NYC-WTC_000129388

NYC 9/11 Public Portal Document

VATS 1. Client: • 9• O C~• t f• A N C

2.Project Name: PROJECT MONITOR LC i 3. Project Address: Z TbL 4. Projecyt 4 date: Part 2

9-t7 PREP-INSPECTION CHECKLIST: Work Area Location: Pass Fail N/A Pass Fail NL

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 cnanges 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/FIN4)NSPECTION CHECKLIST: ~M Work Area Location: OO'

Pass Fail N/A aP ss Fail N/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 inspection. — Yes _ No (Explain why) 7. No visible debris on pipes. Form NY-9 1/01

NYC-WTC 000129468