Document : GSB- Form-104

Client Logo
PAINTING INSPECTION REPORT Revision : 04

Date : 24 May 2013

PROJECT : BUILDING :
CLIENT : INSPECTOR :
JOB NO. : REPORT NO. :
SURFACE PREPARATION 1 st
2 nd
3 rd
4 th
COAT 1 st
2 nd
3rd 4th COAT NO TYPE OF PAINT & BRAND DFT THINNER

DRY ABRASIVE BLASTING : ← Dry Bulb ( C)

o →

NON BLASTING : ← Wet Bulb ( C)o →

ABRASIVE MATERIAL ← Humidity (%Rh) →

SILICA STEEL GRIT ← Dew Point ( C) o →

COVER SLAG GARNET ← Steel Temp ( C) o → TOTAL

MARK NO : COAT MARK NO :

DFT AREA I DFT AREA II DFT AREA III PRIMER DFT AREA I DFT AREA II DFT AREA III SKETCH :
Point A B C D A B C D A B C D Date Date A B C D A B C D A B C D
Actual

Revisi
DFT AREA I DFT AREA II DFT AREA III SECOND DFT AREA I DFT AREA II DFT AREA III
Point A B C D A B C D A B C D Date Date A B C D A B C D A B C D
Actual
Revisi
DFT AREA I DFT AREA II DFT AREA III FINISH DFT AREA I DFT AREA II DFT AREA III
Point A B C D A B C D A B C D Date Date A B C D A B C D A B C D
Actual

Revisi
DFT AREA I DFT AREA II DFT AREA III DFT AREA I DFT AREA II DFT AREA III
Point A B C D A B C D A B C D Date Date A B C D A B C D A B C D

Actual
Revisi

Prepared by Checked by Witnessed by Approved by Note :

PT. GERBANG SARANABAJA PT. GERBANG SARANABAJA

Inspector QC. QC Manager