Title Page
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Job Site
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Conducted on
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Prepared by
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Location
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Team involved
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Name and Contact info for Client
JOB SCOPE and SAFETY
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Is every employee on site fit for duty and understands the work scope?
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Procedures have been reviewed and understood by all involved parties?
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How would you rate the condition of the coating application equipment?
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Specific safety measures are being followed for handling coatings?
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Have the proper concrete tests been done, and the concrete meets our standards for coating?
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Is there any extra required prep work before coating? Explain.
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Are there any additions to the work scope? Explain.
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Is the substrate prepared to the proper profile?
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What is the square footage of substrate being coated?
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Concrete Roofing System; EPX 7 mils, CU-970 60 mils, WP-357 7 mils
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Underlayment; EPX 10 mils, CU-970 20 mils, XS-350 60 mils (Silica)
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Concrete Water Tanks; EPX 10 mils, CU-970 20 mils, XS-350 60 mils
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Roof Garden; EPX 10 mils, CU-970 20 mils, XS-350 60 mils
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Traffic System 10 year; EPX 10 mils, CU-970 20 mils, XS-350 60 mils (silica), WP-357 7 mils, Aspart-X 7 mils
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Traffic System 5 year; EPX 10 mils, CU-970 60 mils (Silica), WP-357 7 mils, Aspart-x 7 mils
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Warehouse Floor; EPX- 10 mils, ASPART-X 4 mils
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Coating Metal; XPM-3 mils, XS-350 40 mils
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Coating Metal, XPM 3 mils, XS-350 60 mils
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Coating Metal, XPM 3 mils, XS-350 120 mils
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How much chemical is needed to coat this sq footage with the right system at the correct thickness? Give Gallons and Kits for each.
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Have you reviewed and understand the TDS for each of the chemicals being used in your system?
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Are the coatings being applied according to the manufacturer's instructions?
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Is each person qualified for the task given to them?
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Is the correct PPE on hand to complete the job safely?
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Are all tools and materials on hand to complete the job? If no, what's missing?
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Are there any tripping hazards or overhead hazards? Have they been identified and removed if possible?
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If working from heights, Identify the hazards and safety mechanisms put in place to mitigate risks.
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List any other safety concerns.
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Plans for mitigating those concerns.
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If this job spans more than one day, explain the plan to protect the area and the application.
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End of day, is the jobs site clean and all tools and chemical collected?
