School
              
          Assessor
          Hummy Khan
        Date
              Outdoor Temperature
              39°F
          Relative Humidity
              30%
          Outdoor Dew Point
              13°F
          Air Handling Unit (Assess representative sample of RTU/AHU, including Portables)
| Check | OK | Comments | 
|---|---|---|
| Tag Number | ||
        Displayed
         
 | 
                      Yes Work Order Closed by Building Maintenance 
         | 
                      
        No tag numbers on any rooftop units (RTUs) and exhaust fans (EFs), repeat findings. On one RTU, the number is scratched in but not sure if that is the tag number.   
         
 | 
                  
| 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 
         | 
                      |
        Return air damper: no obstructions
         
 | 
                      Yes 
         | 
                      |
| 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 
         | 
                      |
| Check | OK | Comments | 
|---|---|---|
| Filters | ||
        Free of any bypassing
         
 | 
                      Yes Work Order Closed by Building Maintenance 
         | 
                      
        RTU-2 and another RTU (no tag number-located towards the back of building) - Pre-filter is not the correct size causing air bypass.
         
 | 
                  
        Correct size
         
 | 
                      Yes Work Order Closed by Building Maintenance 
         | 
                      
        RTU-2 and another RTU (no tag number-located towards the back of building) - Pre-filter is not the correct size causing air bypass.
         
 | 
                  
        Free from excessive loading, dampness or odor
         
 | 
                      Yes 
         | 
                      |
        Not collapsed/not fallen off
         
 | 
                      Yes 
         | 
                      |
        Present (not missing)
         
 | 
                      Yes 
         | 
                      |
        Date and initials written
         
 | 
                      Yes 
         | 
                      |
| 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 
         | 
                      |
| Check | OK | Comments | 
|---|---|---|
| Condition | ||
        Operational
         
 | 
                      Yes 
         | 
                      |
        No unusual odors, noise, or vibration
         
 | 
                      Yes 
         | 
                      |
| Check | OK | Comments | 
|---|---|---|
| Heating Central Plant | ||
        Boiler operational
         
 | 
                      Yes 
         | 
                      |
| Check | OK | Comments | 
|---|---|---|
| Thermostat | ||
        Thermostat setting acceptable
         
 | 
                      Yes Work Order Closed by Building Maintenance 
         | 
                      
        Portable 184-"Change air filter" and "Cancel Alarm" messages on the thermostat display screen.  
         
 | 
                  
        Thermostat cover
         
 | 
                      Yes Work Order Closed by Building Maintenance 
         | 
                      
        Portable 35- Thermostat cover missing.  
         
 | 
                  
        Fan Mode Correct
         
 | 
                      Yes 
         | 
                      |
        Space Temperature Acceptable
         
 | 
                      Yes 
         | 
                      |
Work Order Number(s)
                    270448   
      
          
        Issues found durring this assessment have been assigned to the above
        work order(s).