Indoor Air Quality Assessment Checklist

• Site/Facility/Building Name

• Location
  Address

• Conducted on

  Date

• Assessor/Inspector Name

Visual Inspection and Maintenance

• Inspect for leaks, water damage, and signs of mold or mildew.

  Safe

  At Risk

  N/A

• Check for cracks or gaps in windows, doors, and walls.

  Safe

  At Risk

  N/A

• Evaluate overall cleanliness and tidiness of living spaces.

  Safe

  At Risk

  N/A

Potential Pollutant Sources

• Identify and list potential sources of indoor air pollutants (e.g., cleaning products, smoking, cooking emissions).

• Evaluate presence of mold or moisture issues in bathrooms, kitchens, and other areas.

  Safe

  At Risk

  N/A

• Check for the use of strong fragrances, candles, or incense.

  Safe

  At Risk

  N/A

Temperature and Humidity

• Measure and record temperature in different rooms.

  Safe

  At Risk

  N/A

• Measure and record humidity levels using a hygrometer.

  Safe

  At Risk

  N/A

• Compare readings to recommended comfort ranges.

  Safe

  At Risk

  N/A

Air Filtration and Cleaning

• Check HVAC filters for cleanliness and replacement needs.

  Safe

  At Risk

  N/A

• Assess use of air purifiers or indoor plants for air purification.

  Safe

  At Risk

  N/A

• Inspect and clean HVAC system components, including coils and ducts.

  Safe

  At Risk

  N/A

• Review cleaning practices, including dusting, vacuuming, and mopping.

  Safe

  At Risk

  N/A

Ventilation and Air Exchange

• Check HVAC system for proper operation and filter cleanliness.

  Safe

  At Risk

  N/A

• Inspect air vents and registers for cleanliness and obstruction.

  Safe

  At Risk

  N/A

• Assess windows and doors for proper sealing and ventilation options.

  Safe

  At Risk

  N/A

• Ensure exhaust fans in bathrooms and kitchen are functioning well.

  Safe

  At Risk

  N/A

• Evaluate overall air circulation and comfort level.

  Safe

  At Risk

  N/A

Occupant Activities

• Identify any activities that might impact indoor air quality (e.g., cooking, smoking).

• Discuss occupant habits and practices related to IAQ.

Carbon Dioxide Levels (Optional)

• Measure carbon dioxide levels using a CO2 monitor.

• Compare readings to recommended levels for indoor air quality.

  Safe

  At Risk

  N/A

Recommendations and Action Steps

• Improve ventilation by keeping windows open or using fans.

• Replace HVAC filters as needed and consider regular maintenance.

• Address potential sources of pollutants (e.g., smoking areas, chemical products).

• Maintain indoor plants and use natural air purifiers if desired.

• Repair leaks, address moisture issues, and prevent mold growth.

• Educate occupants on proper cleaning practices and IAQ habits.

• Use environmentally friendly cleaning products.

• Properly store and dispose of chemicals and hazardous materials.

• Notes and Observations

• Follow-Up Assessment

  Date

• Assessor/Inspector Name and Signature

  Sign