School
Assessor
Jeffrey Klenk
Date
Air Distribution and Terminal System (Assess 2-3 Locations per HVAC Zone)
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, noise or vibration
|
Yes
|
|
Clean, no obstructions
|
Yes
|
|
Free from signs of moisture/mold, insects or rodents?
|
Yes
|
|
No noticeable air leaks
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Ceiling Tiles | ||
Tight seal on all tiles
|
Yes
|
|
No stained/damaged tiles indicating high RH or moisture problem
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors or unusual sounds
|
Yes
|
|
Clean, no excess dirt or moisture
|
Yes
|
|
No obstruction to air flow
|
Yes Work Order Closed by Building Maintenance
|
The return air grille in room 103 is obstructed by a tall piece of vertical case work (located near window) and heavy dust buildup is behind the case work and on the return air grille. School custodial staff is to move the case work and clean the area behind and return air grille. School administration is to ensure air returns located on the walls are not obstructed, and if so, to have furniture removed or arrange so not to obstruct (keep at least 3' cleared from all sides of the air return.
|
No purposely placed obstruction indicating occupant distress
|
Yes Work Order Closed by Building Maintenance
|
The supply air diffusers in room 114 are missing. Work order 250724.
|
| Location | ||
No short circuiting between supply and return
|
Yes
|
|
| Doors | ||
Doors not tight or difficult to close indicating large pressure differential
|
Yes
|
|
Building
| Check | OK | Comments |
|---|---|---|
| Foundation | ||
No moisture penetration or signs of mold?
|
Yes
|
|
| Doors and Windows | ||
Caulking and weather stripping in good condition
|
Yes Work Order Closed by Building Maintenance
|
Heavy amount of mineral salts were observed on the cement block wall below a chalkboard and near a window in room 111. The chalkboard was removed to observe for mold growth. Mold growth was not observed on the wall or backing of the chalkboard. However, past moisture intrusion was observed (swelled backing of chalkboard and dried blistering paint on the wall). The findings appear to be from past damage and resolved when roofing system was replaced. A work order will be generated to refinish walls after receiving results from chalkboard adhesive dot samples to identify if they contain asbestos or not. Work order 252616.
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
Portable 238 has an aerosol air freshener. School administration is to have the item removed from the school and inform staff that these products can be a potential irritant to other individuals.
Portable 241 had an non-HCPSS air purifier which has the capability to use essential oils (when inserted) and an ionizer (when pressing designated control button). Air purifiers that are solely HEPA and/or charcoal filtered are permitted. Any other type is not permitted and should be removed as it has the potential to hinder IEQ.
|
No stained or damage ceiling tiles
|
Yes Work Order Closed by Building Maintenance
|
Water stained ceiling tile observed in girls locker room. If not already being addressed, school custodial staff is to submit a work order to Building Maintenance to assess and correct source of leak then replace ceiling tile.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes
|
|
| Relative Humidity | ||
Not above 70%
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Clean
|
Yes
|
|
No unusual noise or odor
|
Yes
|
|
No mold growth on insulation
|
Yes
|
|
Traps contain water
|
Yes
|
|
| Chemical Storage | ||
Containers capped
|
Yes
|
|
No evidence of an active spill
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, or unusual noise or vibration
|
Yes
|
|
Work Order Number(s)
250724
Issues found durring this assessment have been assigned to the above
work order(s).