ࡱ> JLI@ 4bjbjFF ,D,, \\\8<`TTTTT"v $QR@TT@TTUTTTT )\>k03(33,@@  Renovation/Construction Project IAQ Compliance Checklist Employer Name: Facility Name: Project Name: Estimated Time Period: Area(s) Affected General Contractor Name/Phone #: Pre-Construction/Planning Phase:CompleteN/ANotified the Designated Person of the project. FORMCHECKBOX  FORMCHECKBOX Considered performing work during periods of minimal or non-occupancy and included requirements in bid specification (if applicable). FORMCHECKBOX  FORMCHECKBOX Reviewed hazard information (labels, MSDS) with contractor(s) and approved selected products.*  FORMCHECKBOX  FORMCHECKBOX In buildings constructed prior to 1981: Reviewed Asbestos Survey. Ensured that all Asbestos-containing materials (ACM)/and Presumed Asbestos-containing materials (PACM) are labeled, Employees and Contractors notified of presence of ACM/PACM. FORMCHECKBOX  FORMCHECKBOX Notified affected employees at least 24 hours in advance, or promptly in emergency situations, of work to be performed on the building that may introduce air contaminants into their work area.* FORMCHECKBOX  FORMCHECKBOX Reviewed hazard information (labels, MSDS) to determine necessary measures to be taken.* FORMCHECKBOX  FORMCHECKBOX Reviewed product labels and MSDS sheets to determine whether the use of paints, adhesives, sealants, solvents or installation of insulation, particle board, plywood, floor coverings, carpet backing, textiles or other materials contain volatile organic compounds that could be emitted during regular use.* FORMCHECKBOX  FORMCHECKBOX Construction Phase:Local ventilation or other protective devices used to safeguard employees and students from dust, stone and other small particles, toxic gases or other harmful substances in quantities hazardous to health are in place. FORMCHECKBOX  FORMCHECKBOX Renovation/Construction areas in occupied buildings are isolated so that air contaminants, dust, and debris are confined to the renovation or construction area by use of measures such as physical barriers and pressure differentials.  FORMCHECKBOX  FORMCHECKBOX Re-occupancy Phase:Inspected that the work areas are cleaned and aired out as necessary prior to re-occupancy.* FORMCHECKBOX  FORMCHECKBOX Re-occupancy authorized by: (Name/Title) Name:______________________________ Title: _____________________ Signature: ___________________________ Date: _____________________ * N.J.A.C.12:100-13.5 requires that documentation of this action be maintained in accordance with recordkeeping requirements. /9J  ' ( Ⱥyk[I1/jh=|h25B*CJUaJph3f#jh25B*CJUaJph3fh]h25CJOJQJ^Jh25B*CJ$aJph3f h@Dh2CJ OJQJ^JaJ h=|h2CJ OJQJ^JaJ h2CJ OJQJ^JaJ h]h2CJ OJQJ^JaJ h25B*CJaJph3fh]h2CJaJh2CJaJhdsh2CJaJh@h2CJaJ h2aJ$hdsh2aJ$ 9J[k#$ x$If^`a$gd2l'  x$If^`gd2l' @ gd2$ hx^h`a$gd2 3 * < qP,,#$ x$If^`a$gd2l  x$If^`gd2lkd$$IflF|!