IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
1. Ground Level Indoor Inspection
a. Univents are on and air discharge grills are free of obstructions.
If false, send email to building principal and facilities director asking staff to be instructed to keep vents
clear at all times. Record locations here:
2. Ground Level Outdoor Inspection (weather permitting)
a. Univent air intakes are free of obstructions.
If false, record locations here:
b. Filters
i. Medium efficiency filters are installed in all univents.
If false, list locations and create work orders to initiate corrective action.
ii. High efficiency filters are installed in the air handling units.
If false, list locations and create work orders to initiate correction action.
iii. Filters are being changed every six months and the installed date is written on the outer filter casing.
If filter is older than 6 months, list locations and create work orders to initiate corrective action.
c. Insects, bird nests, or droppings are not evident near outdoor air intakes.
If false, indicate locations here:
d. Trash dumpsters are located away from doors, windows, and outdoor air intakes.
e. Potential sources of air contaminants do not exist near the building. (e.g. chimneys, stacks, industrial
plants, exhaust from nearby buildings)
f. Trucks and buses are not allowed to keep their engines idling near the building.
Page 1 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
g. No evidence of drainage problems exist. Water drains away from the building including roof
downspouts.
h. Sprinklers do not spray directly toward the building or into outdoor air intakes.
No sprinkling being done.
i. Grass clippings from mowers are directed away from the building air intakes.
Contractor has been instructed to blow clippings away from the building. This is being monitored
weekly.
j. Clean walk-off mats are present at exterior entrances.
Torn walk off mats need to be removed as they are a trip hazard. Vestibule mats will be removed
this summer with flooring projects.
3. Roof (Inspections conducted weather permitting)
a. Roofing consultant has not found any issues requiring immediate repair.
Most recent roofing inspection date/company: 5-year roofing plan completed 5/25/2010 with C. E.
Crowley & Associates.
b. There is no evidence of water ponding on the roof.
c. Intake ventilation units are operating properly and free of debris.
d. All exhaust fans are operating properly and free of debris.
Bathroom exhaust fans were not operational in 100 and 200 Hallways and near entrance 5. Work
orders have been written.
e. Air intake dampers are set to allow air flow even at minimum setting.
f. Insects, birds, animal nests or droppings are not evident near outdoor air intakes.
g. Plumbing stacks and exhaust vents are located away from air intakes.
Page 2 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
4. Attic
a. There is no evidence of roof or plumbing leaks.
No Attic
b. There is no evidence in attic of insects, birds, animals, or nests.
No Attic
5. General Considerations
a. Classrooms, offices and/or common areas appear recently cleaned.
If examples of poor housekeeping are found, record locations below:
b. Only vacuums with HEPA filters are being used.
c. All supply and exhaust ventilation units are working properly.
Supply fans, heating coils and ducts for the Music room and the Main Gym were cleaned during
Spring Break. Additional duct cleaning to be done over summer break.
d. Occupied space temperatures and relative humidity levels are within the standards listed below.
i. Temperature range:
Winter temperatures 70-73 degrees.
Summer temperatures 74-80 in air-conditioned spaces and 74-85 in non-air-conditioned
spaces.
Outdoor air temperature: 39 degrees.
Highest temperature – Location: 204; Reading of 75.5 degrees.
Lowest temperature – Location: 301; Reading of 64.2 degrees.
ii. Relative humidity range is 30% to 60%.
Non-air-conditioned spaces may be higher on rainy or humid summer humid days.
All spaces may be less than 30% when the out-door air temperature is less than 32 degrees.
Page 3 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
Outdoor relative humidity: 44.2%
Highest relative humidity – Location: 301; Reading of 41.6%
Lowest relative humidity – Location: 304;Reading of 25%
Readings not within acceptable standards will result in the creation of a work order, requesting
maintenance to address. (Readings are noted on the attached test data sheet)
e. Occupied space readings of carbon monoxide (CO) levels are less than 9.0 PPM.
Outdoor Air CO Reading: 2.4
Highest CO Location: 307 Reading: 0.4
Lowest CO Location: Numerous rooms
Reading: 0.0
If the CO level is greater than 9.0 PPM in any space as measured with a handheld device or “leave-in”
monitor, the space must be cleared of all occupants and steps taken to correct the problem. The issue
will be immediately addressed by maintenance and the Fire Department. (Readings are noted on the
attached test data sheet)
f. CO2 levels in any occupied space are below threshold limits.
i. Perform CO2 check with Gray Wolf or other portable device. Measure four times yearly or more
often if needed. Measure only in fully occupied rooms. Reading should be less than 700 PPM plus
outside air CO2 PPM.
700 PPM + 350 PPM = 1050 PPM
Assume outside CO2 is 350 if temperature is below 41 degrees and air is not stagnant with no- wind.
