Document Responsibility: Project Quality Standards Committee SAEP-316

Issue Date: 11 March 2015

Next Planned Update: 11 March 2020 Performance Qualification Requirements of Coating Personnel

Appendix D - Coatings Applicator Qualification Report

Name: ____________________________________________________________________
Badge No. __________________Organization_____________________________________
Mail Address _______________________________________________________________
-------------------------------------------------------------------------------------------------------------------------
___________Crew Supvr,___________Abrasive Blaster, __________Coating Applicator
____________________Industrial Coatings, ____________________Pipeline Coatings
--------------------------------------------------------------------------------------------------------------------------
Experience Details:___________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Field Demonstration:__________________________________________________________

BLASTING TEST APPLICATION TEST

Equip. Type __________________________ Type of Coating ________________________

Nozzle Size __________________________ Spray Equip. Type ____________________
Nozzle Pressure ______________________ ___________________________________
Compressor Capacity __________________ ___________________________________
Type of Abrasive ______________________ Finish Req’ts ________________________
Finish Req’ts _________________________ ___________________________________
Comments on Test Results: ___________________________________________________
________________________________________________________________________

Applicant has (passed or not passed) all requirements for a __________________________

_______________________on Mo.________________Day______________Yr.__________

______________________________ Badge No. _____________ Date _________

Certified Coatings Inspector Level II:

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