School
| Check | OK | Comments |
|---|---|---|
| Tag Number | ||
Displayed
|
Yes
|
|
| Status | ||
Running
|
Yes
|
|
| Check | OK | Comments |
|---|---|---|
| Outdoor Pollution | ||
Free from pollution sources w/i 25 ft. (e.g. dumpster, chimney, etc.)
|
Yes
|
|
| Louvers and Access Doors | ||
Operating properly
|
Yes
|
|
| Deflectors & Screens | ||
Present
|
Yes
|
|
No debris
|
Yes
|
|
| Dampers | ||
Outside air damper: no obstructions
|
Yes Work Order Closed by Building Maintenance
|
Heating and Ventilation Unit (H&V)-1- Outside air dampers closed.
|
Return air damper: no obstructions
|
Yes
|
|
Assessor
Hummy Khan
Date
| Check | OK | Comments |
|---|---|---|
| Clean | ||
No excess dirt, not used for storage
|
Yes
|
|
| Insulation | ||
Secure and Clean
|
Yes
|
|
| P-Trap (if present) | ||
Charged with liquid
|
Yes
|
|
Outdoor Temperature
75°F
| Check | OK | Comments |
|---|---|---|
| Filters | ||
Free of any bypassing
|
Yes
|
|
Correct size
|
Yes
|
|
Free from excessive loading, dampness or odor
|
Yes
|
|
Not collapsed/not fallen off
|
Yes Work Order Closed by Building Maintenance
|
RTU-1 - One filter falling out, repeat finding. The previous work order was closed yet the filter installation issue still there. While on site, assessor tried to put it back in the track properly but kept falling out. The filter size may not be correct or it may need holding clips to keep it in place. Building Maintenance needs to provide a long term solution.
|
Present (not missing)
|
Yes
|
|
Date and initials written
|
Yes Work Order Closed by Building Maintenance
|
H&V-1 - Filters dated July 2021. Per HCPSS filter replacement policy these filters should be replaced at least one a year.
|
| Heating Coils | ||
Clean, no noticeable leaks, or obstructions
|
Yes
|
|
| Cooling Coils | ||
Clean, no noticeable leaks, or obstructions
|
Yes
|
|
Access: Free of any obstructions in area that may affect access
|
Yes
|
|
Condensation: No excess condensation problems
|
Yes
|
|
Blowoff: Free of water from coil blowoff
|
Yes
|
|
| Condensate Pan and Drain Line | ||
No visible bacterial or fungal growth
|
Yes
|
|
Clean, no residue, no standing water
|
Yes
|
|
No Overflow, leakage, blockage, or damage
|
Yes
|
|
Proper slope, drain line ok, drainage acceptable, discharge okay
|
Yes
|
|
Relative Humidity
17%
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Operational
|
Yes
|
|
No unusual odors, noise, or vibration
|
Yes Work Order Closed by Building Maintenance
|
Exhaust fan (EF-3) - Rattling.
|
Outdoor Dew Point
28°F
| Check | OK | Comments |
|---|---|---|
| Heating Central Plant | ||
Boiler operational
|
Yes
|
|
Work Order Number(s)
279605
Issues found durring this assessment have been assigned to the above
work order(s).