Equipment Wood Stove/Fireplace is present Venting VENT ONLY Improper venting Venting HOOD ONLY Combustion air is inadequate Dryer Venting VENT AND HOOD Clothes Dryer improper venting Clean/Tune Oven Exhaust Fans Bathroom Stove Top Burners Missing Repair Gas Leak At Cook Stove Not Operational Improper Vent Install Exhaust Fan(s) Kitchen Location: Missing Motion Switch Low Profile Not Operational w/Light Improper Vent Range Hood (standard) Air-to-Air Exchanger Exists Range Hood (Venmar) Accessible Attic Above? Yes No N/A Possible Venting Locations: Fan measurements on "Blower Door Testing Form" CO Measurement Oven: Gable Roof Other: Additional Instructions: LF Burner 1: LR Burner 2: RF Burner 3: RR Burner 4: Revent Existing Fan(s) Gas Leak Present Location(s): Service Existing Fan Comments: Location(s): Install 2nd Fan (list instructions in “Comments”) Other: Attic Walls Basement/Crawlspace Recessed Lights Present Wiring Problems Vapor Barrier Needed Chimney/Flue Shielding Water Leaks Present Wiring Problems Wiring Problems Moisture/Mold Evident Leaks Present Ventilation Inadequate Lead Base is Likely Plumbing Leaks Present Water Leaks Present Asbestos in Siding is Likely Moisture/Mold Evident Moisture/Mold Evident Other Problems: Other Problems: Vermiculite Present Other Problems: Comments: Building Shell-Windows
Equipment Wood Stove/Fireplace is present Improper venting Combustion air is inadequate Clothes Dryer improper venting Exhaust Fans Bathroom Missing Not Operational Improper Vent Kitchen Missing Not Operational Improper Vent Air-to-Air Exchanger Exists Fan measurements on "Blower Door Testing Form" Venting VENT ONLY Venting HOOD ONLY Dryer Venting VENT AND HOOD Clean/Tune Oven Stove Top Burners Repair Gas Leak At Cook Stove Install Exhaust Fan(s) Location: Motion Switch Low Profile w/Light Range Hood (standard) Range Hood (Venmar) Accessible Attic Above? Yes No N/A Possible Venting Locations: Gable Roof Other: Additional Instructions: Revent Existing Fan(s) Location(s): Service Existing Fan Location(s): Install 2nd Fan (list instructions in “Comments”) Other: CO Measurement Oven: LF Burner 1: LR Burner 2: RF Burner 3: RR Burner 4: Gas Leak Present Comments: Attic Recessed Lights Present Chimney/Flue Shielding Wiring Problems Ventilation Inadequate Water Leaks Present Moisture/Mold Evident Vermiculite Present Other Problems: Walls Wiring Problems Water Leaks Present Moisture/Mold Evident Lead Base is Likely Asbestos in Siding is Likely Other Problems: Basement/Crawlspace Vapor Barrier Needed Wiring Problems Leaks Present Plumbing Leaks Present Moisture/Mold Evident Other Problems: Comments: Building Shell-Windows
audit-data-collect-py15-option.docx