivability studies as well as a discussion of mechanisms related to pipe pile installation resistance in sandy soils.