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
|
|
| Check | OK | Comments |
|---|---|---|
| Condition | ||
No odors or unusual sounds
|
Yes
|
|
Clean, no excess dirt or moisture
|
No
|
Gym - Minor dust on return grille (Custodial).
|
No obstruction to air flow
|
No
|
136 - Return blocked with trash cans. Moved while onsite.
|
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 240 - Dust on piano (Custodial).
214 (Fan) and 231 (fridge) - Personal appliances increase energy usage. Administration is to determine if the items are being used for instruction. If not, they are to be removed.
231 - Rug. The staff member who brought in the rug needs to have a cleaning plan for the item as Custodial is not responsible for cleaning items brought in by staff.
116 - Lysol spray (aerosol sprays can be irritating to sensitive individuals). This should be removed. Staff are to utilize approved HCPSS cleaners/disinfectants.
123A - Artificial flowers (unnecessarily collect dust and are to be removed).
109 - The bathroom in 109 is filled with books/clutter on the floor.
|
No stained or damage ceiling tiles
|
No
|
208B, Outside 213, 241, Cafeteria (2 along Kitchen wall), and 113 - Stained Ceiling Tiles. Place a work order for Building Maintenance to assess if one is not already in progress.
|
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
|
|