IAQ Management Checklist
Indoor Air Quality Forms 171. IAQ Management Checklist. Building Name: Address: Completed by (name/title):. Use this checklist to make sure that you have
Indoor Environmental Quality Checklist
“A clean mechanical room free of tracked in dirt and stored chemicals
REDUCING TRANSMISSION OF COVID-19 THROUGH
Oct 1 2022 Publication details: This checklist was developed by indoor air quality experts. Dr. Amy (Tianyuan) Li and Dr. Jeffrey Siegel and Knowledge ...
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John Moore's IAQ technicians use the following checklist to accurately assess the indoor air quality of your home and identify contributing factors. We
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Do not smoke indoors CHECKLIST. Protect yourself and your family from common indoor air pollutants and improve overall indoor air quality by following these ...
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To learn more about our industry-wide hotel cleaning guidelines please visit AHLA.com/SafeStay. For more information on ventilation and air quality
School Indoor Air Quality Walkthrough Inspection Checklist
School Indoor Air Quality. Walkthrough Inspection Checklist. Name: School: Room or Area: Date(s) Completed: Signature: Instructions. 1. Read the IAQ.
Indoor Air Quality (IAQ) Walkthrough Inspection Checklist
Indoor Air Quality (IAQ) Walkthrough Inspection Checklist. Inspection activity. If necessary include other individuals in the investigation (for example
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Feb 1 2018 Unusually noisy environment. Page 3. 2/1/2018. Indoor Environmental Quality Checklist. Page 3. Work Area Evaluation. Concern. OK. Needs.
IAQ Management Checklist
Indoor Air Quality Forms 171. IAQ Management Checklist. Building Name: Address: Completed by (name/title):. Use this checklist to make sure that you have
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Home Indoor Air Quality Checklist. The average American is indoors nearly 90 percent of the time and more than half of this time is spent in the home.
IAQ Management Checklist
Indoor Air Quality Forms 171. IAQ Management Checklist. Building Name: Address: Completed by (name/title):. Use this checklist to make sure that you have
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Indoor Environmental Quality Checklist The State of Minnesota Building Air Quality Guide ... the prevention of indoor air quality problems.
Indoor Air Quality Checklist
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SAFETY COMPLIANCE CHECKLIST Indoor Air Quality
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Jun 1 2008 PEOSH Indoor Air Quality Standard. Inspection Checklist (cont.) CONTROLS OF SPECIFIC CONTAMINANTS. Y N N/A. 13.4(a).
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Indoor air quality (IAQ) is a major concern to suffer from the effects of indoor air pollution than ... appropriate logs and checklists performing.
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This PERRP Indoor Air Quality (IAQ) Checklist is not a standard or regulation it is an information fact sheet and it does not im-.
Indoor Air Quality Checklist
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Clean Air in Buildings Challenge - US Environmental
in improving indoor air quality and health outcomes •ommunicate to affected people (e g building occupants workers students teachers and parents) about how the C action steps you are taking will improve indoor air quality and reduce disease transmission in your building
Indoor Air Quality in Commercial and Institutional Buildings
Indoor Air Quality Forms 171 IAQ Management Checklist Building Name: Address: Completed by (name/title): Use this checklist to make sure that you have included all necessary elements in your IAQ profile and IAQ management plan Sections 4 and 5 discuss the development of the IAQ profile and IAQ management plan Date begun Location
Indoor Air Quality Worksheet - University of Pennsylvania
Indoor Air Quality Worksheet 1/2021 JSS Indoor Air Quality Worksheet Overview The purpose of this checklist is to provide the EHRS investigator with a guide to ensure thorough and consistent indoor air quality investigations Preliminary Investigation & Facility Contact Information
Indoor Air Quality in Commercial and Institutional Buildings
Jan 24 2003 · Appendix A: Common Indoor Air Contaminants 16 Appendix B: Steps to Improve Indoor Air Quality 19 Appendix C: HVAC System Maintenance Checklist 20 Appendix D: Investigating IAQ Problems and Complaints 21 Appendix E: Selected Resources 22 Hazard Recognition 22 Evaluation and Control 23 Appendix F: OSHA-Sponsored Environmental
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HVAC Checklist - Short Form 191 Indoor Air Quality Forms Sections 2 4 and 6 and Appendix B discuss the relationships between the HVAC system and indoor air quality Page 1 of 4 MECHANICAL ROOM Clean and dry? Stored refuse or chemicals? Describe items in need of attention MAJOR MECHANICAL EQUIPMENT Preventive maintenance (PM) plan in use?
