DAY

SURFACE PREPARATION
DATE
and TIME
BEFORE 1st COAT FORM

NAME OF SHIP :

PLATE NUMBER :

INSPECTION DATE :

ENVIRONMENT
ITEM CHECK STANDARD BEFORE WEATHER CHANGES REMARKS

MEASURED TIME

DUST CLEAN

AIR TEMPERATURE °C

RELATIVE HUMIDITY % ≤ 85%

DEW POINT %
≥ 3°C than
SURFACE STEEL TEMPERATURE °C
Dew Poin

SURFACE PREPARATION REMARKS

SURFACE PROFILE

WATER SOLUBLE SALTS

mg/m² of NaCl

SHOP PRIMER REMARKS

MANUFACTURER

PRODUCT NAME

IDENTIFICATION MARK / NUMBER

MANUFACTURE RECOMMENDED DFT

PSR / DAYA SEBAR CAT

OVERCOATING @ 25°C MIN

MAX

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY

SURFACE RESULT AFTER BLASTING

DATE
TIME
FORM

Standard Steel
Surface before
coating

SURFACE BEFORE COATED OR RESULT OF FULL BLASTING

BOTTOP AREA
 DAY

SURFACE RESULT AFTER BLASTING

DATE
TIME
FORM

VERTICAL
BOTTOM AREA

FLATT BOTTOM
AREA
 DAY

SURFACE RESULT AFTER BLASTING

DATE
TIME
FORM

FLATT BOTTOM
AREA

TOPSIDE &
BULLWARK AREA
 DAY

SURFACE RESULT AFTER BLASTING

DATE
TIME
FORM

EXTERNAL DECK
AREA

NOTE :
- Pada setiap bagian AREA diwakili dengan 6 gambar / Photo, diambil pada posisi random dan merata
- Setiap photo dilengkapi dengan tanggal

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
APLICATION 1ˢᵗ COAT TIME
FORM

START END
ITEM CHECK AREA
DATE - TIME DATE - TIME
BOTTOP
VERTICAL BOTTOM
FLAT BOTTOM
MEASURED TIME
TOPSIDE
BULLWARK
MAINDECK

ITEM CHECK STANDARD BEFORE WEATHER CHANGES REMARKS

WEATHER / WIND
AIR TEMPERATURE DRY °C
WET °C
RELATIVE HUMIDITY % ≤ 85%
DEW POINT %
≥ 3°C than
SURFACE STEEL TEMPERATURE °C
Dew Poin
DUST CLEAN

OIL CONTAMINATION CLEAN

WATER SOLUBLE SALTS
(mg/m2 of NaCl)
Konsumsi CAT liter
Konsumsi THINNER liter
Coatings to be free from:
SURFACE CONDITION AFTER Sags, runs and puddles
COATING Craters, Pinholes, Bubbles, Holidays,
Inclusions and Other defects

DRY FILM THICKNESS MEASUREMENT UNIT (µm) REMARKS

POINT I
POINT II
POINT III
POINT IV
POINT V
POINT VI

MAXIMUM THICKNESS (µm)

MINIMUM THICKNESS (µm)

NOTE :
- Pengambilan point DFT HARUS DISAKSIKAN OLEH OS, dan diambil pada posisi random dan merata
- Pelaksanaan coating layer selanjutnya dilaksanakan setelah OS sudah approve

Prepared By Whitness And Approve By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY

SURFACE RESULT AFTER 1ˢᵗ COATING

DATE
TIME
FORM

Standard Steel Surface after 1ˢᵗ coating

SURFACE BEFORE COATED OR RESULT OF FULL BLASTING

BOTTOP AREA
 DAY

SURFACE RESULT AFTER 1ˢᵗ COATING

DATE
TIME
FORM

VERTICAL
BOTTOM AREA

FLATT BOTTOM
AREA
 DAY

SURFACE RESULT AFTER 1ˢᵗ COATING

DATE
TIME
FORM

FLATT BOTTOM
AREA

TOPSIDE &
BULLWARK AREA
 DAY

SURFACE RESULT AFTER 1ˢᵗ COATING

DATE
TIME
FORM

EXTERNAL DECK
AREA

NOTE :
- Pada setiap bagian AREA diwakili dengan 6 gambar / Photo, diambil pada posisi random dan merata
- Setiap photo dilengkapi dengan tanggal

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
SURFACE RESULT AFTER 1ˢᵗ COATING TIME
FORM

KESELURUHAN DEPAN DEPAN KANAN DEPAN KIRI

KAPAL

BELAKANG BELAKANG KANAN BELAKANG KIRI

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
APLICATION 2ᴺᴰ COAT TIME
FORM

START END
ITEM CHECK AREA
DATE - TIME DATE - TIME
INTERVAL TIME AFTER 1ˢᵗ LAYER Hour
BOTTOP
VERTICAL BOTTOM
FLAT BOTTOM
MEASURED TIME
TOPSIDE
BULLWARK
MAINDECK

