NYC 9/11 Public Portal Document
2.4 ‘Passive Shaft/Duct Visual Inspection Form Page 1 of 1
Passh. lafl/Duct Identification:
Locati Area Served:
Surface Component
Systen jmponents Dust/ WTC • not present
[NOT! if component not present (NP), not found (NF) or inaccessible (I) please Debris Dust • not found
indicate ■ a last column] Present? Present?
• inaccessible
Outsic . ir intake (if servicing supply air): Location:
Acces . for inspection? Y N (explain):
- Ic ers, grates, screens or weather cap
Exha. utlet/louver (if servicing exhaust air): Location:
Acces- for inspection? Y N (explain):
- k s, grates, screens or weather cap
Supply J r distribution (if servicing supply air);
- Sup; air outlet(s) Est. total qty No. locations inspected
Spec shaft substrate (circle): metal fibrous glass lined metal masomv
fibrous glass board flex-duct w^d
- Acc /ole fire dampers Est. total qty No. locations inspected
- Pipe .echanical equipment, etc. located in shaft P
Rctui - r distribution (if servicing exhaust air):
- Exlk air inlet(s) Est. total qty No. locations inspected
Spec shaft substrate (circle): metal fibrous glass lined metal masonry
fibrous glass board flex-duct wood
- Act . ole fire dampers Est. total qty No. locations inspected
- Pipe- . lechanical equipment, etc. located in shaft
Other ecify):
Other ormation:
Geneii mpression (indicate recommendations for cleaning based on finding of WTC dust):
KEY; not present; NF = not found; I = inaccessible; U = unknown
NYC-WTC_000161591
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