Acrylic Maintenance Checklist Form
Complete this form to document your acrylic maintenance inspection and checklist process.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location/Area
*
Overall Condition of Acrylic Surfaces
*
Please Select
Excellent
Good
Fair
Poor
Cleaning Performed
Dusting
Wiping with Damp Cloth
Polishing
No Cleaning Needed
Other
Issues Found
Scratches
Cracks
Cloudiness
Discoloration
None
Other
Actions Taken / Recommendations
Additional Comments
Inspector Signature
*
Submit Checklist
Submit Checklist
Should be Empty: