safety wubmital cementicious

Spray-Applied Fire-Resistive Material (SFRM) — 29 CFR 1926.1153, 1910.134, 1926.501

Contractor / Subcontractor

Project Name

Project Location

Submittal Date

Prepared By

1. SFRM Product Information

Manufacturer

Product Name / Type

UL Design No.

Density (pcf)

Required Thickness

2. Applicable Standards & Codes

ASTM E736 — Adhesion/Bond Strength ASTM E605 — Thickness/Density Testing ASTM E119 — Fire Resistance Rating IBC Chapter 7 — Fire-Resistance-Rated Construction 29 CFR 1926.1153 — Silica Exposure Control 29 CFR 1910.134 — Respiratory Protection 29 CFR 1926.501 — Fall Protection ASTM D4541 — Pull-Off Adhesion Testing

3. Silica Exposure Control (29 CFR 1926.1153)

⚠️ Silica Hazard Notice: Cementitious SFRM contains respirable crystalline silica. The following controls are implemented:

Exposure Control Method

Competent Person Name

Air Monitoring Performed

Exposure Level (if monitored)

4. Respiratory Protection Program (29 CFR 1910.134)

Respirator Type

Fit Testing Date

Medical Evaluation Date

Cartridge Change Schedule

5. Personal Protective Equipment (PPE)

N100 / P100 Respirator (minimum) PAPR (Recommended for extended exposure) Chemical Splash Goggles Face Shield Chemical-Resistant Gloves (Nitrile/Neoprene) Tyvek or Coated Poly Coveralls Rubber Boots (Steel Toe, Slip-Resistant) Hearing Protection (NRR 25+) Hard Hat Fall Protection Harness

6. Environmental Controls

Eyewash Station Location

Handwashing Station

Containment Method

Ventilation

Cleanup Method

7. Competent Person Designation

8. Quality Control Testing

9. Environmental Monitoring Log (Template)

Test Type	Standard	Frequency	Acceptance Criteria
Wet Film Thickness	—
Dry Film Thickness	ASTM E605
Adhesion (Pull-Off)	ASTM E736 / D4541
Density	ASTM E605

Date

Location / Area

Steel Temp (F)

Ambient Temp (F)

Relative Humidity (%)

Wind Speed (mph)

DFT Reading 1

DFT Reading 2

DFT Reading 3

DFT Reading 4

DFT Reading 5

Inspector Signature

10. Attachments Checklist

Manufacturer's Product Data / Submittal Sheet UL Classification / Fire Test Report Safety Data Sheets (SDS) for all materials Silica Exposure Control Plan Respiratory Protection Program (RPP) Competent Person Qualifications / Certifications Fit Testing Records Medical Evaluation Clearance Forms AHA / JHA - SFRM Application Training Records (Silica, Fall Protection, PPE)

11. Approval Signatures

✓ Fully reusable SFRM Submittal — buttons use event delegation and will never break regardless of use count or how many times the file is opened.

SAFETY SUBMITTALS

safety submittals CEMENTICIOUS Fireproofing (SFRM)

🏗 SFRM SAFETY SUBMITTAL PACKAGE Cementitious Fireproofing