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1 Walkthrough Indoor Air Quality Inspection Checklist
Indoor Environment Group Inc - 2487 7th Ave E – North St Paul MN 55109 - (651) 779-4300 1 Walkthrough Indoor Air Quality Inspection Checklist Building Name: Date: Inspector: 1 EXTERIOR True False N/A 1a Proper drainage away from the building (including roof downspouts) 1b
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provide acceptable indoor air quality in line with occupancy levels SERVICE Execute any deferred maintenance tasks on air handling equipment conduct a building systems inventory re-commission as required FILTRATION Check all filters and where required change old filters Inspect filter racks for airtightness and potential bypass upgrade to
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HVAC Checklist - Long Form Appendix B discusses HVAC system components in relation to indoor air quality Page 1 of 14 Needs Attention Not Component OK Applicable Comments Outside Air Intake Location Open during occupied hours? Unobstructed? Standing water bird droppings in vicinity? Odors from outdoors? (describe) Carryover of exhaust heat?
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School Indoor Air Quality Walkthrough Inspection Checklist Name: School: Room or Area: Date(s) Completed: Signature: Instructions 1 Read the IAQ Backgrounder and the Background Information for this checklist 2 Keep the Background Information and make a copy of the checklist for future reference 3 Complete the • Check the “yes” “no
What is acceptable indoor air quality?
- 62.1-2010, Ventilation for Acceptable Indoor Air Quality. This standard specifies recommended outdoor air ventilation rates. The recommended outdoor ventilation rates are based on olfactory studies, and acceptable indoor air quality is met when 80% or more of the exposed people do not express dissatis-faction.
Why is indoor air quality important?
- Indoor air quality (IAQ) is a major concern to businesses, schools, building managers, tenants, and workers because it can impact the health, comfort, well-being, and productivity of the building occupants.
How is air quality determined in a building?
- Air quality may be determined by the site of the building, its original design, renovations, whether air handling systems have been maintained, occupant densities, activities conducted within the building, and the occupants’ satisfaction with their environment. IAQ problems can arise from a single source or any combination of factors.
How can a building owner help with IAQ problems?
- A building owner or manager may first want to consult local, state, or federal government agencies (e.g., education, health, environmental protection, or agriculture agencies) for assistance or direction in solving IAQ problems. These governmental agencies may be able to help an employer identify the types of experts who could best assist them.
Indoor Air Quality Worksheet
1/2021
JSS1/29/2021
EHRS IAQ Worksheet Page 2
Indoor Air Quality Worksheet
Overview
The purpose of this checklist is to provide the EHRS investigator with a guide to ensure thorough and consistent indoor air quality investigations.Preliminary Investigation &
Facility
Contact Information
Facility name: ______________________________ Facility address: _______________________________________
Facility manager or building contact: __________________________________________________________________
Location of
complaint(s): ___________________________________________________________________________Description of area: _______________________________________________________________________________
Number of individuals in this work area: ________________________________ _______________________________ Approximate size of the area in square feet: ______________________________ ______________________________Air handler that serves the area: __________________________ Air handler location: ________________________
Other areas served by same air handler: ________________________________________________________________
Primary requester/complainants: _____________________________________________________________________
Primary requester/complaina
nt contact information: _____________________________________________________ Date of request: ______________________ Date investigation started: _______________________Investigator(s): ___________________________________________________________________________________
Health Hazard Survey submitted to occupant(s)
Y/N: ________ Date sent: ___________ Date received: ___________ Number of surveys received: ________ Number of surveys with similar complaints: _______of _______. Unusual or non air-quality related circumstances associated with complaint(s)? See below.Event Yes No Comments
Construction or renovation work
Air handling system malfunction
Leak or flooding
Unusual weather conditions
Poor office ergonomics?
Inadequate lighting or glare?
Unusually noisy environment
1/29/2021
EHRS IAQ Worksheet Page 3
Work Area Evaluation
Concern OK Needs
Attention
NotApplicable
Comments
Housekeeping
Carpeting
Hard Flooring
Air Diffusers & adjacent surfaces -
dusty?Work surfaces & other flat areas -
dusty?Clutter?
Water Infiltration
Any leaks or floods? - Note source
Any stains or spalling indicative of
past moisture infiltration?Carpets recently cleaned?
OdorsIs there an odor? Describe
Sewage - Check for floor drains &
dry traps.Perfumes - Check for lotions,
perfumes & air fresheners etc. used by occupants.Chemical - Check for changes in
housekeeping, maintenance, pest control etc.Burning - check fluorescent lamp
ballasts & electronics.New furnishings, paint, carpets, etc.?
