School
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
|
|
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
|
|
| Insulation & Fireproofing | ||
Condition okay
|
No
|
Room 135 and 69 - Water stained pipe insulation above ceiling (WO #1781760).
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors or unusual sounds
|
Yes
|
|
Clean, no excess dirt or moisture
|
No
|
Room 172 - Return vent dusty.
|
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
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
Room is free of dust and clutter
|
No
|
Room 199, 123, and 125 - Dust on Blue Casework. Media - Empty Bookshelves Dusty (minor). Room 172 - Dusty. Electrical Room (across from 182) - Floor Dusty.
|
No stained or damage ceiling tiles
|
No
|
Gym (Above Girls Locker Room Door) - Broken Ceiling Tile. Gym Storage, Laundry Room (Boys Locker Room Side), Main Hall (on way to 111) - Stained Ceiling Tile(s). Room 95 -Missing Ceiling Tile.
|
No visible mold present (walls, cabinets, under sinks, behind posters)
|
No
|
Room 111 - This space was in the process of being cleaned of minor mold growth that likely occurred over the summer. See IEQ Concern CXLEMS20210001A1 for details.
|
| 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
|
No
|
Men's Bathroom (near media) - Floor drain not charged with water, slight odor in bathroom due to backflow.
|
| Chemical Storage | ||
Containers capped
|
Yes
|
|
No evidence of an active spill
|
No
|
Science Prep Room (Off of 111) - Leaking sink (WO #177734).
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors, or unusual noise or vibration
|
No
|
Room 139 and 140- Slight carpet odor. VAV box should be checked to make sure the rooms are being provided with sufficient outside (WO #178180). Although carpet odors can be a nuisance, they do not represent a health & safety concern.
|