NYC-WTC_000129388

NYC 9/11 Public Portal Document

V! 1. Client: OC TC PROJECT MONITOR LO 3.1Projject Address, z.'~~r~ / ~ `

4. Project #: 7

5. date. Part 2

1 r ' auto-tJ 4a. Task: q ~~b

S Work Area Location: PREP-INSPECTION CHECKLIST:

Pass Fail NSA Pass Fail N

1. Vacated by occupants 8. Openings <32ff- 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. 12. Floor poly 6" onto walls (12"=NYS). 6. DECONTAMINATION UNIT: 13. Wall poly to the floor. • Outside work area • CIn, 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

L INSPECTION CHECKLIST: Work Area Location:

Pass Fail fL Pass Fail IL

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 000129434