23 M,echanical Make-up Air System Visual Inspection Form Page 1 of 2
Mechanical Make-up Air System Identification;
Location: Area Served:
Associated mechanical room: clean Y N dry Y N
stored chemicals/refiise Y N
Surface Component
System Components (if component not present, not found or inaccessible please Dust/ WTC • not present
indicate) Debris Dust • not found
Present? Present?
• inaccessible
Outside air intake: Location:
Accessible for inspection? Y N (explain):
- louvers, grates and/or screens
- outside air duct
- outside air damper(s)
Make-up air handling unit:
- outside air mixing chamber
- filter rack(s)
- filter media
- blower assembly inch blower wheel, blower housing, air vanes, in-line noise attenuators
- blower housing acoustical lining
- pre-heat coils
- heating coils
- cooling coils
- re-heat coils
- condensate drain pan
- supply air plenum
- supply air plenum damper(s)
- vibration collars
Make-up air distribution:
- Make-up air ducts Est.Total In ft No. locations inspected
Specify type (circle): metal fibrous glass lined metal masonry fibrous glass board
flex-duct wood
- Accessible in-line fire dampers EsL total qty No. locations inspected
- Accessible turning vanes Est. total qty No. locations inspected
- In-line reheat/cooling coils Est. total qty No. locations inspected
- Supply air diffusers Est. total qty No. locations inspected
Other (specify):
Other Information:
Filter loading (light, moderate, heavy): EH Abraded/delaminated acoustical lining
O Filter bypass (describe)
NYC-WTC_000162677
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000162677Source: NYC Law Department, mirrored locally
EPA correspondence transmitting the final HVAC system inspection checklist and implementation guidance for use by contractors in post-9/11 building cleanup and ventilation system…
Instructional guidance for completing ventilation system evaluation forms, including documentation of prior inspections, maintenance records, and WTC dust assessment.