Industrial Flooring

MASTERTOP / UCRETE
Questionnaire

Preliminary enquiries

Agent:
Data:
Nr. proiectului:

Contacts

Proprietar: Contractor/Arhitect:

Address: Address:

Telephone: Telephone:

Fax: Fax:

Contact: Contact:

Nume proiect:

Adresa santier:

Suprafata:

Locatia suprafetei in cadrul santierului:

Questionnaire, industrial flooring, E CWI 1/4

 Client requirements/user requirements

1. Industry type (Food & Drinks, Electronics, Chemicals,Automotive, etc.)

 .............................................................................................................................................................

2. Aplication type (warehouse, production, offices, corridors, etc.)

 ..............................................................................................................................................................

3. Conditii de exploatare
a) mechanical stress
 traffic (machines, weight, frequence, speed, wheel type, etc.)
 impact (type and frequence)
 loading points (vertical loading, weight of the load, type and shape of the pallets, etc.)
 abrasion (pallet load, forklift load, total weight, type of whels, etc.)
 vibrations
 other

b) environment
 dry  wet

c) chemical spills
 acids  alkali  organic  other
 oils  salts  solvent

chemical concentration temperature volume/frequency*)

*) p=permanent a=by accident r=regular

d) temperatures
 minimum  steam
 maximum  other
 thermal shock

e) other
 ……………………………………………………………………………………………………………….

4. Antistatic
 AS  ESD
 norms  norms
 resistance  resistance
 other  other

5. Particular requirements
 antislip  change of levels  fire resistance
 smoothness  non dusting  plinths/skirting
 aesthetics  falls  other
 UV resistance

6. Cleaning
 manual  mechanical  chemicals  steam

Questionnaire, industrial flooring, E CWI 2/4

 Site conditions

Location
 inside  outside

 substrate  on grade  suspended  mezzanine

 other

Substrate

a) type of substrate b) age of substrate

 concrete  new
 screed  old
 metal
 brick/tiles
 other

c) substrate condition
 cracks  debonded/hollow  contaminated  existing coating
 other

d) conditions of joints
 shrinkage joints  crack inducement  expansion joints  isolation joints
joints

e) substrat moisture content

……………………………………………………………………………………………………………………….

f) damp proof membrane

……………………………………………………………………………………………………………………….

g) relative humidity

……………………………………………………………………………………………………………………….

h) smoothness

……………………………………………………………………………………………………………………….

i) falls

……………………………………………………………………………………………………………………….

j) plinth/skirting

……………………………………………………………………………………………………………………….

k) drainage

……………………………………………………………………………………………………………………….

l) colums

……………………………………………………………………………………………………………………….

Questionnaire, industrial flooring, E CWI 3/4

 Application conditions

Date of work: Duration:

Time of work: Number of phase(s) and floor(s):

 daytime  phases
 night time  floor areas
 weekend

Site conditions
 watertight below ground  closed to the element  heated

Protection required Surface preparation

 odours  shotblasting
 noise  floor plane
 dust  grinding
 spark  other
 other

Available service
 compressed air  electricity
 water  other

Questionnaire, industrial flooring, E CWI 4/4