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EPA Building Air Quality Guide-1991

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Indoor Air Quality Forms 171 IAQ Management Checklist Building Name: Address: Completed by (name/title): Use this checklist to make sure that you have included all necessary elements in your IAQ profile and IAQ management plan. Sections 4 and 5 discuss the development of the IAQ profile and IAQ management plan. Date begun Location or completed Responsible person ("NA" if the item is not Item (as applicable) (name, telephone) applicable to this building) Page 1 of 4 IAQ PROFILE Collect and Review Existing Records HVAC design data, operating instructions and manuals HVAC maintenance and calibration records, testing and balancing reports Inventory of locations where occu- pancy, equipment, or building use has changed Inventory of complaint locations Conduct a Walkthrough Inspection of the Building List of responsible staff and/or contrac- tors, evidence oftraining, and job descriptions Identification of area where positive or negative pressure should be maintained Record of locations that need monitoring or correction Collect Detailed Information Inventory of HVAC system components needing repair, adjustment, or replacement Record of control settings and operating schedules Date:

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