Floor Sealer Application Checklist
Complete this checklist to document each step of the floor sealer application process.
Operator/Inspector Name
*
First Name
Last Name
Date of Application
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location/Area of Application
*
Type of Floor Sealer Used (Brand/Model)
*
Batch/Lot Number of Sealer
Surface Preparation Completed?
*
Yes
No
N/A
Environmental Conditions Checked (Temperature/Humidity)
*
Yes
No
Application Method Used
*
Please Select
Roller
Brush
Sprayer
Other
Checklist: Please confirm the following steps were completed
*
Rows
Completed
N/A
Surface cleaned and free of debris
1
2
Cracks/holes repaired
3
4
Primer applied (if required)
5
6
Sealer mixed per manufacturer instructions
7
8
Proper PPE worn
9
10
Adequate ventilation ensured
11
12
Number of Coats Applied
*
Drying Time Between Coats (minutes)
Any Issues or Observations?
Final Inspection Completed?
*
Yes
No
Signature (Operator/Inspector)
*
Submit Checklist
Submit Checklist
Should be Empty: