Residential Nursery Air inspection.

Nursery Inspection

• Reference

• Site Name

• Property image

  Media

• Conducted on

  Date

• Inspected by

• Site Location
  Address

Control sample

• Image

  Media

• Temperature- Fahrenheit

• Relative humidity

• Sample #

Nursery -

• Images

  Media

Air vent

• condition.

  Good

  Fair

  Poor

  N/A

• Possible issues

  Condensation

  Lack of maintenance

  Possible Mold / Mildew

• Sample ( swab )

  Media

• Sample data.

Ceiling fan

• Visual data

  Yes

  No

• Condition

  Select Good Fair Cleaning or maintenance required Mold / Mildew

  • Good
  • Fair
  • Cleaning or maintenance required
  • Mold / Mildew

• Sample requested ? ( swab)

  Yes

  No

  N/A

• Sample data

Windows

• Condition

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• undefined

  Select Mold / Mildew Condensation Water damage / leak / intrusion Seal/ Frame damage Lack of maintenance/ cleaning

  • Mold / Mildew
  • Condensation
  • Water damage / leak / intrusion
  • Seal/ Frame damage
  • Lack of maintenance/ cleaning

• Possible issues

  Select Mold / Mildew Condensation Water damage / leak / intrusion Seal/ Frame damage Lack of maintenance/ cleaning

  • Mold / Mildew
  • Condensation
  • Water damage / leak / intrusion
  • Seal/ Frame damage
  • Lack of maintenance/ cleaning

• Sample requested ?

  Yes

  No

  N/A

• Sample data

Ceiling / walls

• Condition

  Select Mold / Mildew Condensation Water damage / leak / intrusion Seal/ Frame damage Lack of maintenance/ cleaning

  • Mold / Mildew
  • Condensation
  • Water damage / leak / intrusion
  • Seal/ Frame damage
  • Lack of maintenance/ cleaning

• Sample requested ?

  Yes

  No

  N/A

• Sample #

• Visual condition

  Good

  Fair

  Poor

  N/A

Flooring

• conditions

  Select Good Fair Cleaning or maintenance required Mold / Mildew

  • Good
  • Fair
  • Cleaning or maintenance required
  • Mold / Mildew

• Data

  Tile

  Carpet

  Vinyl

  Wood

• Carpet condition

  Select Good Fair Cleaning or maintenance required Mold / Mildew

  • Good
  • Fair
  • Cleaning or maintenance required
  • Mold / Mildew

• Wood condition

  Select Mold / Mildew Condensation Water damage / leak / intrusion Seal/ Frame damage Lack of maintenance/ cleaning

  • Mold / Mildew
  • Condensation
  • Water damage / leak / intrusion
  • Seal/ Frame damage
  • Lack of maintenance/ cleaning

• Sample requested

  Yes

  No

  N/A

• Sample #

Indoor Air Quality ( aero cell )

• Sampling - ( aero-cell )

  Media

• Relative humidity

• Temperature - Fahrenheit

• Sample #

Portable/ window a.c. Unit present ?

• Confirmed usage

  Yes

  No

  N/A

• Condition

  Select Mold / Mildew Condensation Water damage / leak / intrusion Seal/ Frame damage Lack of maintenance/ cleaning

  • Mold / Mildew
  • Condensation
  • Water damage / leak / intrusion
  • Seal/ Frame damage
  • Lack of maintenance/ cleaning

• Sample requested ? ( swab)

  Yes

  No

  N/A

• Sample data

• Add signature

  Sign

Air filter present?

• Confirmed usage

  Yes

  No

  N/A

• undefined

  Select Good Fair Cleaning or maintenance required Mold / Mildew

  • Good
  • Fair
  • Cleaning or maintenance required
  • Mold / Mildew

Furniture and other general surfaces

• Condition

  Select Good Fair Cleaning or maintenance required Mold / Mildew

  • Good
  • Fair
  • Cleaning or maintenance required
  • Mold / Mildew

HVAC system

• Yes

  No

  N/A

Additional areas / locations requested ?

• Confirmation acquired

  Yes

  No

  N/A

• Tech. Signature

  Sign