ITEM CHECK STANDARD BEFORE WEATHER CHANGES REMARKS

WEATHER / WIND
AIR TEMPERATURE DRY °C
WET °C
RELATIVE HUMIDITY % ≤ 85%
DEW POINT %
≥ 3°C than
SURFACE STEEL TEMPERATURE °C
Dew Poin
DUST CLEAN

OIL CONTAMINATION CLEAN

WATER SOLUBLE SALTS
(mg/m2 of NaCl)
Konsumsi CAT liter
Konsumsi THINNER liter
Coatings to be free from:
SURFACE CONDITION AFTER Sags, runs and puddles
COATING Craters, Pinholes, Bubbles, Holidays,
Inclusions and Other defects

DRY FILM THICKNESS MEASUREMENT UNIT (µm) REMARKS

POINT I
POINT II
POINT III
POINT IV
POINT V
POINT VI

MAXIMUM THICKNESS (µm)

MINIMUM THICKNESS (µm)

NOTE :
- Pengambilan point DFT HARUS DISAKSIKAN OLEH OS, dan diambil pada posisi random dan merata
- Pelaksanaan coating layer selanjutnya dilaksanakan setelah OS sudah approve

Prepared By Whitness And Approve By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY

SURFACE RESULT AFTER 2ᴺᴰ COATING

DATE
TIME
FORM

Standard Steel Surface after 1ˢᵗ coating

SURFACE BEFORE COATED OR RESULT OF FULL BLASTING

BOTTOP AREA
 DAY

SURFACE RESULT AFTER 2ᴺᴰ COATING

DATE
TIME
FORM

VERTICAL
BOTTOM AREA

FLATT BOTTOM
AREA
 DAY

SURFACE RESULT AFTER 2ᴺᴰ COATING

DATE
TIME
FORM

FLATT BOTTOM
AREA

TOPSIDE &
BULLWARK AREA
 DAY

SURFACE RESULT AFTER 2ᴺᴰ COATING

DATE
TIME
FORM

EXTERNAL DECK
AREA

NOTE :
- Pada setiap bagian AREA diwakili dengan 6 gambar / Photo, diambil pada posisi random dan merata
- Setiap photo dilengkapi dengan tanggal

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
SURFACE RESULT AFTER 2ᴺᴰ COATING TIME
FORM

KESELURUHAN DEPAN DEPAN KANAN DEPAN KIRI

KAPAL

BELAKANG BELAKANG KANAN BELAKANG KIRI

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
APLICATION FINISH COAT TIME
FORM

START END
ITEM CHECK AREA
DATE - TIME DATE - TIME
INTERVAL TIME AFTER 2ᴺᴰ LAYER Hour
BOTTOP
VERTICAL BOTTOM
FLAT BOTTOM
MEASURED TIME
TOPSIDE
BULLWARK
MAINDECK

ITEM CHECK STANDARD BEFORE WEATHER CHANGES REMARKS

WEATHER / WIND
AIR TEMPERATURE DRY °C
WET °C
RELATIVE HUMIDITY % ≤ 85%
DEW POINT %
≥ 3°C than
SURFACE STEEL TEMPERATURE °C
Dew Poin
DUST CLEAN

OIL CONTAMINATION CLEAN

WATER SOLUBLE SALTS
(mg/m2 of NaCl)
Konsumsi CAT liter
Konsumsi THINNER liter
Coatings to be free from:
SURFACE CONDITION AFTER Sags, runs and puddles
COATING Craters, Pinholes, Bubbles, Holidays,
Inclusions and Other defects

DRY FILM THICKNESS MEASUREMENT UNIT (µm) REMARKS

POINT I
POINT II
POINT III
POINT IV
POINT V
POINT VI

MAXIMUM THICKNESS (µm)

MINIMUM THICKNESS (µm)

NOTE :
- Pengambilan point DFT HARUS DISAKSIKAN OLEH OS, dan diambil pada posisi random dan merata
- Coating dinyatakan selesai, setelah OS sudah approve

Prepared By Whitness And Approve By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY

SURFACE RESULT FINISH COAT

DATE
TIME
FORM

Standard Steel Surface after 1ˢᵗ coating

SURFACE BEFORE COATED OR RESULT OF FULL BLASTING

BOTTOP AREA
 DAY

SURFACE RESULT FINISH COAT

DATE
TIME
FORM

VERTICAL
BOTTOM AREA

FLATT BOTTOM
AREA
 DAY

SURFACE RESULT FINISH COAT

DATE
TIME
FORM

FLATT BOTTOM
AREA

TOPSIDE &
BULLWARK AREA
 DAY

SURFACE RESULT FINISH COAT

DATE
TIME
FORM

EXTERNAL DECK
AREA

NOTE :
- Pada setiap bagian AREA diwakili dengan 6 gambar / Photo, diambil pada posisi random dan merata
- Setiap photo dilengkapi dengan tanggal

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT

 DAY
DATE
SURFACE RESULT FINISH COAT TIME
FORM

KESELURUHAN DEPAN DEPAN KANAN DEPAN KIRI

KAPAL

BELAKANG BELAKANG KANAN BELAKANG KIRI

Prepared By Whitness By Approve By

COATING INSPECTOR OWNER SUPERINTENDENT