Project management log signature form, unknown date

NYC 9/11 Public Portal Document

PROJECT MONITOR LOG Part 2 1. Client: 2. Project Name: 3. Project Address: \t 4. r jest #', 4,5. date:

C ( r 4a. Task #:

PREP-INSPECTION CHECKLIST: Work Area Location: Pass Fail N,_[A Pass Fail N/AA

1. Vacated by occupants. 8. Openings <32ft' covered by 2 lyrs poly. 2. Warning Signs (Eng, Sp). 9. Openings >32ft2 covered by plywood and two layers of poly. 3. Electricity down/locked out. 10. Movable objects pre-cleaned, removed 4. Power outside work with GFI. from area. 5. HVAC off, locked-out, isolated, 11. Fixed objects pre-cleaned, plasticized. or pressurized. __ 12. Floor poly 6" onto walls (12"=NYS). 6. DECONTAMINATION UNIT: 13. Wall poly to the floor. • Outside work area • Cln, shwr, eqpt rooms 14. 6" overlap between adjacent sheets of poly. • 2 layers, 6-mil wall poly 15. Elevator bypasses work area. • 2 layers, 6-mil floor poly 16. Plywood/poly barrier before elevator • 1 shower per 6 workers doors. • Hot/cold water 17. Perimeter diaphragm for elevator barrier. • Waste water < 5 microns 18. 4 air changes per hour from negative • Waste water sewer/drum -- air unit. • Soap/Shampoo 19. New filters in negative air units. • Disposable towels 20. Negative air pressure > 0.02 • Waste bags 21. Minimum 2 means of exiting work area. 7. POSTINGS: 22. Toilet for abatement personnel. • Regulations 23. Waste Decon for > 1,000 ft. ACM (NYC, NYS, OSHA, EPA) 24. The following additional equipment: • Sign-in logs • 6-mil disposable bags with • Evacuation Plan warning labels • Supervisor's license • Poly and Duct Tape • Worker licenses • Fire extinguisher • ACP-7 • Approved respirator • Building Permit/Placard • Replacement filters • EPA 10-day notification • Protective Clothing • NYS Notification 25. Work area pre-cleaned • Emergency Numbers 26. Work area passes inspection _ Yes _ No

• Material Data Sheets

PRE-ENCAPSULATION/FINAL INSPECTION CHECKLIST: Work Area Location:

Pass Fail N/A aP ss Fail NL

1. No visible debris on walls, floors. 8. No bags of waste in work area. 2. No visible debris between decking 9. All equipment clean. and beams. 10. Neg. Air > 0.02 inch. of water. 3. No visible debris behind perimeter columns. 11. Airless spray equipment used.

4. No visible debris on top of ducts. 12. Work area is dry, free of water pools.

5. No visible debris on hangers, rods 13. The area suitable for encapsulation. lights. 14. The area suitable for final air clearance. 6. No visible debris on poly. 15. Work area passes inspection. - Yes _ No (Explain why) 7. No visible debris on pipes. Form NY-9 1/01

NYC-WTC 000107833