Guide for School Facility Condition Surveys · PDF fileGuide for School Facility Condition Surveys ... section, paragraph, and sub-paragraph. Survey ... Results of these surveys and

State of Alaska - Department of EducationEducation Support Services / Facilities 1997 Edition

Guidefor

SchoolFacility

ConditionSurveys

PRIMARY Harley Hightower, AIACONTRIBUTOR Architect

LCMF, Inc.Anchorage, Alaska

CONTRIBUTORS Tim Mearig, AIAArchitectAlaska Department of EducationJuneau, Alaska

Edwin Crittenden, FAIAEducational Facilities ConsultantAlaska Department of EducationAnchorage, Alaska

Michael Morgan, PMPFacilities ManagerAlaska Department of EducationJuneau, Alaska

ACKNOWLEDGEMENTS

Thanks to the Bond Reimbursement and Grant Review Committee members who reviewed thepublication in its draft form and a special thank-you to Harley Hightower for his contribution of theoriginal format and his creation of the specific building system checklists.

This publication may not be reproduced for sale by individuals or entities other than the:

State of AlaskaDepartment of EducationJuneau, Alaska

Originally published in a limited quantity in June, 1995 by the State of Alaska, Department ofEducation as Educational Facility Condition Survey.

State of Alaska - Department of EducationGuide for School Facility Condition Surveys - 1997 Edition 1

Table of Contents

SECTION ...........................................................................Page

DIRECTIONS FOR USE ................................................. 2

EXAMPLES ..................................................................... 4Samples of Completed Survey Forms ........................ (5-7)Sample of Recommendations Narrative ..................... (8-9)

CONDITION SURVEY FORMSARCHITECTURAL/STRUCTURAL

Building Data Record .................................................. 10Regulatory Data .......................................................... 11Site Data ..................................................................... 14Foundations ................................................................. 17Structural Floor(s) ....................................................... 18Exterior Wall ............................................................... 19Exterior Door .............................................................. 20Exterior Window ......................................................... 21Roof ............................................................................ 22Interior Rooms (Standard) ........................................... 24Interior Rooms (Damp) ............................................... 26Corridors/Commons .................................................... 28Kitchens ...................................................................... 30Shops .......................................................................... 32Locker Rooms/Restrooms ........................................... 34Auditorium .................................................................. 36Gymnasium .................................................................. 38

MECHANICAL/ELECTRICALExterior Mechanical Elements ...................................... 40Roof Mechanical Elements ........................................... 41Mechanical Room ........................................................ 42Ductwork .................................................................... 45Toilet Rooms/Showers ................................................ 46Kitchens ...................................................................... 48Electrical Service .......................................................... 50Exterior Electrical Elements ......................................... 51Emergency Systems (fire, exit lighting, etc.) ................. 52Standard Room Electrical ............................................ 53Special Purpose Room Electrical ................................. 54

State of Alaska - Department of Education2 Guide for School Facility Condition Surveys - 1997 Edition

Directions for Use

IntroductionThis publication is provided for convenience to establish a minimum requirement for evaluating facilities. Theuse of this document is not mandatory. Other forms and documents providing this information are acceptable.

The condition survey should begin by review of record documents and completion of a code analysis prior tothe on-site survey.

It is anticipated that the condition survey will be accomplished by a team of professionals and/or tradespersonswith the necessary expertise to assess the various areas. However, with the exception of the Regulatory Datasection, most of the checklists could be utilized by experienced maintenance personnel which districts mayhave on staff.

FormattingThis document is designed to be not only a guide, describing areas of potential concern, but also a source ofworking checklists for use in actually performing a condition survey. A final condition survey report mayeither be produced “manually” by filling out information directly on a paper copy or “electronically” byrecording information on a copy of the electronic file and printing a paper copy. In either case, the checklistheaders, footers and numbering should be adjusted to show the specific information obtained on the buildingassessed. Some checklist pages such as Exterior Doors and Interior Rooms are expected to be used many timesin the report (i.e. one for each item or space). Sequential numbering for these checklists is provided by a lettersuffix. If more than 26 checklists are needed for any one category, devise a supplemental numbering systemwhich is workable for your report. Some sample pages of what a final report should look like follow thesedirections.

Section 1 - Condition Survey Record is self explanatory. The information matches much of that found in theCEFPI School Facility Appraisal Guide’s Building Data Record.

Section 2 - Regulatory Data: Codes used for evaluating the facilities shall be referenced. The data listed inthe form is not all inclusive and each facility requires analysis based on the particular design and construction.Any code information or discrepancies noted should be provided with code references including title, edition,chapter, section, paragraph, and sub-paragraph.

Survey, reports, and other documentation such as ADA Surveys, AHERA Surveys, Fire Marshal InspectionReports, and similar documentation shall be referenced under this section of the survey and attached as anappendix if available. Results of these surveys and studies shall be considered in the recommendations andcost summary.

Section 3 - Site Data: This section provides for the evaluation of general site conditions as well as areas andequipment which support athletics and play. The latter portion addresses the civil engineering and utilityrequirements of the building. The use of this section is self explanatory.

Section 4 - Building Envelope/Structure: Several forms work together to assess the complete architecturaland structural exterior features and systems. In complex buildings, the building should be broken down intodiscrete areas (e.g. wings, etc.) and separate information obtained for each area. In addition, changes inmaterials or structural systems may require a separate form be generated. Use as many forms as is necessary.


Directions for Use (Cont.)

Section 5 - Interior Spaces: This section is intended to capture all interior information on a room-by-roombasis. Three basic types of forms are included: a form for a general room with standard amenities (e.g.classrooms, administrative offices, etc.), a form for general rooms with the addition of plumbing elements (e.g.science labs, art rooms, janitor rooms, etc.) and several forms customized for special use spaces includingCorridors/Commons, Kitchens, Shops, Locker Rooms/Restrooms, Auditoriums and Gymnasiums. If additionalspecial use forms are needed (for example, media center, etc.), create one from the other forms or requestassistance from the Department’s Facilities staff.

Section 6 - Mechanical: This section covers general mechanical systems found in various areas of a building.It also uses a form for Mechanical Rooms to gather significant information on the heating, cooling andventilation systems supplying the building’s spaces. Information gathered in Section 5 will augment theinformation in this section. However, the basic principle is that Section 5 is limited to the visual aspects of theappurtenances of the mechanical systems whereas Section 6 will address the functionality and support for theappurtenance. This section also deals with some specific regulatory data not covered in Section 2

Section 7 - Electrical: This section covers electrical systems in similar fashion as Section 6 treats mechanicalsystems. Information gathered in Section 5 will augment the information in this section. Again, the basicprinciple is that Section 5 is limited to the visual aspects of the appurtenances of the electrical systems whereasSection 7 will address the functionality and support for the appurtenance. This section, too, deals with somespecific regulatory data not covered in Section 2.

Findings and CostUpon completion of the condition survey, recommendations shall be provided for all discrepancies andupgrades described. Cost associated with each discrepancy and upgrade shall be provided. Eachrecommendation shall reference the corresponding item contained in the Condition Survey by section,paragraph, and sub-paragraph designations. A sample page of a Recommendations narrative is included in theexamples in the following section.

Supplement and AppendicesSupplements may be included in an Appendix to the Condition Survey report. Appendices may includesubjects such as special inspections, engineering calculations, photographs, drawings, and etc.. Floor plans,with building area designations, room identification and door numbers used in the checklists are encouraged.

The checklists, as shown, are very limited in their provision of comment areas. Comments should be added andused as required to explain conditions and/or cover subjects that are not included in the evaluation form. Whenusing the manual method, attach additional sheets. If the checklists in this document are modifiedelectronically, extensive comments may simply be typed into the checklist form (see examples).

DisclaimerThis guide is not considered all inclusive and should be added to based upon the design and construction ofeach facility and on the structure’s condition. Subjects contained in this survey form that are not applicablemay also be deleted.

Input is requested from users of this Condition Survey relative to its improvement.