Dead animals - Check ceiling, floor
& wall cavities, etc.Copying or printing in the area?
Pest Issues
Evidence of rodents or insects?
Describe
Food stored in work area?
Penetrations sealed?
Check for diseased animals?
Exterminator involved? Note
company and activity.Windows
Are there operable windows? Are
they used?Combustion Sources
Note source
1/29/2021
EHRS IAQ Worksheet Page 4
Ventilation System Evaluation
Air Handler Location: ______________________ Air Handler ID: ____________Component OK Needs
Attention
NotApplicable
Comments
Outside Air Intake
Location:
Unobstructed?
Standing water, bird droppings,
debris in vicinity?Odors from outdoors? Describe:
Cooling tower within 25 feet?
Exhaust outlet within 25 feet?
Trash compactor within 25 feet?
Fume hood exhaust within 25 feet?
Near parking facility, busy road,
loading dock?Bird Screen
Unobstructed?
General Condition
Size of mesh (1/2" minimum)
Outside Air Dampers
Position of dampers. Note time of
day and weather conditions:Operation acceptable?
Seal when closed?
Actuators operational?
Outdoor Air (O.A.) Volume
Minimum % O.A. _________
Measured % O.A. _________
Maximum % O.A. _________
For VAV systems: is O.A. increased
as total system airflow is reduced?Mixing Plenum
Clean?
Floor drain tapped?
Internal insulation intact?
Air tightness:
- of outside air dampers - of return air dampers - of exhaust air dampersAll damper motors connected?
All damper motors operational?
Mixing air temperature control
setting ________FFreeze stat setting _________F
1/29/2021
EHRS IAQ Worksheet Page 5
Concern OK Needs
Attention
NotApplicable
Comments
Is mixing plenum under negative
pressure? Note: If it is under positive pressure, outdoor air may not be entering.Filters
Type/MERV Rating
Complete coverage?
(No bypassing)Correct pressure drop? (Check
magnehelic reading _________" and compare to manufacturer"s recommendations.)Contaminants visible?
Odor noticeable?
Evidence of filters getting wet?
Spray Humidifiers
Humidifier type:
All nozzles working?
Complete coil coverage?
Clean pans with no overflow?
Drains tapped?
Biocide treatment working? Note
biocide if observed.Steam Humidifiers
Treated boiler water?
Standing water?
Visible growth?
Mineral deposits?
Control set point _________F
High limit set point ________F
Duct liner within 12 feet? If so,
check for mold growth.Bypass Dampers
Damper operation correct?
Damper motors operational?
Cooling Coil
Inspection access?
Clean?
Supply water temp. _______F
Water carryover?
Any indication of condensation
problems?Condensate Drip Pans
Accessible to inspect and clean?
Clean, no residue?
No standing water, no leaks?
Noticeable odor?
Visible growth (e.g., slime)?
Drains and traps clear, working?
Water overflow or indicative stains?
Corrosion problems?
Evidence of biocide use in pan?
1/29/2021
EHRS IAQ Worksheet Page 6
Concern OK Needs
Attention
NotApplicable
Comments
Supply Fan Chambers
Clean?
No trash or storage?
Internal insulation intact?
Floor drain traps are wet or sealed?
No air leaks?
Doors close tightly?
Supply Fans
Fan blades clean?
Belt guards installed?
Proper belt tension?
Excess vibration?
Controls operational, calibrated?
No pneumatic leaks?
Heating Coil
Inspection access?
Clean?
Supply water temp. _______F
Discharge thermostat?
(air temp. setting ________FReheat Coils
Locations of those inspected:
Clean?
Obstructed?
Operational?
Supply Ductwork
Clean?
Sealed, no leaks, tight connections?
Fire dampers open?
Access doors closed?
Lined ducts? Condition of liner.
Flex duct connected, no tears or
crimping?Recent balancing?
Short circuiting or other air
distribution problems? Note location(s):Pressurized Ceiling Supply Plenum
No unintentional openings?
All ceiling tiles in place?
Supply diffusers open?
Supply diffusers balanced?
Noticeable flow of air?
Short circuiting or other air
distribution problems? Note location(s):1/29/2021
EHRS IAQ Worksheet Page 7
Concern OK Needs
Attention
NotApplicable
Comments
Return Air Plenum
Tiles in place?
No unintentional openings?
Return grills?
Noticeable flow of air?
Transfer grills?
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