NYC-WTC_000129388

NYC 9/11 Public Portal Document

OYATC •ssoe~•res gee 1. Client: 2. Project Name: PROJECT MONITOR LOG 3. Project Address 4. Project #: 5. date: Part 2

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PREP-INSPECTION CHECKLIST: i 4a. ask #: C

Work Area Location: Pass Fail aP ss E LA 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. Wail 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 diapnragm 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 • 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 • Emergency Numbers 26. Work area passes inspection — Yes — No • Material Data Sheets

PRE-ENCAPSULATION/FINAL INSPECTION CHECKLIST: Work Area Location:

Pass Fail NLA Pass Fail IN

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. — No (Explain why) 15. Work area passes inspection. Yes — 7. No visible debris on pipes. Form NY-9

NYC-WTC 000129474