CONDITION REPORT

s ch e d a N° U R N°

Data File scaricato dal sito www.ass-bastioni.com

UBICAZIONE Ubicazione attuale? Responsabile dell’opera? Ubicazione provvisoria? Responsabile dell’opera? Ubicazione futura? Responsabile dell’opera? PROPRIETÀ Proprietario dell’opera: L’opera è assicurata? Si

No

In caso di risposta affermativa inserire i dati corrispondenti alla clausola assicurativa:

ALTA SORVEGLIANZA:

IDENTIFICAZIONE Artista:

Titolo:

Oggetto:

Datazione:

Dimensioni:

N° Inventario:

MATERIALI CORNICE

STRUTTURA AUSILIARE

SUPPORTO

PROTEZIONE

assente

assente

lino/cotone

assente

legno

legno

vetro

metallo

metallo

metallo

plexiglass

*altro

mat. sintetici

carta

****altro

**altro

***altro

legno MATERIALS dorato intagliato dipinto

Specificare altro: * ** *** **** STATO DI FATTO Struttura ausiliare: altro Struttura ausiliare Rottura

Mancanza ancoraggio

Deformazione

Presenza insetti

Assenza biette

Ossidazione

Supporto Rottura/Taglio/Spaccatura

Deformazione

Mancanza

Ammaccatura

Presenza insetti

Attacco biologico

Supporto: altro

Preparazione Sollevamenti

Mancanza

Abrasioni

Craquelure

Preparazione: altro

Strato pittorico

Strato pittorico: altro

Sollevamenti

Mancanza

Alterazione ritocchi

Ossidazione

Graffi

Depositi vernici/patine

Abrasioni

Craquelure Strato protettivo: altro

Strato protettivo Alterazione vernice

Graffi

Craquelure Cornice Rottura/Spaccatura

Mancanza

Graffi

Sollevamenti

Abrasione

Attacco biologico

Mancanza ancoraggio

Cornice: altro

Scala di necessità di restauro Qui sotto vengono riportati i livelli di urgenza di restauro LIVELLO 1 - intervento urgente di restauro LIVELLO 2 – intervento di manutenzione straordinaria(messa in sicurezza attraverso un intervento) LIVELLO 3 – intervento di manutenzione ordinaria( intervento preventivo) LIVELLO 4 – non necessita alcun intervento Avete allegato materiale fotografico dell’opera a questo condition report? Foto in bianco e nero

CD

Grafico

Foto dell’opera intera

Foto di particolare

Foto a colore

Si

No

Fotocolor

Ripresa video

Aggiungere dati della ditta responsabile per il trasporto dell’opera

Note

firma e timbro

Condition Report ITA.pdf

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