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
|
|
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
|
203/204 - Loose Ceiling Tile.
S-9 - Tile not seated.
|
No stained/damaged tiles indicating high RH or moisture problem
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors or unusual sounds
|
Yes Work Order Closed by Building Maintenance
|
112 - Supply diffuser vibrating (WO #231423).
S2 - Return vent vibrating (WO #231423).
|
Clean, no excess dirt or moisture
|
Yes Work Order Closed by Building Maintenance
|
S4 - Wall-mounted HVAC Unit needs to be cleaned (WO #231449).
|
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 Work Order Closed by Building Maintenance
|
Cafeteria - Window seals on three windows appear to have failed (WO #231425).
|
| Doors and Windows | ||
Caulking and weather stripping in good condition
|
Yes Work Order Closed by Building Maintenance
|
Tech Ed and Tech Ed Storage- Daylight at exterior doors (WO #231424).
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
Gym Storage - Very cluttered.
123 and 217 - Fabric curtains present. Staff member is to have a cleaning plan in place for fabric materials as they can collect dust and Custodial is not responsible for cleaning.
104 - Fabric chair and blanket (Cleaning Plan)
207 - Rug and bean bag (Cleaning Plan)
212 - Chalk tray dirty (Custodial).
115 - Artificial Flowers. These are not permitted as they collect dust and are difficult to clean.
108 - Essential Oil diffuser (possible irritant for sensitive individual(s) and coffee maker (energy consumption).
|
No stained or damage ceiling tiles
|
Yes Work Order Closed by Building Maintenance
|
122 (small), FACS FACS Storage (Drier), 115, 114, 109, Outside Media (Locker Bank Side), Media, Cafeteria (outside of Custodial Office) -Stained Ceiling Tile(s). Custodial is to place a work order for Building Maintenance unless one is already in progress.
122 Storage - Hole in Ceiling Tiles (cob webs below hole need to be cleaned/removed and ceiling tile replaced).
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes
|
|
| Relative Humidity | ||
Not above 70%
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Clean
|
Yes Work Order Closed by Building Maintenance
|
Storage in 125 - Open panel should be assessed by electrical department (WO #231426).
|
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)
231424, 231423, 231425, 231426
Issues found durring this assessment have been assigned to the above
work order(s).