The State of Alaska, Department of Education provides this School Facility Condition Survey as aconvenience and assumes no liability for its use.


Examples

Excerpts from a completed School Condition Survey are attached on the following five pages to show theexamples of the evaluation and summary forms.

Mid-Alaska School DistrictSchool Facility Condition Survey ABC Elementary July 1997

9

Site Data Cont. 3.35. Site Utilities

a. WaterSupply Source n Well o River o Lake o Lagoon

o Rainwater Collection o Water HaulDistance from Building ___220ft___Condition n Good o Fair o Poor

b. Water Treatment Plant o None n ProvidedType: Sediment Filter_ Capacity ___200gal._____Condition o Good n Fair o Poor

c. WastewaterType o Primary n Secondary o Waste Storage/HaulDischarge n Lagoon o Holding Tank o OtherDesign Data Capacity________ Average Daily________ Daily Peak_______Characteristics BODs5__________

d. Natural/LP Gas n None o ProvidedServing o Kitchen o Home Economics o Shop o OtherCondition o Good o Fair o Poor

e. Fuel Oil o None n ProvidedCapacity: 32,000gal. Duration (Days): 60 daysDistance (From Building): 155 feetCondition o Good n Fair o Poor

f. Comments: Site utilities are well maintained though age is beginning to make this effort very difficult.No major difficulties in water supply have been experienced. Wastewater treatment is marginal; equipmentreplacement will be required within 5 years. Fuel oil represents some hazard with leaks at threaded pipe jointsoccurring during freeze/thaw cycles.

6. Miscellaneous

a. Satellite Dish o None nProvidedCondition o Good n Fair o Poor

b. Vehicle Storage Structure n None o ProvidedType ________Condition o Good o Fair o Poor


10

Building Envelope/Structure 4.1FOUNDATIONS

1. Foundation Type

a. Construction o Reinforced Concrete n Timber Pile o Steel Pileo All Weather Wooden Concrete Footingo Masonry On Concrete Footingo Mud Sills o Other:

b. Area of Building: Gymnasium addition in 1977 (Area B on attached floor plan diagram)

2. Components

a. Footing n N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported areas o Yes o NoRot/Decay o Yes o NoWater Penetration o Yes o No

Comments: _________________________________________________________________________b. Post/Pile o N/A n Provided n Size/Material: Treated, 12” diameterCondition: Cracks o Yes n No

Heaving/Jacking n Yes o NoRot/Decay o Yes n No

Comments: Previous reports have questioned the reliability of the passive heat pumps thatmaintain the integrity of the permafrost and the structural requirements for the foundation. Thethermoprobes were inspected as part of this condition survey with air temperatures as summarized inAppendix E.

Of the 63 thermoprobes, 13 were operating with indicated temperatures from +6.0 to +17.1 °F. Non-operating probes varied in indicated temperatures from -11.9 to +2.0 °F in the shade with one non-operating probe in the sun indicating +2.1°F. Temperatures were based on assumed emissivity of 0.95.Radiators had varying degrees of rust with accumulations of silt and organic matter caught between thefins; limiting air flow across the fins. These accumulations and rust reduce the heat transfer capacity toan estimated 30-85% of design capacity.

The lower end of the radiators had insufficient support, and, as a result, the upper end of the ¾ inchcopper evaporator has a reverse grade on 13 units. Eleven non-operating units and two operating unitshad reverse grades. Reverse grades reduce the performance of the units to one-fourth of what it would beotherwise. Five units had kinked copper tubing which would further reduce heat transfer out of theground. One radiator was lying on the ground without support. Thermocouples appear in good conditionthough female plugs require cleaning.

c. Stem wall n N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported Areas o Yes o NoRot/Decay o Yes o NoWater Penetration o Yes o No


11

Building Envelope/Structure. 4.1FOUNDATIONS - PAGE 2

Comments: _________________________________________________________________________

d. Water/Dampproof n N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

e. Insulation n N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

f. Flashings n N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

THIS PAGE INTENTIONALLYLEFT BLANK


Appendix A - 1

Recommendations

GeneralNarrative information, recommendations and costs are discussed in the order that they are described in thepreceding school facility condition survey forms. Each item is cross-referenced by the section, paragraph andsubparagraph number to the survey forms.

Deficiencies Requiring Corrective Action

Item cf Recommendation Cost1. Stack in Boiler Room:Review of the record drawingsindicate that the boiler stack extendsthrough the roof structure in anunprotected manner. The UBC-91,Table 17A requires one-hourprotection of vertical shafts and theUMC-91 requires one-hourprotection of boiler stacks.

2.1, A, 13a Provide an enclosure for one-hourprotection of the boiler stack where itpenetrates the ceiling/roof structure.

$6,500

2. Draft Stops:The UBC-91, Sec. 2516(f) requiresdraft stops in the attics for each3000sf of area and not to exceed 60’horizontally. Review of recorddrawings indicates draft stops arenot provided.

2.1, A, 13a Provide draft stops in accordance with UBCrequirements.

$12,000

3. Unrated Corridor Walls:The walls between the classroom andthe multipurpose room and exitcorridors are not constructed inaccordance with one-hourrequirements. The walls have onelayer of 5/8” gypsum board on eachside of framing, however, thegypsum board does not continueabove the corridor ceiling. Theceiling is not fire rated.

2.1, A, 16b An additional layer of 5/8” gypsum boardcould be applied to the corridor ceiling or tothe wall portions above the ceiling. Theceiling application is probably the most costeffective.

$15,000

4. Thermoprobe Inspection:A detailed inspection of the passiveheat pumps was conducted and theresults are outlined in the conditionsurvey.

4.1, 2b Reconditioning of the system for ananticipated 20 year life under 1a) or 50years for 1b) as follows:1a) Clean all radiators of debris and rust onsite, repaint, pressure test, repair wherenecessary and recharge with CO2.1b) Remove all radiators, transport toAnchorage, sandblast, aluminum coat,fusion epoxy coat, return to site, reconnectto evaporators, pressure test and recharge

Solution 1a:$58,700

Solution1b:

$93,690


Appendix A - 2

with CO2.2)Evaporators should be extended to raisebottom of radiator above floor level andshould be checked for volume. Leakingprobes may have ice accumulations in theevaporator which will permanently reduceevaporator capacity in a few probes.3) Thermocouples should be checked in latesummer along with probe temperatures(from absolute pressures) to better defineany subsurface water channels that mayhave developed during flooding.4) Clean thermocouple with a small caliberrifle brush.5) For raising the elevation of the building if1a) is selected, evaporator copper tubingwould be cut between the radiator andground surface and sealed to preventmoisture infiltration. The exposed tubingand cap should be spray painted withreflective orange paint. They should also beprotected during building lifting operations.After lifting is completed, evaporator capwould be removed, tubing extended,refinished radiators connected, unitspressure tested, recharged and pressuresmaintained.

5. Seismic and Wind Design:Based on the structural calculationsattached as Appendix C, thestructure appears adequate relativeto seismic and wind design. Theroof is slightly under-designed forcurrent snow load criteria based onvery conservative data.

4.1, 3 Costs are not provided for corrective actionon this data.

Unk.

6. Door 102 Smoke Gasketing andLatch:

Door requires tight-fitting door withsmoke gasketing for conformancewith UBC-91, Sec. 3305(g).

4.4a Provide smoke gasketing and latchinghardware (panic hardware type on this door)

$1,000

7. Door 102A Smoke Gasketingand Latch:

Door requires tight-fitting door withsmoke gasketing for conformancewith UBC-91, Sec. 3305(g).

