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Company IAQ
Checklist Company
Name:___________________________________________________Date:________________________
Address:_____________________________________________________________________________________
Completed by
(name/title):_______________________________________________________________________
Item
|
Date begun
or completed
(as applicable)
|
Responsible
person
(name, telephone)
|
Location
("NA" if the item is not
applicable to this building)
|
| Collect and Review
Existing Records |
| HVAC design data, operating
instructions, and manuals |
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| HVAC maintenance and calibration
records, testing and balancing reports |
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| Inventory of locations
where occupancy, equipment, or building use has
changed |
|
|
|
| Conduct a Walkthrough
Inspection of the Building |
| List of responsible staff and/or
contractors, evidence of training, and job descriptions |
|
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|
| Identification of areas
where positive or negative pressure should be
maintained |
|
|
|
| Record of locations that need
monitoring or correction |
|
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| Collect Detailed
Information |
| Inventory of HVAC system components
needing repair, adjustment, or replacement |
|
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| Record of control settings and
operating schedules |
|
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|
Company IAQ
Checklist
Company
Name:_______________________________________________________________________________
Item
|
Date begun
or completed
(as applicable)
|
Responsible
person
(name, telephone)
|
Location
("NA" if the item is not
applicable to this building)
|
| Plan showing airflow
directions or pressure differentials in significant
areas |
|
|
|
| Inventory of significant
pollutant sources and their locations |
|
|
|
| MSDSs for supplies and
hazardous substances that are stored or used in
the building |
|
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|
| Zone/Room Record |
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| IAQ MANAGEMENT PLAN |
| Select IAQ Manager |
| Assign Staff
Responsibilities/ Train Staff
|
| Facilities Operation
and Maintenance |
|
|
|
| Confirm that equipment operating
schedules are appropriate |
|
|
|
| Confirm appropriate
pressure relationships between building usage
areas |
|
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|
| Compare ventilation
quantities to design, codes, and ASHRAE 62-1989 |
|
|
|
| Schedule equipment
inspections per preventive maintenance plan or
recommended maintenance schedule |
|
|
|
| Modify and use HVAC
Checklist(s); update as equipment is added, removed,
or replaced |
|
|
|
| Schedule maintenance
activities to avoid creating IAQ problems |
|
|
|
Company IAQ
Checklist
Company
Name:______________________________________________________________________________
Item
|
Date begun
or completed
(as applicable)
|
Responsible
person
(name, telephone)
|
Location
("NA" if the item is not applicable to
this building)
|
| Review MSDSs for supplies;
request additional information as needed |
|
|
|
| Consider using alarms or
other devices to signal need for HVAC maintenance
(e.g., clogged filters) |
|
|
|
| Housekeeping |
|
|
|
| Evaluate cleaning
schedules and procedures; modify if necessary |
|
|
|
| Review MSDSs for products
in use; buy different products if necessary |
|
|
|
| Confirm proper use and
storage of materials |
|
|
|
| Review trash disposal
procedures; modify if necessary |
|
|
|
| Shipping &
Receiving |
|
|
|
| Review loading dock
procedures (NOTE: If air intake is located nearby,
take precautions to prevent intake of exhaust
fumes.) |
|
|
|
| Check pressure
relationships around loading dock |
|
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| Pest Control |
|
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| |
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|
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| Obtain and review MSDSs;
review handling and storage |
|
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|
| Review pest control
schedules and procedures |
|
|
|
| Review ventilation used
during pesticide application |
|
|
|
Company IAQ
Checklist
Company
Name:_______________________________________________________________________________
Item
|
Date begun
or completed
(as applicable)
|
Responsible
person
(name, telephone)
|
Location
("NA" if the item is not
applicable to this building)
|
| Occupant Relations |
|
|
|
| Establish health and
safety committee or joint tenant/
management
IAQ task force
|
|
|
|
| Review procedures for
responding to complaints; modify if necessary |
|
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| Review lease provisions;
modify if necessary |
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| Renovation,
Redecorating, Remodeling |
|
|
|
| Discuss IAQ concerns with architects,
engineers, contractors, and other professionals |
|
|
|
| Obtain MSDSs; use
materials and procedures that minimize IAQ problems |
|
|
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| Schedule work to minimize
IAQ problems |
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| Arrange ventilation to
isolate work areas |
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|
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| Use installation
procedures that minimize emissions from new furnishings |
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| Smoking |
|
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| Eliminate smoking in the
building |
|
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| If smoking areas are
designated, provide adequate ventilation and maintain
under negative pressure |
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| Work with occupants to
develop appropriate non-smoking policies, including
implementation of smoking cessation programs |
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