Project Management Paint Removal Inspection

PROJECT MANAGEMENT PAINT REMOVAL INSPECTION

Project Identification

Client Name:    Client Contact:

Service Provider:    Project Manager:

Inspector Name:    Inspector License/Cert #:

Inspection Date:    Inspection Start Time:    Inspection End Time:

Scope of Work

The Service Provider shall perform paint removal and associated activities described below. The Inspector will verify compliance with the Scope and Acceptance Criteria listed in this document.

Deliverables & Acceptance Criteria

Each deliverable must be inspected and accepted by the Client or authorized representative in accordance with the acceptance criteria set forth below.

Inspection Findings

Containment and Controls (check all that apply):

Negative pressure enclosure    HEPA filtration    Physical containment/barriers    Decontamination unit on site

Methods used for paint removal:

Chemical stripping    Abrasive blasting    Mechanical scraping/sanding    Heat application

Lead-based paint    Suspected asbestos-containing material    Suspected PCBs    Other:

Timeline & Milestones

Scheduled Start Date:    Scheduled End Date:

Target Date:

Target Date:

Budget & Payment

Change orders required when cost impact exceeds:

Observations, Non-Conformance & Corrective Action

Acceptance & Certification

The undersigned certify that, to the best of their knowledge, the inspection and any associated testing were performed in accordance with the Scope of Work, industry standards, and applicable safety requirements. Acceptance of deliverables requires written sign-off by the Client or authorized representative.

Work Conforms to Requirements: Yes    No (see Non-Conformance section)

Confidentiality & Governing Law

The parties acknowledge that information gathered during inspections, including laboratory results and proprietary methods, may be confidential. Each party agrees not to disclose Confidential Information obtained under this Inspection except as required by law or with prior written consent of the other party.

Governing Law: The validity and interpretation of this Inspection Report and any dispute arising under it will be governed by the laws of:

Inspector Certification

I certify that the inspection documented herein reflects the conditions observed and the methods used. I further certify that sampling and testing were performed consistent with accepted practices and that the results reported are accurate to the best of my knowledge.

Inspector Printed Name:    License/Cert #:

Sign Now