| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, noise or vibration
|
Yes
|
|
Clean, no obstructions
|
Yes
|
|
Free from signs of moisture/mold, insects or rodents?
|
No
|
Room 12 - Discoloration/Grime on ceiling around return air grille. Custodian is to attempt to clean. If that does not remove the material, please submit a work order for it to be painted so it is not mistaken for mold growth. Moisture meter readings indicate the ceiling is dry.
|
No noticeable air leaks
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Foundation | ||
No moisture penetration or signs of mold?
|
Yes
|
|
| Doors and Windows | ||
Caulking and weather stripping in good condition
|
No
|
Portable 103 - Caulk gap to left of front door (WO #192638).
|
| Check | OK | Comments |
|---|---|---|
| Ceiling Tiles | ||
Tight seal on all tiles
|
No
|
Exit Doors across from 75 - Missing Ceiling Tile.
|
No stained/damaged tiles indicating high RH or moisture problem
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes
|
|
No stained or damage ceiling tiles
|
No
|
Room 95 - Stained Ceiling Tile.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes
|
|
| Relative Humidity | ||
Not above 70%
|
Yes
|
|
Assessor
Christopher Madden
Date
| 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
|
|
| 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
|
|