Record all occupied space CO2 levels on forms provided. Provide the outdoor CO2 level as well as
the high and low CO2 extremes below:
Outdoor reading: 350 PPM
Highest CO2 reading – Location: 103; Reading of 1362 PPM
Page 4 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
Lowest CO2 reading – Location: 304; Reading of 560 PPM
ii. If reading is above threshold, check univent and air handling dampers to ensure a value is set to
provide at least 15 cfm of fresh air intake per student based on average space occupancies. If
reading is consistently elevated, then use data logging to monitor CO2 concentrations over time and
look for other sources of problems.
iii. CO2 levels were checked three months ago.
iv. CO2 levels on “leave-in” devices, where present, where checked.
No leave-in devices
g. Offensive odors are not apparent.
If false, list problem areas: Room 305 was identified as having a consistent foul odor. Carpet was
replaced over Spring Break with VCT. The teacher in 101 identified a "funky" smell at times but
it is not consistent.
h. Water damage is not evident.
Check for roof leaks, pipe leaks, spills, stained ceiling tiles, etc, visually and with moisture meter. Look
for the source of any water leaks and schedule repairs. Discard porous items such as ceiling tiles if wet
for more than 24 hours. For carpeting, if less than 9 square feet of wet area, shampoo with germicide
and fan dry. For areas greater than 9 square feet, replace carpet with tile in reasonable timeframe. If
carpet is over ACM tile, replace during next unoccupied break time (winter break, spring break,
Page 5 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
summer).
If false, record findings and locations here: Stained ceiling tile were evident in the stairwell leading to
the outside from the kitchen
i. Mold or mildew growth is not evident.
If false, record findings and locations here:
j. All pest management issues are being handled by Integrated Pest Management.
Ants were reported by the teacher in room 112. A work order has been written.
k. No other unresolved concerns or complaints by building personnel are known.
If false, list any pending issues not previously mentioned in this report here:
l. There are no incomplete HVAC preventative maintenance (PM) work requests.
If false, list any incomplete HVAC work request here: Filters have been replaced.
6. Bathrooms and General Plumbing
a. All locker or restroom exhaust fans are working.
Inoperable or malfunctioning fans are listed as follows:
Location: 100 and 200 Hallway and near door 5 Problem: Exhaust fans were not operational.
Maintenance was contacted to address immediately and a work order was written.
b. All of the following drain-trap maintenance procedures are being conducted according to the frequency
indicated.
If false, indicate all deviations and locations:
i. Water is poured into floor drains once per week (approximately 1 quart of water) or water and a
teaspoon of cooking oil poured into the drain once a month.
Drafting a PM procedure to confirm that all floor drains are consistantly checked and that a
record of this data is maintained.
ii. Water is poured into sinks at least once per week (about 2 cups of water).
iii. Toilets are flushed at least once per week.
Page 6 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
7. Lab Chemicals & Maintenance Supplies
a. Lab chemicals are used with exhaust fans turned on.
b. Lab chemical storage areas have been inspected yearly by ROE and Fire Department.
Record last inspection dates below:
ROE: 10/10
LZFD: 10/10
c. Flammables are not stored with igniters.
d. All chemicals that may react or produce toxic or explosive by-products are separated and maintained in
approved containers stored in approved storage. (e.g. lockable, with appropriate ventilation).
e. Chemical disposal records for all lab chemicals are available for review.
f. All cleaning products used in building contain no/low VOC.
List any exceptions:
g. Increased ventilation is considered when installing new carpets, cleaning upholstered furniture,
shampooing carpets, etc.
h. Exhaust ventilation systems in chemical and trash storage areas are turned on and functioning properly.
i.
Portable fuel containers are properly closed.
j.
Power equipment, like snow blowers and lawn mowers, have been serviced and maintained according to
Page 7 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
manufacturers’ guidelines.
k. Oil based paints are stored in approved storage cabinets.
No oil based paint alllowed in District.
l. Green Cleaning products and processes are used in this building.
8.
Combustion Appliances
a. Combustion analysis is performed at the start of the heating season on all boilers. Adjustments are
made to the burners to correct any abnormalities and improve efficiency.
b. In rooms that contain combustion appliances, there is no evidence of combustion gas or fuel odors.
If false, record locations here:
c. No leaks, disconnections, and/or deterioration were found on exhaust hoods.
d. Flue components are clean and free of soot.
e. All combustion appliances have flues or exhaust hoods and vent NO2.
i. If false, inspect cooking hoods, chemical hoods. Assure that cooking stoves and appliances are
correctly installed, used, and maintained according to manufacturers’ specifications.
ii. If not vented, ensure that “leave-in” CO monitors are placed in room. Record locations here: NONE
iii. CO levels in rooms with combustion appliances are measured and recorded with an IAQ monitor. CO
readings outside of normal CO range will result in an immediate response by maintenance to reduce
CO level or vacating the room/building, if necessary.
Record locations here:
Page 8 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: May 5, 2011
IAQ Check List
Building Inspection Performed by: Skip Lubenow, Denys Armashov, Lyle
Erstad
Report Compiled by: Lyle Erstad
Check List
True False N/A
9. Other
a. Paint
No peeling and/or flaking paint found.