4.4b Provide smoke gasketing and latchinghardware (panic hardware type on this door)

$1,000


Condition Survey Record 1.1Survey Participants/Team Contact InformationInformation

___________________________ ____________________________________________

___________________________ ____________________________________________

___________________________ ____________________________________________

___________________________ ____________________________________________

Dates of Survey:______________ to _____________

District District Name: _____________________________________Information

Address: _____________________________________

_____________________________________

_____________________________________

Telephone: _____________________________________

Superintendent: _____________________________________

Maintenance Director: ________________________________

Facility Name of School: ____________________________________Information

Address: __________________________________________

__________________________________________

__________________________________________

Telephone: _____________________________________

Principal: __________________________________________

Plant Manager: _____________________________________

OriginalConstruction _____________GSF _______________YR1st Addition _____________GSF _______________YR2nd Addition _____________GSF _______________YR3rd Addition _____________GSF _______________YR

Gross Area: _____________________________________

Grades Served: _____________________________________

Comments:


Regulatory Data 2.1

A. UNIFORM BUILDING CODE DATA (19xx Edition)

1. OCCUPANCY CLASSIFICATION(S)______________

2. TYPE OF CONSTRUCTION____________________

3. LOCATION OF PROPERTY (SETBACK FROM PROPERTY LINE)North East South West________ ________ _______ _______

4. FIRE RESISTANCE OF EXTERIOR WALLSProvided Allowed Opening ProtectionN _________ _________ __________S _________ _________ __________E _________ _________ __________W ________ _________ __________

5. FLOOR AREAProvided Allowed________ ________

6. AREA SEPARATIONSRequired Provided________Hour ________Hour

7. HEIGHT/STORIES

Provided Allowed________ ________

8. MIXED OCCUPANCY

Actual Group X + Actual Group E < 1 X = ------ S.F + E = ----- S.F. < 1Allowable Group X Allowable Group E X = ------ S.F. E = ----- S.F.

9. SPECIAL HAZARDSa. Labs, shops, and similar areas separated by one hour occupancy separationso Provided o Not Provided

b. Labs in excess of 200 square feet provided with two exitso Provided o Not Provided

c. Distance to exits in labsProvided________ Allowed 75' Maximum

d. Exterior openings in boiler roomsProtected o Yes o No / Distance from doors or windows feet

e. Boiler Room separated by one hour occupancy separationo Provided o Not Provided


Regulatory Data Cont. 2.210. FIRE ALARM REQUIRED

o Provided o Not Provided

11. OCCUPANCY SEPARATIONS

a. Group E - Div._______/Group_______Div.________

Required Provided________Hour ________Hour

b. Group A - Div._______/Group_______Div.________

Required Provided________Hour ________Hour

12. AREA SEPARATIONS

Required For Each ___________Square FeetRequired ________(No.) Provided_________(No.)

13. FIRE RESISTIVE REQUIREMENT (For various occupancies)

a. Group E - Div._______/Group_______Div.________

Required ProvidedExterior Bearing Walls _________Hour _________HourInterior Bearing Walls _________Hour _________HourExterior None Bearing Walls _________Hour _________HourStructural Frame _________Hour _________HourPermanent Partitions _________Hour _________HourShaft Enclosures _________Hour _________HourFloors & Ceiling/Floors _________Hour _________HourExterior Doors & Windows _________Hour _________HourStairway Construction _________Hour _________Hour

b. Group A - Div._______/Group_______Div.________

Required ProvidedExterior Bearing Walls _________Hour _________HourInterior Bearing Walls _________Hour _________HourExterior None Bearing Walls _________Hour _________HourStructural Frame _________Hour _________HourPermanent Partitions _________Hour _________HourShaft Enclosures _________Hour _________HourFloors & Ceiling/Floors _________Hour _________HourExterior Doors & Windows _________Hour _________HourStairway Construction _________Hour _________Hour


Regulatory Data Cont. 2.314. DOORS (Analyze doors for ratings in area separations, occupancy separations, and rated

exitways)

15. DRAFT STOPS


16. FIRE STOPS


17. EXITS (FROM BUILDING)

Number: __________ Required __________ Provided __________Distance: __________ Required (Maximum)___ Provided __________Width: __________ Required __________ Provided __________

18. EXITS (GENERAL)

(Analyze exits from each floor and each room)

19. PLUMBING FIXTURES

a. Water Closets: _______ Required _________ Provided __________b. Lavatories: __________ Required _________ Provided __________c. Urinals: ____________ Required _________ Provided __________d. Drinking Fountains:___ Required _________ Provided __________

20. AUTOMATIC FIRE EXTINGUISHING SYSTEM

(Analyze Requirements)

21. STAGES AND PLATFORMS

(Analyze Requirements)

22. FIRE EXTINGUISHERS

_________No. Required __________No. Provided

23. AUTOMATIC FIRE SUPPRESSION SYSTEM

o Required o Not Requiredo Provided o Not Provided

B. AHERA SURVEY C. ADA SURVEY

Completed o Yes o No Completed o Yes o NoAttached o Yes o No Attached o Yes o No


Site Data 3.1

1. General Site Information

a. Area (Size of Site) _________ S.F. ________ Acres

b. Topography o Flat o Sloping o HillyDrainage o Good o Fair o Poor

c. Pavement o None o Concrete o AsphaltCondition o Good o Fair o Poor

d. Side Walks o None o Concrete o Asphalto Wood o Gravel

Condition o Good o Fair o Poor

e. Landscaping o Well Maintainedo Average o Not MaintainedTrees o None o Birch o Alder o Willow

o Spruce o Cottonwood o Black Spruce o Other

f. Fencing o None o Chain Link o Wood (Type)Finish o Galvanized o Painted o Semi Transparent Stain

o Solid Body Stain o Othero Condition o Fair o Poor

g. Comments_______________________________________________________

__________________________________________________________________

2. Athletic Fields

a. Softball Field o None NumberCondition o Good o Fair o Poor

b. Baseball Field o None NumberCondition o Good o Fair o Poor

c. Hockey Rink o None NumberCondition o Good o Fair o Poor

d. Football Field o None NumberCondition o Good o Fair o Poor

e. Softball Field o None NumberCondition o Good o Fair o Poor

f. Comments _____________________________________________________________

_____________________________________________________________


Site Data Cont. 3.23. Playground Equipment

a. Swings o None NumberCondition o Good o Fair o Poor

b. Slides o None NumberCondition o Good o Fair o Poor

c. Parallel Bars o None NumberCondition o Good o Fair o Poor

d. Balance Beam o None NumberCondition o Good o Fair o Poor

e. Horizontal Ladders o None NumberCondition o Good o Fair o Poor

f. Horizontal Bars o None NumberCondition o Good o Fair o Poor

g. Climbing Pole o None NumberCondition o Good o Fair o Poor

h. Merry-Go-Round o None NumberCondition o Good o Fair o Poor

i. Other o None NumberCondition o Good o Fair o Poor

j. Comments _____________________________________________________________

_____________________________________________________________

4. Site Utility (Municipal or Utility Company Provided)

a. Water Service Line Size __________ Type __________Condition o Good o Fair o Poor

b. Sewer Waste Line Size __________ Type __________Condition o Good o Fair o Poor

c. Natural Gas Service Line Size __________ Type __________Condition o Good o Fair o Poor

d. Electricity o Overhead o UndergroundService _____Amps _______Volts _______Phase

e. Meter NumberCondition o Good o Fair o Poor

f. Comments _____________________________________________________________


Site Data Cont. 3.35. Site Utilities (Site Generated/Provided)

a. WaterSupply Source o Well o River o Lake o Lagoon

o Rainwater Collection o Water HaulDistance from Building __________Condition o Good o Fair o Poor

b. Water Treatment Plant o None o ProvidedType Capacity ________Condition o Good o Fair o Poor

c. WastewaterType o Primary o Secondary o Waste Storage/HaulDischarge o Lagoon o Holding Tank o OtherDesign Data Capacity________ Average Daily________ Daily Peak_______Characteristics BODs5__________

d. Natural/LP Gas o None o ProvidedServing o Kitchen o Home Economics o Shop o OtherCondition o Good o Fair o Poor

e. Fuel Oil o None o ProvidedCapacity Gallons Duration (Days)Distance (From Building)Condition o Good o Fair o Poor

f. Comments _____________________________________________________________

_____________________________________________________________

6. Miscellaneous

a. Satellite Dish o None o ProvidedCondition o Good o Fair o Poor

b. Vehicle Storage Structure o None o ProvidedType ________Condition o Good o Fair o Poor


