MF109.1 Sign Off

• Client / Site

• Area details

• Conducted on

  Date

• Prepared by

Process type

• Preparation

  Finishes

• Is Mechanical Preparation Required

  Yes

  No

  N/A

• Diamond Grind

• Shotblast

• Scabble

• STR

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  Media

• Primer or DPM

  Yes

  No

  N/A

• Primer or DPM Product and Process

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  Media

• Screed

  Yes

  No

  N/A

• Screed type and depth

• Add media

  Media

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• Client Representative

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• Has The Area Been Inspected And Found To Be Finished To The Required Standard

  Yes

  No

  N/A

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  Media

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• Client Representative

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• Defect details

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  Media

• Operative Responsible Details

• Has The Operative Responsible Rectified This Defect

  Yes

  No

  N/A

• Have They Been Informed Of The Cost To Be Passed Back To Them For Rectifying This Defect

  Yes

  No

  N/A

• Is This Defect Rectifed

  Yes

  No

  N/A

• Has The Area Been Inspected And Found To Be Finished To The Required Standard

  Yes

  No

  N/A

• Add media

  Media

• McKenna Flooring Representative

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• Client Representative

  Sign

• Add media

  Media

• McKenna Flooring Representative

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• Client Representative

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