%\ t0p)6    44 la( ) * + 9 : ; < =  2 9 ; D F G H ߻߉qcVVVh25CJOJQJ^Jh25B*CJ$aJph3f/j`h=|h25B*CJUaJph3f/jh=|h25B*CJUaJph3fh]h25CJh]h25CJOJQJ^Jh2B*CJ$aJph3f/jh=|h25B*CJUaJph3fh25B*CJaJph3f#jh25B*CJUaJph3f< = oN**#$ x$If^`a$gd2l  x$If^`gd2lkdh$$IflyF|!%\ t0p)6    44 la H Z l qP::$$Ifa$gd2lL  x$If^`gd2lLkd$$IflF|!%\ t0p)6    44 laH I W X Y Z [ i j k l m _ ` n o p q r E F G U V W X ʭwo`M$j$hBh2B*Uph3fh]h25B*CJph3fh2B*ph3f$j0hBh2B*Uph3f$jhBh2B*Uph3fh]h25CJOJQJ^Jh25B*ph3f$jhBh2B*Uph3fh2$jThBh2B*Uph3fhBh25B*ph3f!jhBh25B*Uph3fl m _ q qP::$$Ifa$gd2l  x$If^`gd2lkd<$$IflF|!%\ t0p)6    44 la F X j qP::$$Ifa$gd2l  x$If^`gd2lkd$$IflF|!%\ t0p)6    44 laX Y g h i j k )*+,-;<=>?±ʁn[ʁ$jh hBh2B*Uph3f$jhBh2B*Uph3fh25B*ph3f$jhBh2B*Uph3f$jhBh2B*Uph3f h]h2CJOJQJ^JaJh2B*ph3fh2$jhBh2B*Uph3fhBh25B*ph3f!jhBh25B*Uph3fj k q[EE$$Ifa$gd2lLd$Ifgd2lLkd $$IflF|!%\ t0p)6    44 la ,>qZDD$$Ifa$gd2ld$1$Ifgd2lkdt$$IflF|!%\ t0p)6    44 la>?STUq[EE$$Ifa$gd2ld$Ifgd2lkd $$IflF|!%\ t0p)6    44 la?SUV12@ABCDRSTUV?@AOPQRSabcdeп鿲n[鿲H$j hBh2B*Uph3f$jH hBh2B*Uph3f&h]h25CJOJQJ\^JaJh25B*ph3f$jT hBh2B*Uph3f$j hBh2B*Uph3fhBh25B*ph3f!jhBh25B*Uph3f h]h2CJOJQJ^JaJh2B*ph3fh2#h]h25CJ OJQJ^JaJ UV1CUoXBB$$Ifa$gd2lLd$1$Ifgd2lLkd\ $$IflF|!%\ t0p)6    44 laUV@RdqZDD$$Ifa$gd2ld$1$Ifgd2lkd $$IflF|!%\ t0p)6    44 ladeyz{q[EE$$Ifa$gd2ld$Ifgd2lkd0 $$IflF|!%\ t0p)6    44 laey{|ij012пtbt^XM?h)h26CJ]aJh26CJ]aJ h20Jhs#h]h2>*CJOJQJ^JaJ h]h25B*CJaJph3f$jh@Dh2B*Uph3f h@Dh2$j4h@Dh2B*Uph3fh@Dh25B*ph3f!jh@Dh25B*Uph3f h]h2CJOJQJ^JaJh2B*ph3fh2#hh25CJ OJQJ^JaJ {|oXBB$$Ifa$gd2lLd$1$Ifgd2lLkd $$Ifl6F|!%\ t0p)6    44 la'jq[A[.$Ifgd2l @d$Ifgd2ld$Ifgd2lkd$$IflF|!%\ t0p)6    44 la12^K?:8gd2 &`#$gd2 x^`gd2kd$$IflF|!%\ t0p)6    44 la$Ifgd2l234 x^`gd2234hsh*&P1h:p2/ =!"#$%~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck3tDeCheck3$$If!vh5\55#v\#v#v:Vly tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55a$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55a$$If!vh5\55#v\#v#v:Vl6 tp)6,5\55atDeCheck2tDeCheck2~$$If!vh5\55#v\#v#v:Vl tp)6,5\55a~$$If!vh5\55#v\#v#v:Vl tp)6,5\55a@@@ 2NormalCJ_HaJmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List XC@X 2Body Text Indent^` 5CJ$aJ< @< 2Footer  !CJaJ@ 2 Table Grid<:V0a1$7$8$H$OJQJ^J_H.)@!. 2 Page Number4@24 2Header  !4 D 9J[k*<=HZlm_qFXjk,>?STUV1CUV@Rdeyz{|' j 1 2 5 0000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0x@0@0@00<=lmjk>?UVUVde{|' j 1 5 @01B@00@01B@00@01B@00@01B@00@01B@00@01B@00@0!1B@00@0#1B@00@0%1B@00@0'1B@00@0)1B@00@0+1B@00@0-1B@00@00@00@00 @00 @0/1 @00 0$O?@00 0P( H X ?e24 !< l j >UUd{24  3 (*:HXZj_oqFVXh*,<1ACS@PRb4 G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$Check3Check25 )5 2 5  2 5  0 5  2 5 s2zQ*<=HZlm_qFXjk,>?STUV1CUV@Rdeyz{| 5 !(@L!t4 @UnknownGz Times New Roman5Symbol3& z Arial"hr@r@"r4 3qH)?QRenovation/Construction ProjectPEOSH-BobrowskiPHPPPOh+'0 , H T `lt| Renovation/Construction ProjectPEOSH-Bobrowski Normal.dotPHPPP2Microsoft Word 10.0@@?@BCDEFGHKRoot Entry FsMData #1Table,3WordDocument,DSummaryInformation(9DocumentSummaryInformation8ACompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q