Building Envelope/Structure 4.1xFOUNDATIONS

1. Foundation Type

a. Construction o Reinforced Concrete o Timber Pile o Steel Pileo All Weather Wooden Concrete Footingo Masonry On Concrete Footingo Mud Sills o Other:

b. Area of _____________________________________________________________Building

_____________________________________________________________

2. Components

a. Footing o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported areas o Yes o NoRot/Decay o Yes o NoWater Penetration o Yes o No

Comments: _________________________________________________________________________

b. Post/Pile o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Heaving/Jacking o Yes o NoRot/Decay o Yes o No

Comments: _________________________________________________________________________

c. Stem wall o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported Areas o Yes o NoRot/Decay o Yes o NoWater Penetration o Yes o No

Comments: _________________________________________________________________________

d. Water/Dampproof o N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

e. Insulation o N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

f. Flashings o N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________


Building Envelope/Structure 4.2xSTRUCTURAL FLOOR

1. Floor Structure Type

a. Construction o Reinforced Concrete Slab On Gradeo Reinforced Structural Concrete Slab On Gradeo Concrete/Metal Deck/Metal Joistso Plywood Deck On Wood Trusseso Plywood Deck On Wood Joisto Concrete Deck On Plywood On Wood Structureo Other:

b. Area of ________________________________________________Building

________________________________________________

2. Components

a. Beams o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported ends o Yes o NoRot/Decay o Yes o NoDeflection o Yes o No

Comments: _________________________________________________________________________

b. Joists o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Unsupported ends o Yes o NoRot/Decay o Yes o NoDeflection o Yes o No

Comments: _________________________________________________________________________

c. Deck o N/A o Provided o Size/Material____________________Condition: Cracks o Yes o No

Deflection o Yes o NoRot/Decay o Yes o No

Comments: _________________________________________________________________________

d. Insulation o N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

e. Vapor Barrier o N/A o Provided o Size/Material_________________Condition: o Good o Fair o Poor

Comments: __________________________________________________________________


Building Envelope/Structure 4.3xEXTERIOR WALLS/COLUMNS

1. Exterior Wall Type

a. Construction o Monolithic o Post & Beam o Light Frame

b. Material o Concrete o Masonry o Steelo Timber o Wood o Other:

c. Area of ________________________________________________Building

________________________________________________

2. Components

a. Exterior Cladding o Concrete o Masonry/Tile o Metal. Panelo Plaster o Hardboard o Wood Panelo Wood (board) o EIFS o Other:

Condition: Cracks/Gaps o Yes o NoAdequate Flashing o Yes o NoRot/Decay o Yes o NoStains o Yes o No

Comments: _________________________________________________________________________

b. Exterior Trim o Wood o Hardboard o Metal o Other:Condition: Warping/Cracks o Yes o No

Rot/Decay o Yes o NoStains o Yes o No

Comments: _________________________________________________________________________

c. Exterior Finish o Paint o Stain o Clear SealerCondition: Flaking o Yes o No

Mold/Mildew o Yes o NoStains o Yes o NoDeteriorated o Yes o No

Comments: _________________________________________________________________________

d. Insulation o N/A o Provided o Size/Material____________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

e. Vapor Barrier o N/A o Provided o Size/Material_________________Condition: o Good o Fair o Poor

Comments: __________________________________________________________________


Building Envelope/Structure 4.4xDOORS

1. Basic Information

a. Door No.__________ Size___________ Fire Rating________

b. Type o Hinged Leaf o Coiling o Sectional o Other:__________

2. Components

a. Door Unit o Hollow Metal o Aluminum o Wood o Other:__________Condition: Splits/Gaps o Yes o No

Binding o Yes o NoRust/Decay o Yes o NoStains/Poor Finish o Yes o No

Comments: _________________________________________________________________________

b. Frame o Hollow Metal o Aluminum o Wood o Other:_________Condition: Loose o Yes o No

Rust/Decay o Yes o NoStains/Poor Finish o Yes o No

Comments: _________________________________________________________________________

c. Weather-stripping o N/A o Provided o Material_______________________Condition: o Good o Fair o Poor

Comments: __________________________________________________________________________

d. Insulation o N/A o Provided o Thickness/Material_______________Condition: o Good o Fair o Poor

Comments: __________________________________________________________________________

e. HardwareItem Provided Type Quantity Condition

Good Fair PoorHinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o oKickplate o ____________ _______ o o oMullion o ____________ _______ o o oThreshold o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o o

Comments __________________________________________________________________________

___________________________________________________________________________


Building Envelope/Structure 4.5xWINDOWS/LOUVERS


a. Window No.__________ Size___________ Fire Rating________

b. Type o Fixed o Tilt/Turn o Double Hung o Single Hungo Sliding o Awning o Combination o Other:__________

2. Components

a. Glazing o Single Pane o Double Pane o Triple Pane o Wireo Plastic o Lexan o Laminated o Other:__________

Condition: Breakage o Yes o NoScratched/Unclear o Yes o NoCondensation o Yes o NoPoor Thermal Properties o Yes o No

Comments: _________________________________________________________________________

b. Frame o Plastic o Aluminum o Wood o Steelo Alum. Clad o Vinyl Clad o Other:_________

Condition: Binding o Yes o NoRust/Decay o Yes o NoStains/Poor Finish o Yes o No

Comments: _________________________________________________________________________

c. Weather-stripping o N/A o Provided o Material_______________________Condition: o Good o Fair o Poor

Comments: __________________________________________________________________________


Good Fair PoorHinges o ____________ _______ o o oLatches o ____________ _______ o o oCounter-weights o ____________ _______ o o oOther_________ o ____________ _______ o o o

Comments __________________________________________________________________________

3. Louvers

a. Material o Steel o Aluminum o Wood o Other:__________Finish o ____________ _______ o o oScreen o ____________ _______ o o oSealants o ____________ _______ o o oOther_________ o ____________ _______ o o o

Comments: _________________________________________________________________________


Building Envelope/Structure 4.6xROOF

1. Roof Structure Type

a. Construction o Metal Deck on Metal Trusses/Joistso Plywood or Lumber Deck On Wood Trusses/Joistso Plywood or Lumber Deck on Metal Trusses/Joistso Concrete on Metal Deck on Metal Trusses/Joistso Other:___________________________________

b. Slope ________in 12

c. Area ofBuilding: __________________________________________________

2. Components

a. Beams o Concrete o Metal o Wood Other___________Condition: Unsupported Ends o Yes o No

Rot/Decay o Yes o NoDeflection o Yes o No

Comments: _________________________________________________________________________

b. Trusses/Joists o Concrete o Metal o Wood Other___________Condition: Unsupported Ends o Yes o No


Comments: _________________________________________________________________________

c. Deck o Concrete o Metal o Wood Other___________Condition: Cracks o Yes o No


Comments: _________________________________________________________________________

d. Roofing o Preformed Metal Roofing o Built Up o Asphalt Shingleo Single Ply Membrane o IRMA o Other_________

Condition: Failures/Splits/Cracks o Yes o No o N/ABlistered o Yes o No o N/ACorrosion o Yes o No o N/ADeterioration o Yes o No o N/A

Comments: _________________________________________________________________________

e. Penetrations o Curbs o Flashing Boots o Pitch Pans Other____________Condition: Deterioration o Yes o No o N/A

Corrosion o Yes o No o N/A

Comments: _________________________________________________________________________


Exterior Envelope/Structure. 4.6xROOF - PAGE 2

f. Insulation o N/A o Provided o Size/Material__________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

g. Vapor Barrier o N/A o Provided o Size/Material___________________Condition: o Good o Fair o Poor

Comments: _________________________________________________________________________

h. Roof Drains o Interior o Eave o Gutter o Other__________Material o Metal o Wood o Plastic o Other__________

