Sample · the format only. The job, the client and the photographs are examples.
Mile High BlastersEquipment cleaning report

3600 Brighton Blvd, Denver

Form yard
Report
SAMPLE-003
Date of service
August 12, 2026
Prepared for
Platte River Forms & Flatwork
Technician
Thanh Vo
Before remediation
Before
After remediation
After
The finding

Cured concrete residue and form-release agent buildup removed from Steel gang forms (40), ride-on power trowel, mixer hopper by dry ice blasting, in place, without water or chemicals.

In place
Cleaned without taking the asset out of service.
steel and aluminum form faces; painted machine housings
Substrate
0 hr
Out of service
2
Before / after pairs
9
Photographs
01

Before and after

Pre-remediation condition
Fig. 4 · Before
Post-remediation, matched angle
Fig. 5 · After
Pre-remediation condition
Fig. 6 · Before
Post-remediation, matched angle
Fig. 7 · After
Demo footage · from the walk-through · Hardened build-up coming off the frame under the nozzle. The part a still photograph cannot show: nothing is struck, scraped or dismantled.This is a still frame. A printed or downloaded copy cannot play video — the moving version is in the online report atmilehighblasters.com/sample-report-concrete.html
02

Method and protection

Dry ice blasting (solid CO₂ media). The media sublimates on contact, so nothing is added to the surface and no secondary waste is created — only what came off has to be collected. No water, no solvents, no abrasive grit, and the substrate is not cut or profiled.

Scope
Yard day: steel gang forms, one ride-on trowel, one mixer hopper — cured residue and form-release buildup.
Asset
Steel gang forms (40), ride-on power trowel, mixer hopper
Substrate
steel and aluminum form faces; painted machine housings
Build-up removed
cured concrete residue and form-release agent buildup
Method statement
There is no industry standard governing surface cleaning of this kind, and this report does not claim one. What can be stated is the method: the media is frozen carbon dioxide, which sublimates on contact. It is non-abrasive and non-conductive, it adds no moisture and no chemistry, and it does not profile or dimension the substrate.
Masking
Adjacent surfaces and sensitive components masked before work began.
Certification
not recorded
Site on arrival
Fig. 1 · Site on arrival
The asset as found
Fig. 2 · The asset as found
Masking and protection of adjacent surfaces
Fig. 3 · Masking and protection of adjacent surfaces
Waste captured and removed
Fig. 8 · Waste captured and removed
03

Back in service

Checked back in service · No media or residue left behind

Forms restacked in rotation order and the trowel returned to the line — cleaned in the yard, on a day the equipment was already idle. No downtime was taken from a pour schedule.

Back in service
Fig. 9 · Back in service
What this cleaning is, and is not

This report records the physical removal of built-up soil from the surfaces listed, by dry ice blasting.

It is not a sanitation result and it is not a food-safety validation. No swabs or samples were taken and no laboratory analysis was performed.

Where a sanitation standard has to be demonstrated — by an auditor, an inspector or your own food-safety plan — have the surfaces validated by whoever owns that programme, after this cleaning.

04

What happens next

Build-up returns at a rate set by what the equipment runs, not by the cleaning. Where there is service history, a recommended interval is set from it; on a first visit there is nothing to base one on and none is given.Mile High Blasters
Where a sanitation standard has to be demonstrated — by an auditor, an inspector or your own food-safety plan — have the surfaces validated by whoever owns that programme, after this cleaning.Facility / operations
Anything revealed once the soil came off — wear, corrosion, a failing seal — is photographed in this report and is for whoever maintains the asset.Facility / operations
05

What this report says, and what it does not

We removed what was on it

Dry ice blasting takes off the build-up without water, chemicals or grit. That is the whole job, and it is what these photographs record.

Clean is not sanitised

Those are two different services with two different kinds of proof. This is a cleaning record. If a standard has to be demonstrated, it needs a swab from whoever owns that programme.

The equipment is not certified by this

We cleaned the surfaces. We are not saying the machine is sound, in tolerance, or fit for any particular use — that belongs to whoever maintains it.

It will build up again

How fast is set by what you run, not by how well it was cleaned. A recommended interval is in this report where there is history to base one on.

  1. This report covers only the assets and surfaces listed in it. Anything not listed was not cleaned and was not inspected.
  2. The work removes surface build-up. It does not repair, recondition or certify the equipment underneath, and it does not address the reason the build-up formed.
  3. Conditions are recorded as they were on the date of service. Build-up returns with use, at a rate set by the process, not by the cleaning.
  4. Nothing was dismantled. Internal surfaces, closed housings and anything behind a fixed guard were not reached and are outside this report.
  5. No swabs or samples were taken and no laboratory analysis was performed as part of this work.
  6. Where masking is recorded, it protected the items named. Pre-existing damage, wear or corrosion revealed once soil was removed was already there and is documented, not caused.

The observations and work recorded in this report were made and performed by the undersigned.

Thanh Vo
Technician · Mile High Blasters
08/12/2026
Date
Mile High Blasters · Denver, Colorado · info@milehighblasters.comSAMPLE-003 · Figures 1–9
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