School
Assessor
Christopher Madden
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 Work Order Closed by Building Maintenance
|
216 - Supply diffusers vents dusty (Custodial).
Gym - Return vent dusty (Custodial).
|
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 Work Order Closed by Building Maintenance
|
Vestibule Near Stairwell 3 - Ceiling tile out of place (reset during assessment).
|
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
|
|
No purposely placed obstruction indicating occupant distress
|
Yes
|
|
| 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
|
Gym - Daylight at exterior doors (WO #244290).
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
Room 101 - Excessive stuffed animals (dust collectors). If Administration decides they serve an educational purpose the staff member who brought them in is responsible for the routine cleaning of the items.
Room 137 - Dead bugs in light fixture (Custodial).
|
No stained or damage ceiling tiles
|
Yes Work Order Closed by Building Maintenance
|
116/119 Storage, Custodial Office, 137, Outside 211, and Outside 216 - Stained Ceiling Tile. Please place a work order for Building Maintenance to address the cause of the leak if a work order is not in progress already.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes Work Order Closed by Building Maintenance
|
Kitchen - Condensation on metal freezers. This can cause mold growth during the summer that requires occasional wipe down with a cloth and soap/water or the cleaner normally used on stainless steel.
|
| 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)
244290
Issues found durring this assessment have been assigned to the above
work order(s).