Condition: Missing Components o Yes o No o N/ADebris/Vegetation o Yes o No o N/ACorrosion o Yes o No o N/ADamage o Yes o No o N/A

Comments: _________________________________________________________________________


Interior Spaces 5.1xINTERIOR ROOMS (TYPE 1 - STANDARD)


a. Room Number: ________________ Room Identification:_______________________________

b. Area (Size): ___________________ S.F.

c. Occupant Load: ________________

d. No. of Exits: Required _____ Provided _____

2. Room EnclosureMaterial Finish

a. Walls ________________________ ________________________Condition o Good o Fair o Poor o Good o Fair o Poor

Comments: ________________________________________________________________

b. Floor ________________________ ________________________Condition o Good o Fair o Poor o Good o Fair o Poor

Comments: ________________________________________________________________

c. Base ________________________ ________________________Condition o Good o Fair o Poor o Good o Fair o Poor

Comments: ________________________________________________________________

d. Ceiling ________________________ ________________________Condition o Good o Fair o Poor o Good o Fair o Poor

Comments: ________________________________________________________________

3. Door Information

a. Door No.__________ Size: ___________ Fire Rating: __________

b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________

c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poor

Comments: ____________________________________________________________________________

d. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poor

Comments: ____________________________________________________________________________


Interior Spaces 5.1xINTERIOR ROOMS (TYPE 1 - STANDARD) - PAGE 2


Good Fair PoorHinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o oKickplate o ____________ _______ o o oMullion o ____________ _______ o o oThreshold o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o oPower Hold o ____________ _______ o o oSmoke Gasket o ____________ _______ o o o

Comments ____________________________________________________________________________

4. Amenities

a. Window Coverings o Yes o NoType o Drapes o Blinds o Other: ___________Condition o Good o Fair o Poor

b. Chalkboards o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

c. Casework o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

d. Lockers o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

Comments ____________________________________________________________________________

5. Mechanical/ElectricalItem Provided Type Quantity Condition

Good Fair PoorBaseboard Units o ____________ _______ o o oSupply Air Grills o ____________ _______ o o oReturn Air Grills o ____________ _______ o o oLighting o ____________ _______ o o oConv. Outlets o ____________ _______ o o oTelevision Outlets o ____________ _______ o o oComputer Outlets o ____________ _______ o o o

Comments ____________________________________________________________________________


Interior Spaces 5.2xINTERIOR ROOMS (TYPE 2 - DAMP)


a. Room Number: ___________ Room Name:_________________ Area (Size): ______________ sf.b. Occupant Load: ___________ No. of Exits: Required: ______ Provided _______

2. Room EnclosureMaterial Finish


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________

3. Door Information

a. Door No.__________ Size: ___________ Fire Rating: __________

b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________

c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poor

Comments: ____________________________________________________________________________

d. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poor

Comments: ____________________________________________________________________________


Good Fair PoorHinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o o


Interior Spaces 5.2xINTERIOR ROOMS (TYPE 2 - DAMP) - PAGE 2

Item Provided Type Quantity ConditionGood Fair Poor

Kickplate o ____________ _______ o o oMullion o ____________ _______ o o oThreshold o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o oSmoke Gasket o ____________ _______ o o o

Comments ____________________________________________________________________________

4. Amenities

a. Window Coverings o Yes o NoType o Drapes o Blinds o Other: ___________Condition o Good o Fair o Poor


c. Shelving Casework o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

d. Cabinet Casework o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

e. Lockers o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

Comments ____________________________________________________________________________


Good Fair PoorBaseboard Units o ____________ _______ o o oSupply/Return Grillo ____________ _______ o o oSinks/Faucets o ____________ _______ o o oFaucets o ____________ _______ o o oHoods o ____________ _______ o o oLighting o ____________ _______ o o oConv. Outlets o ____________ _______ o o oTelevision Outlets o ____________ _______ o o oComputer Outlets o ____________ _______ o o o

Comments ____________________________________________________________________________


Interior Spaces 5.3xCORRIDORS/COMMONS


a. Room Number: ___________ Room Name:_________________ Area (Size): ______________ sf.

2. EnclosureMaterial Finish


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________

3. 1st Door Information

a. Door No.__________ Size: ___________ Fire Rating: __________b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poor

Comments: ____________________________________________________________________________


Good Fair PoorHinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o oKickplate o ____________ _______ o o oMullion o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o oSmoke Gasket o ____________ _______ o o o


Interior Spaces 5.3xCORRIDORS/COMMONS - PAGE 2

4. 2nd Door Information


Comments: ____________________________________________________________________________



Comments ____________________________________________________________________________

5. Amenities

a. Display Cases o Yes o NoType o Recessed o Freestanding o Other: ___________Condition o Good o Fair o Poor

b. Lockers o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

c. Other: ________________ o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

Comments ____________________________________________________________________________


Good Fair PoorSupply/Return Grillo ____________ _______ o o oLighting o ____________ _______ o o oConv. Outlets o ____________ _______ o o o

Comments ____________________________________________________________________________


Interior Spaces 5.4xKITCHEN


a. Room Number: ___________ Room Name: Kitchen Area (Size): ______________ sf.



Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________

3. Door Information1st 2nd 1st 2nd 1st 2nd

a. Door No.________/________ Size: __________/__________ Fire Rating: _____/______b. Type o Hinged Leaf o Coiling o Sectional o Other: ______________c. Material o Hollow Metal o Aluminum o Wood o Other: ______________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poore. Hardware


Hinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o oKickplate o ____________ _______ o o oMullion o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o oSmoke Gasket o ____________ _______ o o o

Comments: ____________________________________________________________________________


Interior Spaces 5.4xKITCHEN - PAGE 2

4. Amenities

a. Casework/Shelves o Yes o NoType o Recessed o Freestanding o Other: ___________Condition o Good o Fair o Poor

b. Pantry o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor


Comments ____________________________________________________________________________

5. EquipmentItem Provided Description Quantity Condition

Good Fair PoorCold Storage Room o _______________________ _______ o o oRefrigeration System o _______________________ _______ o o oShelving, Cold Storage o _______________________ _______ o o oShelving, Dry Storage o _______________________ _______ o o oRefrigerator, Reach-in o _______________________ _______ o o oFreezer, Reach-in o _______________________ _______ o o oMixer, 20-quart o _______________________ _______ o o oMixer Stand, Mobile o _______________________ _______ o o oWork Table w/sink o _______________________ _______ o o oWall Shelf w/spice rack o _______________________ _______ o o oFood Preparation Sink o _______________________ _______ o o oWall Shelves o _______________________ _______ o o oTrash Container, Mob. o _______________________ _______ o o o3-Compartment Sink o _______________________ _______ o o oTiered Shelf Unit, Mob. o _______________________ _______ o o oIngredient Bin, Mobile o _______________________ _______ o o oCan Opener o _______________________ _______ o o oHand Sink o _______________________ _______ o o oExhaust Ventilator o _______________________ _______ o o oConvection Oven o _______________________ _______ o o oRange o _______________________ _______ o o oEquipment Stand o _______________________ _______ o o oBulk Milk Dispenser o _______________________ _______ o o oMobile Counter o _______________________ _______ o o oDisposable. Cup Disp. o _______________________ _______ o o oExhaust Ventilator o _______________________ _______ o o oServing/Work Counter o _______________________ _______ o o oHot Food Well Unit o _______________________ _______ o o oPass Through Shelf o _______________________ _______ o o oMicrowave Oven o _______________________ _______ o o o


Interior Spaces 5.5xSHOPS


a. Room Number: ___________ Room Name: _________________ Area (Size): ______________ sf.



Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________

3. Door Information

a. Door No.__________ Size: ____________ Fire Rating: __________b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poore. Hardware



Comments: ____________________________________________________________________________


Interior Spaces 5.5xSHOPS - PAGE 2

4. Amenities

a. Casework/Shelves o Yes o NoType o Recessed o Freestanding o Other: ___________Condition o Good o Fair o Poor


c. Dust Collection System o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

d. Other: ________________ o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor


Good Fair PoorHVAC o ____________ _______ o o oLighting o ____________ _______ o o o220v. Power o ____________ _______ o o o

Comments _____________________________________________________________________________

6. Equipment

Item Provided Description Quantity ConditionGood Fair Poor

Drill Press o _______________________ _______ o o oBelt Sander o _______________________ _______ o o oTable Saw o _______________________ _______ o o oBand Saw o _______________________ _______ o o oRadial Arm Saw o _______________________ _______ o o oLathe o _______________________ _______ o o oWork Benches o _______________________ _______ o o oHand Tool Storage o _______________________ _______ o o oWelding Booth o _______________________ _______ o o oWelder o _______________________ _______ o o oBench Grinder o _______________________ _______ o o oAir Compressor o _______________________ _______ o o oParts Vat o _______________________ _______ o o oPower Tool Storage o _______________________ _______ o o o

l. Comments ____________________________________________________________________


Interior Spaces 5.6xLOCKER ROOMS/RESTROOMS


a. Room Number: ___________ Room Name: _________________ Area (Size): ______________ sf.



Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________

3. Door Information

a. Door No.__________ Size: ____________ Fire Rating: __________b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poore. Hardware


Hinges o ____________ _______ o o oLockset o ____________ _______ o o oCloser o ____________ _______ o o oKickplate o ____________ _______ o o oMullion o ____________ _______ o o oPanic Bar o ____________ _______ o o oPush/Pull o ____________ _______ o o oStop/Hold o ____________ _______ o o oSmoke Gaskets o ____________ _______ o o o

Comments: ______________________________________________________________________________________________________________________________________


Interior Spaces 5.6xLOCKER ROOM/RESTROOMS - PAGE 2

4. Amenities

a. Toilet Partitions o Floor mount o Wall hung o Ceil. Hung o NoneType o Metal o Laminate o Solid Plastic o Other: ___________Condition o Good o Fair o Poor Comments: _______________

a. Toilet Accessories o PTD/Receptacle o Mirrors o San. Napkin o TP Dispensero Soap Dispenser o Hand Dryers o Seat Covers o Other: ___________


Comments _____________________________________________________________________________

c. Lockers o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor

d. Other: ________________ o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor


Good Fair PoorHeat Grills/Covers o ____________ _______ o o oExhaust Grills o ____________ _______ o o oLight Covers o ____________ _______ o o oCover plates o ____________ _______ o o o

Comments _____________________________________________________________________________

6. Fixtures/Equipment

Item Provided Description Quantity ConditionGood Fair Poor

Urinals o _______________________ _______ o o oWater Closets o _______________________ _______ o o oLavatories/Sinks o _______________________ _______ o o oDrinking Fountains o _______________________ _______ o o oShower Compartments o _______________________ _______ o o oExhaust Fans o _______________________ _______ o o oHair Dryers o _______________________ _______ o o oDrains/Grates o _______________________ _______ o o oGang Showers o _______________________ _______ o o oOther: _____________ o _______________________ _______ o o oOther: _____________ o _______________________ _______ o o o

Comments ____________________________________________________________________

_____________________________________________________________________


Interior Spaces 5.7xAUDITORIUMS





Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


a. Door No.__________ Size: ___________ Fire Rating: __________b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poore. Hardware



Comments: ____________________________________________________________________________


Interior Spaces 5.7xAUDITORIUM - PAGE 2



Comments: ____________________________________________________________________________



Comments ____________________________________________________________________________

5. Amenities

a. Seating o Yes o NoType o Fixed o Mobile o Other: ___________Condition o Good o Fair o Poor

b. Projection/Sound Booth o Yes o No o Quantity:__________Size ______x______ Materials: __________________________Condition o Good o Fair o Poor


Comments ____________________________________________________________________________


Good Fair PoorSupply/Return Grillo ____________ _______ o o oLight Covers o ____________ _______ o o oCover Plates o ____________ _______ o o o

Comments ____________________________________________________________________________


Interior Spaces 5.8xGYMNASIUM





Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


Comments: ________________________________________________________________


a. Door No.__________ Size: ___________ Fire Rating: __________b. Type o Hinged Leaf o Coiling o Sectional o Other: ____________c. Material o Hollow Metal o Aluminum o Wood o Other: ____________Condition o Good o Fair o Poord. Frame Type o Hollow Metal o Aluminum o Wood o OtherCondition o Good o Fair o Poore. Hardware



Comments: ____________________________________________________________________________


Interior Spaces 5.8xGYMNASIUM - PAGE 2



Comments: ____________________________________________________________________________



Comments ____________________________________________________________________________

5. Amenities

a. Display Cases o Yes o NoType o Recessed o Freestanding o Other: ___________Condition o Good o Fair o Poor

b. Bleachers o Yes o No o Quantity:__________Size ______x______ Material: ___________________________Condition o Good o Fair o Poor


Comments ____________________________________________________________________________


Good Fair PoorSupply/Return Grillo ____________ _______ o o oLight Covers o ____________ _______ o o oCoverplates o ____________ _______ o o o

Comments ____________________________________________________________________________


Mechanical 6.1EXTERIOR ELEMENTS

1. Hose Bibbs o Yes o NoFreeze proof o Yes o NoVacuum Breaker o Yes o NoKey Operated o Yes o NoCondition o Good o Fair o Poor

2. Sewer CleanoutsWithin 5' of Building o Yes o NoCondition o Good o Fair o Poor

3. Sprinkler System Exist? o Yes o NoFDC Exists? o Yes o No Capped o Yes o NoLabeled o Yes o No Near Main Entry o Yes o No

4. Air InletsMore than 8' A/G o Yes o No Near Contaminantso Yes o NoMore than 10' from exhaust o Yes o No Screened (3/4") o Yes o NoW/I 5' of PL o Yes o NoAbove Boiler Room o Yes o NoCondition o Good o Fair o Poor

5. Air OutletsBackdraft damper operational o Yes o No3' from windows/openings o Yes o No10' from inlets o Yes o NoW/I 5' of property line o Yes o NoHooded? o Yes o NoLouvered? o Yes o NoCondition o Good o Fair o Poor

Comments ______________________________________________________________________

______________________________________________________________________


Mechanical 6.2ROOF ELEMENTS

1. Roof Drains o Yes o NoPlugged o Yes o NoQty/Size main drain _____Qty _____SizeQty/Size overflow _____Qty _____Size2" weir at overflow? o Yes o NoRoof sloped drain? o Yes o NoDrains visible o Yes o NoRoof drains insulated? o Yes o NoRelief drain tied to main? o Yes o NoOverflow piped with offsetsper MOA to main o Yes o NoHeat tape visible o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

2. Flues at RoofEstimate height from appliance ____________Caps installed o Yes o NoGuyed if >5' high? o Yes o NoWithin 10' of air inlet? o Yes o NoWithin 5' of property line? o Yes o NoRusted? o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

3. Access to RoofType (Stairs needed if>4 stories) ____________Size openings (2' min) ____________Lockable? o Yes o NoPlatform for sloped roof? o Yes o NoPowerlines within 8' of roof? o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Mechanical 6.3xMECHANICAL ROOM

1. Boilers/Burner 1 2 3Make _______________ ______________ ______________Model _______________ ______________ ______________BTU Output _______________ ______________ ______________Fuel Type _______________ ______________ ______________LWCOInstalled? o Yes o No o Yes o No o Yes o NoLWCOoperational? o Yes o No o Yes o No o Yes o NoOperating Limit o Yes o No o Yes o No o Yes o NoRed Hi Limitoperational? o Yes o No o Yes o No o Yes o NoRed LimitedMan reset? o Yes o No o Yes o No o Yes o No(>400 MBH)

