Red River College Air Leakage Pre Test Inspection Report

• Document No.

• Building Name

• Prepared for

• Prepared by

• Location
  Address

Report Information

• Building Name:

• Prepared For:

• Sustainable Infrastructure Technology Research Group
  Red River College of Applied Arts, Science and Technology
  C506-2055 Notre Dame Avenue
  Winnipeg, MB R3H 0J9

• Date of inspection and site arrival time

  Date

• Site departure time

  Date

• Proposed date of testing

  Date

• Prepared By:

• Location:
  Address

• Building History (construction, renovations, additions, etc)

• Purpose of Testing (why are we testing? Renovation? Informational?)

• General Observations (state of the building, special attention, etc.)

• Site Photo (insert Google Maps or other overhead image)

  Media

• Building Type

• Building Footprint

  square metres

  square millemetres

  square feet

• Total Building Area

  square metres

  square millemetres

  square feet

• Building Volume

  cubic metres

  cubic millemetres

  cubic feet

• Building Layout Information (lower roof, remote attached building, etc.)

Building Site Information

• Control of Site Systems? If no, then who does? (Name, phone)

  Yes

  No

  N/A

• Are there restricted areas?

  Yes

  No

  N/A

Site Contact List

• Please add site contact

Site Contract

• Company

• Role

• Phone Number

• Drawings Available

  Yes

  No

• Mechanical

• Electrical

• Structural

• Other (specify)

• Specify

• Weekdays

• Select Monday Tuesday Wednesday Thursday Friday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday

• Evenings

• Select Monday Tuesday Wednesday Thursday Friday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday

• Weekends

• Select Yes No N/A

  • Yes
  • No
  • N/A

Pre Inspection Attendees

• Please add an attendee.

Attendee

• Name

• Company

Testing Personnel

• Please add test personnel

Test Person

• Name

• Company

• Role

• Phone Number

Seal Locations (total)

• Roof

• Exterior

• Interior

Materials List

• Please enter material

Material

• CARSI Checklist

• Site Checklist

• Material Type

• Material Code

• Material Quantity

Equipment List

• Please enter equipment

Equipment

• Equipment Description

• Equipment Quantity

• CARSI Checklist

• Site Checklist

Risk Assessment

• Types of work (list all types of work done at the work site)

Type of work

• Type of Work

• Work related activity

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

• Risk Consequence

• Risk Frequency

• Risk Probability

• Risk Total

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

Hazard

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

• Risk Consequence

• Risk Frequency

• Risk Probability

• Risk Total

• Work related activities (list all work related activities for each type of work)

Activity

• Work related activity

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

• Risk Consequence

• Risk Frequency

• Risk Probability

• Risk Total

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

Hazard

• Hazards (list all hazards for each work related activity. List both health and safety hazards)

• Risk Consequence

• Risk Frequency

• Risk Probability

• Risk Total

Site Map

• Use annotated image with identification tags of all locations of interest

  Media

• Add additional annotated images

additional image

• Additional photo

  Media

Annotation Legend

• Enter annotation information

annotation

• Tag ID

• Tag description

Exterior Seal Locations

• Please enter exterior seal location

exterior location

• Dimensions

• Tag ID

• Material Required

• Insert Photo

  Media

• Location

• Type

Roof Seal Locations

• Please enter roof seal location

roof location

• Insert Photo

  Media

• Location

• Type

• Dimensions

• Tag ID

• Material Required

Interior Seal Locations

• Please enter interior seal location

interior location

• Insert Photo

  Media

• Location

• Type

• Dimensions

• Tag ID

• Material Required