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Passive shaft inspection form for WTC dust assessment

Machine-extracted title · confidence 100%

Inspection form template for documenting debris and dust presence in passive ventilation shafts.

NYC-WTC_000139961

Folder label: “EPA HVAC ACTION PLAN (Indoor Clean up)”

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NYC 9/11 Public Portal Document

2.4 passive Shaft/Duct Visual Inspection Form Page 1 of 1

P’assive 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): - Supply air outlet(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 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 EsL 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-VVTC_000139961

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NYC-WTC_000139961Source: NYC Law Department, mirrored locally

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Inspection form for HVAC components including outside air intake and exhaust outlets, assessing accessibility and presence of WTC dust contamination.

2 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993

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