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 Work Order Closed by Building Maintenance
|
C37A - The paint is peeling near the supply diffuser (WO #232277).
|
No noticeable air leaks
|
Yes Work Order Closed by Building Maintenance
|
Outside of C42 - The Ceiling-Mounted HVAC Unit has a hole due to rust (WO #232193).
|
| Check | OK | Comments |
|---|---|---|
| Ceiling Tiles | ||
Tight seal on all tiles
|
Yes Work Order Closed by Building Maintenance
|
Culinary/Kitchen - Two large holes in the drop ceiling (Custodial).
B28 - Ceiling tile out of place (Custodial).
B62 - Ceiling tile out of place due to re-occurring leak. Water is being drained from leak area to a nearby sink. Building Maintenance indicated a roof top HVAC unit needs to be replaced to address the reoccurring leak. This replacement is planned to occur the Summer of 2023 or 2024 pending available funding.
|
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
|
A-11 - Weather stripping on garage door not fully attached and door rusting (WO #232195).
A-8 - Exit door rusted (WO #232199).
A-20 - Daylight at exit door (WO #232201).
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes Work Order Closed by Building Maintenance
|
A-7 - Paint peeling from wall (WO #232202).
|
No stained or damage ceiling tiles
|
Yes Work Order Closed by Building Maintenance
|
Outside of B10, Outside C4, C32A, C50, B31- Stained Ceiling Tile. If a work order is not already in progress, please place one for Building Maintenance to address the cause.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
Yes Work Order Closed by Building Maintenance
|
Kitchen - The walk-in doors should be wiped down periodically to prevent mold growth forming due to condensation (Custodial or Kitchen Staff).
B37 - Mold growth on 6 linear of drywall. See IEQ Concern CXXARL202200021C for additional details on response actions. Note this form may not be available at the time this document is published.
Outside B65 - Mold growth on 5 linear of drywall. See IEQ Concern CXXARL202200021C for additional details on response actions. Note this form may not be available at the time this document is published.
|
| 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)
232193, 232195, 232199, 232201, 232202, 232277
Issues found durring this assessment have been assigned to the above
work order(s).