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
|
No
|
The cafeteria's air supply diffusers have visible dust accumulation. Work order 215230.
|
No obstruction to air flow
|
No
|
Louvers were closed within the ceiling return in room B02/131. Work order 215208.
|
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
|
No
|
The metal header of the window in room C47/119 has signs of blistering paint. Work order 215212.
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
No
|
Media center had an abundant of stuffed animals. Room C44/116 had two large fabric chairs that do not appear to be HCPSS issued. Room C34/113 had numerous fabric cushions and furniture that do not appear to be HCPSS issued. Although items appear visibly clean, they can be a reservoir or source of allergens when disturbed and/or handled not knowing their origin and if not properly maintained. In addition, additional time for custodial staff to clean. School administration is to decide what items are necessary to meet educational needs. Items not required are to be removed.
|
No stained or damage ceiling tiles
|
No
|
An edge of a ceiling tile near a skylight (back right) has a water stain. Work order 215211.
Minor water stained ceiling tile in room C61/122 near the left end of the chalkboard. School custodial staff is to submit a work order to Building Services if not already being addressed.
|
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
|
No
|
Thermostats were obstructed in rooms C54/125 and C44/116 by bookcases. School administration is to have custodial and teaching staff work together to relocate casework so not to impede air space around the thermostat.
The fan setting in portable 274 was in the "auto" position instead of "on" (recommended as a temporary COVID measure). Work order 215208.
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