Disconnect installedo Yes o No o Yes o No o Yes o NoGas shutoffpresent? o Yes o No o Yes o No o Yes o NoRelief Valve? o Yes o No o Yes o No o Yes o NoSize _______________ ______________ ______________Piped To Floor _______________ ______________ ______________Visual InspectionLeakage? _______________ ______________ ______________Condition o Good o Fair o Poor

2. Hydronic SystemFilter/Strainer o Yes o NoAir Separator/Purger o Yes o NoExpansion Tank Type? o Bladder o Steel Tankwaterlogged or MT? ______________System Pressure ______________PSIGExp Tank at Pump Suction o Yes o NoMin 8PSI @ Circulator Suction o Yes o NoHydronic medium ______________Glycol fill system type ______________Possible water cross connect? o Yes o NoDouble check at fill o Yes o No o N/ANumber of Zones ______________Condition o Good o Fair o Poor

3. Hot Water Heaters/Generators1 2 3

Make _______________ ______________ ______________Model _______________ ______________ ______________BTU Input _______________ ______________ ______________Fuel Type _______________ ______________ ______________Heating Media _______________ ______________ ______________Double walled o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/ARelief Valve? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/A


Mechanical 6.3xMECHANICAL ROOM - PAGE 2

Piped to Floor o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/ADisconnect installed o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AGas shutoff present? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AVisual Inspection Leakage______________ ______________ ______________Corrosion? _______________ ______________ ______________Condition o Good o Fair o Poor

4. Forced Air Furnace/Air Handler1 2 3

Tag _______________ ______________ ______________Make _______________ ______________ ______________Model _______________ ______________ ______________BTU Input _______________ ______________ ______________CFM Blower _______________ ______________ ______________OSA at Inlet _______________ ______________ ______________Filters Installed _______________ ______________ ______________Filters condition _______________ ______________ ______________R/A ducted? _______________ ______________ ______________R/A open to room _______________ ______________ ______________Mixing Box _______________ ______________ ______________Dampers operational _______________ ______________ ______________Flue clearance toCombustibles _______________ ______________ ______________Fuel Gas Piping Size _______________ ______________ ______________SOV _______________ ______________ ______________Heater ExchangerRusty, Cracked? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/A

5. Combustion AirSize? _____________ Vertical/Horizontal? _______________Locations? _____________ Separate Ventilation System?_______________

6. Fuel Oil Qty.Burner Below Fuel? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/A2" Fill Pipe o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/ATigerloop? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AFilter? o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AOSV (if fuel above) o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AFusible SOV Valve o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AFuel Leaks o Yeso Noo N/A o Yeso Noo N/A o Yeso Noo N/AFuel Pipe Type _____________ ______________ ______________Soldered Joints? o Yeso No o Yeso No o Yeso NoPipe Supports? o Yeso No o Yeso No o Yeso NoValves in F.O.R. o Yeso No o Yeso No o Yeso NoDaytank o Yeso No o Yeso No o Yeso No

Vent to Exterior o Yeso No o Yeso No o Yeso NoRapture Basin o Yeso No o Yeso No o Yeso NoOverfill Protection o Yeso No o Yeso No o Yeso NoAlarms o Yeso No o Yeso No o Yeso No


Mechanical 6.3xMECHANICAL ROOM - PAGE 3


Comments ____________________________________________________________________

____________________________________________________________________

7. Heat Exchanger o Provided o Not ProvidedType_______ Size________



Mechanical 6.4xDUCTWORK

1. Fire DampersFire Dampers @ Mechanical Room o Yes o No o Can't tell o N/AFire Dampers @ 1 Hour assemblies o Yes o No o Can't tell o N/AOSA insulation present/type o Yes o No o Can't tell o N/ACondition o Good o Fair o Poor

2. Return AirPlenum return? o Yes o No o Can't tell o N/AIf Plenum return: Combustibles in plenum? o Yes o No o Can't tell o N/A Wiring plenum rated? o Yes o No o Can't tell o N/A Exhaust ducts in plenum? o Yes o No o Can't tell o N/ACondition o Good o Fair o PoorDucted return system o Yes o No o Can't tell o N/AIf ducted return: Are all rooms served? o Yes o No o Can't tell o N/A Adequate size? o Yes o No o Can't tell o N/A Fire dampers A/R? o Yes o No o Can't tell o N/A Corridor Return? o Yes o No o Can't tell o N/ACondition o Good o Fair o Poor

3. Supply Air

All occupied spaces served? o Yes o No o Can't tell o N/AVolume dampers on supply branches? o Yes o No o Can't tell o N/A>6' flex duct? o Yes o No o Can't tell o N/ADucts in unconditioned spaces? o Yes o No o Can't tell o N/ADiffusers dirty? o Yes o No o Can't tell o N/AFire dampers A/R? o Yes o No o Can't tell o N/ACondition o Good o Fair o Poor

4. Description of Heating/Ventilating/Air Conditioning System

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Comments ____________________________________________________________________

____________________________________________________________________


Mechanical 6.5xTOILET ROOMS/SHOWERS

Locations ___________ __________ ___________ _________

1. Urinals:Quantity ___________ ___________ ___________ _________Caulked o Yes o No o Yes o No o Yes o No o Yeso NoOperational o Yes o No o Yes o No o Yes o No o Yeso NoCaulked o Yes o No o Yes o No o Yes o No o Yeso NoHC Accessible(17" to Lip) o Yes o No o Yes o No o Yes o No o Yeso No30 clear in front o Yes o No o Yes o No o Yes o No o Yeso NoFlush Valve<44"AFF o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor

2. Water Closets:

Locations ___________ __________ ___________ _________Quantity ___________ ___________ ___________ _________Floor/Wall mounted ___________ ___________ ___________ _________Seal to Wall/Floor o Yes o No o Yes o No o Yes o No o Yeso No wall or floor mounted (require wall mount if <59" deep stall)18" wall to center o Yes o No o Yes o No o Yes o No o Yeso No17"-19" floor to seat o Yes o No o Yes o No o Yes o No o Yeso No33"-36" floor to flush o Yes o No o Yes o No o Yes o No o Yeso NoFlush valve <44" AFF o Yes o No o Yes o No o Yes o No o Yeso NoFlush valve handletoward wide side? o Yes o No o Yes o No o Yes o No o Yeso NoGrab bars side/back

o Yes o No o Yes o No o Yes o No o Yeso NoSeat loose o Yes o No o Yes o No o Yes o No o Yeso NoOpen front seat? o Yes o No o Yes o No o Yes o No o Yeso NoElongated bowl? o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor

3. Drinking Fountains:

Spout 36" AFF o Yes o No o Yes o No o Yes o No o Yeso No4" high flow o Yes o No o Yes o No o Yes o No o Yeso NoControls Frontor side o Yes o No o Yes o No o Yes o No o Yeso NoKnee Space?27" front/apron o Yes o No o Yes o No o Yes o No o Yeso No30" wide o Yes o No o Yes o No o Yes o No o Yeso No17"-19" deep o Yes o No o Yes o No o Yes o No o Yeso No30"X48" for parallel o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor


Mechanical 6.5xTOILET ROOMS/SHOWERS - PAGE 2

4. Lavs:

Locations ___________ __________ ___________ _________Quantity ___________ ___________ ___________ _________HC Accessible

34" floor to rim o Yes o No o Yes o No o Yes o No o Yeso No29" floor to apron

bottom o Yes o No o Yes o No o Yes o No o Yeso No30"X48" in front o Yes o No o Yes o No o Yes o No o Yeso NoHot/Cold mix hose bibb near shower room? (School) o Yes o No o Yes o No o Yes o No o Yeso NoTemp of HW __________deg. F.Condition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

5. Shower Compartment

Locations ___________ ___________ ___________ _________ADA size 36"X36 o Yes o No o Yes o No o Yes o No o Yeso NoADA seat opposite controlo Yes o No o Yes o No o Yes o No o Yeso No17"X19" AFF o Yes o No o Yes o No o Yes o No o Yeso NoControls 38"X48" AFF o Yes o No o Yes o No o Yes o No o Yeso NoSpray w/60" hose? o Yes o No o Yes o No o Yes o No o Yeso No1/2 max curb? o Yes o No o Yes o No o Yes o No o Yeso NoHot water (110 deg.) o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor

