Issue link: https://hi.iaq.net/i/630729
Building Name: ____________________________________________ Address: __________________________________________ Completed by: ___________________________________________ Date: ______________ File Number: ___________________ HVAC Checklist - Short Form 193 Indoor Air Quality Forms DISTRIBUTION SYSTEM Supply Air Return Air Power Exhaust Zone/ System ducted/ cfm* ducted/ cfm* cfm* control serves Room Type unducted unducted (e.g. toilet) Condition of distribution system and terminal equipment (note locations of problems) ■ Adequate access for maintenance? ■ Ducts and coils clean and obstructed? ■ Air paths unobstructed? supply return transfer exhaust make-up ■ Note locations of blocked air paths, diffusers, or grilles ■ Any unintentional openings into plenums? ■ Controls operating properly? ■ Air volume correct? ■ Drain pans clean? Any visible growth or odors? Filters Location Type/Rating Size Date Last Changed Condition (give date) Page 3 of 4