Ventilation Hygiene Risk Assessment

Vent Hygiene Risk Assessment

• System ID

• System type ?

  Supply Only

  Extract only

  Supply and Recirculating

  n/a

Fresh Air Inlet

• Is the fresh air inlet accessible for cleaning and inspection ?

  Yes

  No

  N/A

• Condition of this section

  Excellent

  Good

  Average

  Poor

• Add media

  Media

• Was a DTT test taken from this location

  Yes

  No

  N/A

• DTT Measurement

• Comments

Coil Section

• Does the system have a frost coil fitted

  Yes

  No

  N/A

• What condition is it in ?

  Excellent

  Good

  Average

  Poor

• Add media

  Media

• Was a DTT test taken

  Yes

  No

  N/A

• DTT Reading

• Comments

• Does the system have a heating / cooling coil fitted

  Yes

  No

  N/A

• What condition is it in ?

  Excellent

  Good

  Average

  Poor

• Add media

  Media

• Was a DTT test taken

  Yes

  No

  N/A

• DTT Reading

• Comments

Filter Section

• What filter types are installed ?

  Select Pleated Panel Bag Media pre filter Roll Filter UV filter Carbon Filter HEPA None

  • Pleated Panel
  • Bag
  • Media pre filter
  • Roll Filter
  • UV filter
  • Carbon Filter
  • HEPA
  • None

• Is there any bypass present

  Yes

  No

  N/A

• Is there any indication when the filters were last changed

  Yes

  No

  N/A

• Do they currently require changing

  Yes

  No

  N/A

• Was a DTT test taken ?

  Yes

  No

  N/A

• DTT reading

Humidifier Section

• Does this system have a Humidifier fitted ?

  Yes

  No

  N/A

• What condition is this section in ?

  Excellent

  Good

  Average

  Poor

• Is there any corrosion or calcification present ?

  Yes

  No

  N/A

• DTT test taken ?

  Yes

  No

  N/A

• DTT reading

Fan Section

• What condition is this section in

  Excellent

  Good

  Average

  Poor

• Is the fan guard fitted ?

  Yes

  No

  N/A

• Has a DTT test been taken ?

  Yes

  No

  N/A

• DTT reading

AHU fitments and fittings

• Cam locks and handle condition

  Excellent

  Good

  Average

  Poor

• Door seal condition

  Excellent

  Good

  Average

  Poor

• Internal lining condition ?

  Excellent

  Good

  Average

  Poor

• Condense drain and trap condition ?

  Excellent

  Good

  Average

  Poor

• Exterior condition

  Excellent

  Good

  Average

  Poor

Ductwork

Supply ductwork

• Is the ductwork internally lined ?

  Yes

  No

  N/A

• What condition is it in ?

  Excellent

  Good

  Average

  Poor

• Is the ductwork externally lagged ?

  Select None Foil faced mineral fibre Aluminium clad PIB Viccuclad Plaster wrapped n/a

  • None
  • Foil faced mineral fibre
  • Aluminium clad
  • PIB
  • Viccuclad
  • Plaster wrapped
  • n/a

• Have access panels been fitted as per TR19

  Yes

  No

  N/A

• Internal condition

  Excellent

  Good

  Average

  Poor

• Has a DTT been taken

  Yes

  No

  N/A
Location

• DTT reading

Extract / Recirc ductwork

• Is the ductwork internally lined ?

  Yes

  No

  N/A

• What condition is it in ?

  Excellent

  Good

  Average

  Poor

• Is the ductwork externally lagged ?

  Select None Foil faced mineral fibre Aluminium clad PIB Viccuclad Plaster wrapped n/a

  • None
  • Foil faced mineral fibre
  • Aluminium clad
  • PIB
  • Viccuclad
  • Plaster wrapped
  • n/a

• Have access panels been fitted as per TR19

  Yes

  No

  N/A

• Internal condition

  Excellent

  Good

  Average

  Poor

• Has a DTT been taken

  Yes

  No

  N/A
Location

• DTT reading

Riser ductwork

• Is the ductwork internally lined ?

  Yes

  No

  N/A

• What condition is it in ?

  Excellent

  Good

  Average

  Poor

• Is the ductwork externally lagged ?

  Select None Foil faced mineral fibre Aluminium clad PIB Viccuclad Plaster wrapped n/a

  • None
  • Foil faced mineral fibre
  • Aluminium clad
  • PIB
  • Viccuclad
  • Plaster wrapped
  • n/a

• Have access panels been fitted as per TR19

  Yes

  No

  N/A

• Internal condition

  Excellent

  Good

  Average

  Poor

• Has a DTT been taken

  Yes

  No

  N/A
Location

• DTT reading

Terminal Devices

• What terminal devices are fitted ?

  Select Four way diffusers Linear / Slot diffusers Egg crate grilles Eyeball Jet vent Other

  • Four way diffusers
  • Linear / Slot diffusers
  • Egg crate grilles
  • Eyeball
  • Jet vent
  • Other

• Type ?

• What condition are they in ?

  Excellent

  Good

  Average

  Poor

• Add media

  Media

• Is there evidence of deposits on surrounding ceiling ?

  Select Yes - Heavy Deposits Yes - Moderate Deposits No Deposits visible n/a

  • Yes - Heavy Deposits
  • Yes - Moderate Deposits
  • No Deposits visible
  • n/a

• Add media

  Media

Fan coil, VAV, CAV boxes

• Does the system have Fan coils, VAV or CAV boxes fitted

  Yes

  No

  N/A

• Are they accessible for inspection

  Yes

  No

  N/A

• Where they inspected ?

  Yes

  No

  N/A

• What condition are they in internally ?

  Excellent

  Good

  Average

  Poor

• Add media

  Media