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
|
Room 192 - The room's thermostat was partially obstructed of airflow by the magnetic placement of a laminate card. School administration is to inform staff to remove items from thermostat so it can accurately sense room air temperature and not cause thermal comfort issues (over cooling or heating).
Room 172 - The wall air return grille is obstructed by large poster board and boxes of goods. School administration is to inform staff to keep HVAC air supply diffusers and returns (at least 3 feet) cleared to allow for proper air mixing.
|
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
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
Room 211 - Food accessible to pests. Place material in a plastic bin with a lid. School administration is responsible for correcting with staff.
Room 170 - A plug in air freshener was observed in room 170 near teacher's desk. Also room 189 had an aerosol disinfectant spray. School administration is to inform staff aerosol disinfectants, air fresheners/odorizers are not permitted because they can mask odors of concern and/or be an irritant to others. Items are to removed from the school.
|
No stained or damage ceiling tiles
|
Yes
|
|
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 Closed by Building Maintenance
|
Room 207 (MDF) - The wall air conditioning unit has grime on plastic components (work order #219486).
|
Work Order Number(s)
219486
Issues found durring this assessment have been assigned to the above
work order(s).