NYC 9/11 Public Portal Document
U ♦ S O CT C PROJECT MONITOR LOG Part 2
1. Client: 2. Project Name: 13. Project Address: 14. Project #: 5. dale:
4a.
S '-* `71
CHECKLIST:
Work Area Location:
Pass Fail Pass Fail 1A
1. Vacated by occupants. 8. Openings <32ft= covered by 2 lyrs poly
2. Warning Signs (Eng. Sp) . 9. Openings >32ft= 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. 1
6. DECONTAMINATION UNIT. 1 12. Floor poly 6" onto walls (12= NYS).
• Outside work area 13. Wall poly to the floor.
• Cln, shwr, eqpt rooms j 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
• Disposable towels
I 19. New filters in negativ air units.
20. Negative air pressur~ ≥ 0.02
• Waste bags 21. Minimum 2 means exiting work area.
7. POSTINGS: f
22. Toilet for abatemenp personnel.
• Regulations 23. Waste Decon for 1,000 it. ACM
(NYC, NYS, OSHA, EPA)
24. The following additi6nal equipment:
• Sign-in logs 1
• 6-mil disposabld bags with
• Evacuation Plan warning labels
• Supervisor's license • Poly and Duct Tape
• Worker licenses • Fire extinguishef
• ACP-7 • Approved respirator
• Building Permit/Placard • Replacement filters
• EPA 10-day notification • Protective Clothing
• NYS Notification 25. Work area pre-cleaned
• Emergency Numbers t 26. Work area passes inspection _ Yes _ No
• Material Data Sheets
INSPECTION CHECKLIST:
Work Area Location:
I aP ss Fail Pass _F SN A
1. No visible debris on walls, floors. k 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/C
NYC-WTC 000129498
OCR can misread numbers and units. Confirm readings against the page image before using them.