moisture mitigation pre-installation checklist · title company general project information:...

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Title Company

GENERAL PROJECT INFORMATION:

Project Name

Building AddressStreet City State Zip

Contact Name

Phone Fax Email

CONTRACTOR INFORMATION

1) Installation Firm Floor Preparation (TEC® products)

AddressStreet City State Zip

Phone Fax Email

Installation Manager Name

2) Installation Firm (Finish Flooring)


Phone Fax Email

Installation Manager Name

3) General Contractor (If Applicable)


Phone Fax Email

Project Manager Name

Checklist

Moisture Mitigation Pre-Installation Checklist

GENERAL FLOOR DESCRIPTION (attach floor plan/s if available):

1) Floor Description

Area of floor (ft2) Multiple floors (describe)

Use of space beneath area to be protected

2) Slab thickness inches

Location of floor slab below grade on grade above grade

On or below grade - moisture vapor retarder below slab yes no

(If yes) Type of vapor retarder

Directly under concrete Under sand cushion

Above grade (type of above grade slab construction)

Elevated on steel deck Elevated structural (flat)

Elevated structural (one-way joists) Waffle slab

Other (describe)

Concrete mix design available no yes (attach)

3) Curing compound or sealer used no yes (describe and attach product data sheet)

4) Flatness / levelness (under 10 ft. straightedge or FF/ FL) especially at joints

As currently measured As specified

5) Roughness (ICRI CSP Profile - Minimum CSP-3)

6) Existing contamination (describe)

ChecklistTEC® Moisture Mitigation Pre-Installation

7) General walk-around inspection:

Ground slopes away from building no yes

Landscape irrigation against building no yes

Gutter/Drainage System

Roofing System

CONSTRUCTION JOINTS AND JOINT CONDITION:

1) Saw cuts

Spacing ft X ft Filled Not Filled

If filled, describe material used to fill

If unfilled, provide width and depth

2) Expansion / Isolation joints

Provide spacing and material used to fill

3) Joint and crack conditions

Provide width, displacement, and locations using a map--and attach drawing

BUILDING HISTORY AND EXPECTED USES:

Age of Building

Concrete placed (date) Previous flooring (type and date)

Describe building history as it pertains to moisture issues

Evidence of building movement-past, present



Anticipated uses/traffic

Anticipated underlayment name

Anticipated finish flooring (include manufacturer name, product and brand)

EVALUATED TEST DATA:

Existing Moisture Conditions (provide all that are available):

a. ASTM F2170 RH reading

Slab - Number of tests

Date and time taken

Calibration date

Range of test results

b. pH

Number of tests

Date and time taken

Range of Test Results: max / min

c. Calcium Chloride test per ASTM F1869

Number of tests

Dates conducted

Range of Test Results: max / min

d. Temperature

Ambient – Date & Time taken

Slab surface – Date & Time taken

e. Building

Enclosed – yes / no

Temperature Controlled(Service conditions) – yes / no

The information provided above is a complete and accurate accounting of the conditions present on this jobsite.I acknowledge that any false information may result in the voiding of any limited system or product warranties provided by H.B. Fuller Construction Products, Inc. for this jobsite.

Signature Date

tecspecialty.com

H.B. Fuller Construction Products Inc.1105 South Frontenac Street

Aurora, IL 60504-6451

©Copyright 2019 H.B. Fuller Construction Products Inc.TEC® is a trademark of H.B. Fuller Construction Products Inc. MMPIC R0219-20


moisture mitigation pre-installation checklist · title company general project information:...

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