[PDF] [PDF] Indoor Air Quality (IAQ) Walkthrough Inspection Checklist

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[PDF] Indoor Air Quality (IAQ) Walkthrough Inspection Checklist

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Indoor Air Quality (IAQ) Walkthrough Inspection Checklist

Inspection activity

If necessary, include other individuals in the investigation (for example, the supervisor of the area you are investigating or a member of the joint health and safety committee). Tal k to the employee(s) who made the complaints. Discuss the nature and timing of their symptoms. Ask them to identify any suspected causes. Ch eck for obvious pollutant sources such as humidifiers, newly introduced furniture, décor, books or carpets, water stains, visible mould, etc. Ch eck the HVAC system:

Check thermostat settings.

Check that thermostats, diffusers,fans, and dampers are clean andoperating properly. Check the outdoor air intake formould, stagnant water, blockage,or nearby sources of records o f t emperature l ogs o r t ake measurements, if necessary, using temperature lo gger, direct re ading carbon d ioxide m eters *, or other equipment. Ch eck records:

When was the system last calibrated

and adjusted?

When was preventive maintenance

last performed? Notes Date

Area, room, location inspected

Name(s) of Inspectors

Reason for inspection *C

Possible Causes of issue:

Interim corrective action taken* (ie: occupant relocation, temporary fans/heaters, etc.) NOTE: Interim actions MUST be taken until issue is resolved

Recommended corrective action to resolve issue:

Who will act: By what date:

Corrective action taken? Yes No If "No", explain why and provide next steps:

If "Yes", date completed: By who: Addition investigation and/or corrective actions required? Yes No

If "yes",

c ontact the Department immediately and submit a work order detailing what are as, rooms, locations require further investigation and why Investigation outcomes, recommendations, corrective actions taken or to be taken communicated to the employee(s) who filed complaint?

Yes No

If the

IAQ issue affects all staff and/or requires additional investigation and/or corrective actions, ongoing communication with all staff members is imperative

Inspector signature Position

Inspector signature Position

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