NYC 9/11 Public Portal Document
, N C
PROJECT MONITOR LO ,-? aro Part 2
♦ S S O C I• E S
3. Project Address. date:
1. Client: 12. Project Name: l 5.d
P cjcI,-i.1 ILf C~~P14 i S' 4a.Tajc~6Y 7~~'dL
PREP-INSPECTION CHECKLIST:
Work Area Location:
INA Pass Fail NL
aP ss Fail
1. Vacated by occupants. 8. Openings <32ft•' covered by 2 lyrs poly.
9. Openings >32ft' covered by plywood
2. Warning Signs (Eng. Sp).
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
14. 6" overlap between adjacent sheets
• CIn, shwr, eqpt rooms 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
doors.
• I shower per 6 workers
17. Perimeter diaphragm for elevator
• Hot/cold water 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.
S 7. POSTINGS:
• Regulations
22. Toilet for abatement personnel.
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
• Supervisors 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
Yes _ No
• Emergency Numbers 26. Work area passes inspection
• Material Data Sheets
PRE-ENCAPSULATION/FII . INSPECTION CHECKLIST:
Work Area Location: ~~
Pass Fail N
aP ss Eail NL
1. No visible debris on walls. floors 8. No bags of waste in work area.
9. All equipment clean.
2. No visible debris between decking
and beams. 10. Neg. Air > 0.02 inch. of water.
3. No visible debris behind perimeter 11. Airless spray equipment used.
columns.
12. Work area is dry, free of water pools.
4. No visible debris on top of ducts.
13. The area suitable for encapsulation.
5. No visible debris on hangers. rods.
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 000129574
OCR can misread numbers and units. Confirm readings against the page image before using them.