International Consultants' Training Course - GHDonline

21 February 2008
Assessment of the DOT Area
Date: 21 February 2008_____________________ Time: __________________
Location: Old Naledi Clinic___________________ Room number: ___________
Purpose of room: ________________________________________________________
General background information:
Number of patients (planned)
Composition of patients (drug susceptible or drug resistant)
Number increasing, steady, decreasing
Perceived risk
TB incidence among staff
Contact with patients
IC procedures and policies in place
Other . . . __________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Draw the room:
Room dimensions: Width ____________ Depth ____________ Ceiling _________
(List all dimensions on drawing)
Mark ventilation pipes/grilles on drawing. Label as supply air or exhaust air.
Air Exchange Rate Calculations:
Dimensions of Window openings: Width (W) ____m
Width (W) ____m
Width (W) ____m
Height (H) ____m
Height (H) ____m
Height (H) ____m
Area (W • H): ________ m 2
Area (W • H): ________ m 2
Area (W • H): ________ m 2
Velocity measurements: Window 1
Velocity #1 ________ m/s Velocity #2 ________ m/s
Velocity #3 ________ m/s Velocity #4 ________ m/s
Velocity #5 ________ m/s Velocity #6 ________ m/s
Velocity #7 ________ m/s Velocity #8 ________ m/s
Velocity #9 ________ m/s Velocity #10 ________ m/s
Average Velocity: ________ m/s
Average Airflow Rate:
19