NYC 9/11 Public Portal Document
J a S 5 0 t~ • f 5 A N C
PROJECT MONITOR LOG Part 2
1. Client: 2. Project Name: 3. Project Address: l4. Project # 5. dale:
ux
4a. Task #:
E) 00
PREP-INSaCTION CHECKLIST:
Work Area Location:
Pass Fail NL aP ss Fail
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.
6. DECONTAMINATION UNIT. 12. Floor poly 6" onto walls (12"=NYS).
• Outside work area 13. Wall poly to the floor.
• 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. T-
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:
aP ss Fail Pass Fail SN A
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 mspeclion. _ Yes __ No (Explain why)
7. No visible debris on pipes.
Form NY-9 1/01
NYC-WTC 000129644
OCR can misread numbers and units. Confirm readings against the page image before using them.