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 |
|---|---|---|
| Condition | ||
No odors, unusual sounds, or vibration
|
No
|
Front office workroom 101 had a noise generating near a HVAC duct coming down from the roof deck. The duct was located above the drop ceiling between the WiFi router and a small ceiling vent. Work Order 165711.
|
Free of obstructions and debris (only applicable for return plenums)
|
No
|
Storage room 101A located in front office workroom 101 has a black pipe (open end on interior side) going through the roof deck. Located above the drop ceiling near the sprinkler head as one enters the storage closet. Work Order 165705.
|
Free from signs of moisture/mold, insects or rodents?
|
Yes
|
|
No leaks from supply or exhaust into return
|
Yes
|
|
| Ceiling Tiles | ||
Tight seal on all tiles
|
Yes
|
|
No stained/damaged tiles indicating high RH or moisture problem
|
Yes
|
|
| Insulation & Fireproofing | ||
Condition okay
|
No
|
Old pipe insulation from a roof drain exists above the drop ceiling (between the lockers and skylight) in room 159. The pipe insulation had brown water staining. No action required.
|
| 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?
|
No
|
The cover to a storm water clean-out located at the door within 179 was not completely covering the void in the block wall. Work Order 165705.
There is a void in the brick below a protruding pipe in the front of the school to the left of the exit door to room 118. Work Order 165708.
|
| Doors and Windows | ||
Caulking and weather stripping in good condition
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
Yes
|
|
No stained or damage ceiling tiles
|
No
|
Small (~2" diameter) patch of mold growth on ceiling tile (contains a sprinkler head cap) in storage room 101A within the front office workroom 101. Work Order 165708.
Three ceiling tiles were stained along the left perimeter wall in room 210. School custodial staff is to submit a work order to Building Services unless 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
|
Yes
|
|