Local, superficial damage was detected and localized on an 8 3 2-m concrete floor slab using a structural health monitoring system. A total of 30 piezoelectric transducers, placed in a grid, transmitted and received continuous ultrasonic waves that were measured using a lock-in amplifier. Tomography was used to create images from the measured amplitude and phase of the continuous waves between all possible transducer pairs. The location of damage induced by impact hits was visible in the resulting images. The signals could easily be detected even between the most distant transducer pairs, indicating the possibility of monitoring even very large concrete structures.