6. Toilet Exhaust Fan:

Operational? o Yes o No o Yes o No o Yes o No o Yeso NoOperate with lights? o Yes o No o Yes o No o Yes o No o Yeso NoDucted to outside ? o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor

7. Janitor Closet:

Exhaust fan o Yes o No o Yes o No o Yes o No o Yeso NoVacuum breaker @ faucet? o Yes o No o Yes o No o Yes o No o Yeso NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Mechanical 6.6KITCHENS

1. Grease Hood

Type One Hour? o Yes o NoNumber of Hoods ______________Duct in Shaft o Yes o NoHood 3" down /skirted from ceilingo Yes o NoDuct 18" from combustibles? o Yes o NoOutlet thru roof? 3' above? o Yes o NoAccessible cleanouts? o Yes o NoWelded steel ducts o Yes o NoFire extinguisher system? o Yes o NoManual activation system? o Yes o NoCondition o Good o Fair o Poor

2. Vapor Hood

Provided @ steam kettle? o Yes o No o N/AProvided @ convection oven o Yes o No o N/AProvided @ dishwasher o Yes o No o N/ACondition o Good o Fair o Poor

3. Make Up Air

Interlocked w/grease hood? o Yes o NoDirect fire? o Yes o NoCondition o Good o Fair o Poor

4. Gas Piping @ Kitchen

Solenoid to fire system o Yes o NoE-stop to fire system if electric o Yes o NoCondition o Good o Fair o Poor

5. Hand Wash Sink

110 deg. hot water? o Yes o NoCondition o Good o Fair o Poor

6. Dishwasher

180 deg. F final rinse orHydrochloride at 75 deg. F120 deg. F min for chemical o Yes o NoFloor sink drain o Yes o NoBooster heater present? o Yes o NoCondition o Good o Fair o Poor


Mechanical 6.6KITCHENS - PAGE 2

7. Sinks

Food prep sink o Yes o No3 comp sink present o Yes o No140 deg. F hot, LH side o Yes o NoGrease trap used o Yes o NoCondition o Good o Fair o Poor

8. Drains

Ice machine to floor sink o Yes o No3 comp sink o Yes o NoPop machine to floor sink o Yes o NoWaitress station to floor sink o Yes o NoFood prep sink to floor sink o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Electrical 7.1xELECTRICAL SERVICE

1. Service Entrance

Overhead o Yes o NoGround Resistance ___________OHMSGround rod used o Yes o NoPlumbing grounded? o Yes o NoSteel Frame/Piling Grounded o Yes o NoMeter# ___________ Meter Multiplier___________Peak Demand ___________ Main Breaker Size__________Make/Model ___________ Service Voltage____________Transformer Size ___________ XFMR Location____________Service Size (# & type of Conductors)__________Insulation Type ____________Condition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

2. Main Distribution Panel (MDP)

Neutrals/Grounds Separated to Service o Yes o NoFeeder Size (Copper or Aluminum) ___________ Insulation Type___________Buss Rating/MDP Ampacity ___________ Make/Model of MDP________Number of Poles ___________ Spare Capacity_____________Clearance in Front of Panel (36" min)___________Overhead Breakers? ___________ Dry Type Transformers?_________Voltage and KVA ___________ Make/Model___________Separate grounding for Transformers? ___________Condition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

3. Sub Panels

Directory up-to-date? o Yes o No o Yes o No o Yes o No o Yeso NoNeutrals/Grds separate? o Yes o No o Yes o No o Yes o No o Yeso NoOpen knockouts? o Yes o No o Yes o No o Yes o No o Yeso NoFeeder size ___________ ___________ ___________ _________Breaker size (Main) ___________ ___________ ___________ _________Overheated breakers o Yes o No o Yes o No o Yes o No o Yeso NoMake/Model ___________ ___________ ___________ _________Condition o Good o Fair o Poor

Comments ____________________________________________________________________


Electrical 7.2xEXTERIOR ELEMENTS

1 Exterior

Outlets-Qty_________________ Lights-Entries ______________Outlets-GFIC________________ Lights-Parking Lot ______________Outlets-WP, Condition________ (1/3 FC Min) ______________

Lights-Play Areas ______________Lights-Type ______________Photocell switching? ______________


Comments ____________________________________________________________________

2. Roof

GFI receptacle W/I 10 feet of Electrical equipment o Yes o No o N/ADisconnect on fans, HVAC o Yes o No o N/AHeat tape in roof drains? o Yes o No o N/AConduits threaded on roof (No EMT) o Yes o No o N/AOverhead power lines >8' above roof? o Yes o No o N/APenetrations sealed? o Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Electrical 7.3xEMERGENCY SYSTEMS

1. Emergency Signage

2 Exit Signs in Exit Corridor? o Yes o NoDoor Swings outward at Exit? o Yes o NoFlashing exit sign if electric? o Yes o NoDarkrooms or special occupancy? o Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

2. Emergency Lights

Lighting each exit @ 1 F.C. o Yes o NoLighting corridor @ 1 F.C. o Yes o NoLighting at rooms o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

3. Fire Alarms Systems

Pull Stations 400' O.C. o Yes o NoPull Stations @ exits o Yes o NoPull Stations @ 48" AFF o Yes o NoHorn Strobes All Classrooms - 60 DB Min. ___________DB Actual All Corridors covered o Yes o No 80" Max off floor o Yes o NoStrobes in all areas of common use?o Yes o NoStrobes 75 cadels #5 minimum o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

4. Heat/Smoke Detectors

Heat in Boiler Room (190 deg.) o Yes o No o N/AHeat in Janitor Closet o Yes o No o N/AHeat Type in Toilet Room o Yes o No o N/AW/I 15' of anywhere o Yes o No o N/AMore than 24" from S/A Diffuser o Yes o No o N/AFixed temp sensor in Entry o Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Electrical 7.4xSTANDARD ROOM ELECTRICAL

1. Interior Lighting

Voltage o 277V o 120V o BothPhotocell Switching? o Yes o NoLens Condition o Good o PoorBulb/Type Condition o Good o PoorPCB Ballasts o Yes o NoLighting Levels (Average) Classrooms (50 FC Min) ___________ Food Prep Areas (50 FC Min) ___________Gyms (50 FC Min) __________ Shop_______________Corridors (20 FC Min) __________ Entries______________Office (50 FC Min) __________ Others______________Condition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

2. Electrical Devices

Switches 48" mounting height o Yes o No(54" if side reach)Receptacles 15" minimum mounting Height o Yes o NoGrounding type receptacle o Yes o NoUse of extension cords or multiple plug taps? o Yes o NoCondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________


Electrical 7.5xSPECIAL PURPOSE ROOM ELECTRICAL

1. Wood Shops

Sawdust Collector? o Yes o No o N/AExplosion proof wiring in dust collection bag house o Yes o No o N/ASawdust for equipment o Yes o No o N/AE stop for equipment o Yes o No o N/ASeparated from other Rooms 1 Houro Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

2. Auto/Machine Shops

GFCI for general receptacle o Yes o No o N/AExplosion proof wiring W/I 18" of floor o Yes o No o N/AExplosion proof wiring in any pit or depression o Yes o No o N/AE stop for machinery o Yes o No o N/ACondition o Good o Fair o Poor

3. Welding Shops

Disconnect W/I sight of welder or lockable? o Yes o No o N/AE stop for machinery o Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

4. Kitchen

GFI W/I 10' of sink? o Yes o No o N/ALighting cleanable? o Yes o No o N/AHorn/Strobe? o Yes o No o N/ACondition o Good o Fair o Poor

Comments ____________________________________________________________________

____________________________________________________________________

Documents

Guide for School Facility Condition Surveys · PDF fileGuide for School Facility Condition Surveys ... section, paragraph, and sub-paragraph. Survey ... Results of these surveys and