NYC 9/11 Public Portal Document
2.4 Passive Shaft/Duct Visual Inspection Form
Passive Shaft/Duct Identifi ation:
FRESH AIR
Location:
ELEVATOR ROOM
System Components
INOTE: if component no: present (NP), not found (NF) or inaccessible (I) please
INTARE FOR THE ELEVATOR ROOM.
Area Served:
ELEVATOR RDOM
Surface
Dust/
Debris
Present?
indicate in last column
Outside air intake (if seriicing supply air):
Location:
Accessible for inspection? Y_
_(expiain):
Y
- louvers, grates, screers or weather cap
Exhaust outlet/louver (if servicing exbaust air):
Accessible for inspection' Y.
N
(explain):
Location:
- louvers, grates, screer's or weather cap
Supply air distribution (if servicing supply air):
- Supply air outlet(s)
I'st. total qty
Specify shaft substrate ( circle):
No. locations inspected 1
metal
fbrous eiass lined metal masonx
fibrous glass board flex-duct wood
- Accessible fire damper:
Est. total qty
.No. locations inspected
- Pípes/mechanical equip ment, etc. located in shaft
Return air distribution (if servicing exhaust air):
- Exhaust air inlet(s) I'st. total qty
Specify shaft substrate (circle):
No. locations inspected_
1
fibrous glass lined metal
masonry
fibrous glass board Dex-duet wood
- Accessible fire damper:
Est. total qty.
No. locations inspected_
- Pipes/mechanical equiy ment, etc. located in shaft
Other (specify):
Page 1 of1
Component
WIC
• not present
Dust
Present? • not found
• inaccessible
N
N
N
N
NP
NP
N
NP
NP
Other Information:
General impression (incicate recommendations for cleaning based on finding of WTC dust):
-NO WTC RELATED DUST WAS DESERVED IN THE DUCT.
- NO CLEANING IS REQUIRED FOR WOTE RELATED DUST.
KEY: NP = not present: NF = not found; I= inaccessible; U = unknown
NYC-WTC_000135404
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000135404Source: NYC Law Department, mirrored locally