NYC 9/11 Public Portal Document
2.4 Passive Shaft/Duct Visual Inspection Form Page 1 of 1
Passive Shaft/Duct Identification:
Location: Area Served:
Surface Component
System Components Dust/ WTC • not present
[NOTE: if component not present (NP), not found (NF) or inaccessible (I) please Debris Dust • not found
indicate in last column] Present? Present?
• inaccessible
Outside air intake (if servicing supply air): Location:
Accessible for inspection? Y N (explain):
- louvers, grates, screens or weather cap
Exhaust outlet/louver (if servicing exhaust air): Location:
Accessible for inspection? Y N (explain):
— louvers, grates, screens or weather cap
Supply air distribution (if servicing supply air):
- SuDolv air outlet(s) Est. total qty No. locations inspected
Specify shaft substrate (circle): metal fibrous glass lined metal mas
fibrous glass board flex-duct wood
- Accessible fire dampers Est. total qty No. locations inspected
- Pipes/mechanical equipment, etc. located in shaft P
Return air distribution (if servicing exhaust air):
- Exhaust air inlet(s) Est total qty No. locations inspected
Specify shaft substrate (circle): metal fibrous glass lined metal masonry
fibrous glass board flex-duct wood
- Accessible fire dampers Est. total qty No. locations inspected
— Pipes/mechanical equipment, etc. located in shaft
Other (specify):
Other Information:
General impression (indicate recommendations for cleaning based on finding of WTC dust):
KEY: NP = not present; NF = not found; I = inaccessible; U = unknown
NYC-WTC_000139940
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