If planned building renovation will damage paint or if peeling paint is discovered, lead testing may be
necessary. If peeling paint is found, send email to the building Principal and the Facilities Director
alerting them of the problem. Staff and teachers need to pick up any flakes of paint to prevent
children from being exposed. The Facilities Director will advise the Facilities Coordinator (a Certified
Lead Paint Renovator) to test the paint for lead. Lead paint was discontinued in 1978. Buildings built
after 1978 are exempt from lead paint testing.
If lead is present, required repairs should be done immediately using lead-safe methods and, if
necessary, a licensed lead contractor.
Location(s) of known peeling paint in building:
b. The following preventive measures are being taken to reduce lead exposure.
i. Play areas and toys are cleaned nightly.
Play areas excluding toys are cleaned nightly.
ii. Floors are mopped nightly.
iii. Dust at least weekly.
c. Radon testing is recommended by IEMA every 5 years. Last testing date listed below:
Date:
; Reading of
d. The IAQ testing equipment used for this inspection was calibrated and is in good working order.
Equipment Used: Gray Wolf
Last date of calibration: 2/4/11
Page 9 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Page 10 of 10
Revised 3/7/2011 AMJ
Created 11/2010
Seth Paine 50 Miller Rd. Spring 2011 IAQ Readings
Site
Time
Temperature °F
Relative Humidity
%RH
Carbon Monoxide ppm
Carbon
Dioxide ppm
Location
Date/Time
Occupants
Taken By
Seth Paine
Outdoor Air
19-Apr-11 01:40:22 PM
39.0
44.2
2.4
350
Seth Paine
101
19-Apr-11 01:17:03 PM
74.1
33.8
0.1
1180
24
Denys
Seth Paine
102
19-Apr-11 01:15:42 PM
73.9
32.6
0.0
926
20
Denys
Seth Paine
103
19-Apr-11 01:20:02 PM
75.0
35.0
0.0
1362
22
Denys
Seth Paine
104
4/19/2011 13:11
74.0
34.0
0.1
1150
25
Denys
Seth Paine
105
19-Apr-11 01:07:33 PM
74.1
33.0
0.1
1233
26
Denys
Seth Paine
106
19-Apr-11 01:09:21 PM
74.1
32.4
0.0
1002
24
Denys
Seth Paine
107
19-Apr-11 01:05:31 PM
74.1
30.5
0.1
864
8
Denys
Seth Paine
108
19-Apr-11 01:21:57 PM
74.2
30.0
0.1
842
4
Denys
Seth Paine
111
19-Apr-11 01:02:26 PM
73.8
26.6
0.1
731
16
Denys
Seth Paine
113
19-Apr-11 12:55:12 PM
70.9
31.2
0.0
746
26
Denys
Seth Paine
200
19-Apr-11 01:23:34 PM
73.1
27.5
0.1
823
23
Denys
Seth Paine
202
19-Apr-11 01:59:35 PM
73.0
27.6
0.1
794
24
Denys
Seth Paine
203
19-Apr-11 01:25:11 PM
74.6
29.5
0.0
858
22
Denys
Seth Paine
204
19-Apr-11 01:27:02 PM
75.5
29.3
0.1
812
12
Denys
Seth Paine
205
19-Apr-11 01:30:12 PM
74.5
28.2
0.2
730
12
Denys
Seth Paine
209
19-Apr-11 01:32:02 PM
74.4
30.1
0.1
982
22
Denys
Seth Paine
210
19-Apr-11 01:33:41 PM
74.8
31.3
0.0
1000
34
Denys
Seth Paine
211
19-Apr-11 01:36:17 PM
75.2
31.5
0.1
1115
29
Denys
Seth Paine
300
19-Apr-11 01:58:09 PM
74.3
29.0
0.1
819
3
Denys
Seth Paine
301
19-Apr-11 01:43:21 PM
64.2
41.6
0.0
820
34
Denys
Seth Paine
304
19-Apr-11 01:55:04 PM
73.4
25.0
0.1
560
3
Denys
Seth Paine
305
19-Apr-11 01:46:53 PM
69.7
38.8
0.3
1418
17
Denys
Seth Paine
306
19-Apr-11 01:45:29 PM
68.6
36.7
0.3
1106
15
Denys
Seth Paine
307
19-Apr-11 01:48:38 PM
70.4
32.8
0.4
1206
22
Denys
Seth Paine
308
19-Apr-11 01:50:14 PM
72.1
34.5
0.2
1217
22
Denys
Seth Paine
309
19-Apr-11 01:53:12 PM
72.8
31.1
0.2
987
10
Denys
Seth Paine
310
19-Apr-11 01:51:47 PM
72.5
33.2
0.2
1151
13
Denys
Seth Paine
Cafeteria
19-Apr-11 12:56:46 PM
74.0
31.8
0.0
692
6
Denys
Seth Paine
Gymnasium
19-Apr-11 12:58:38 PM
73.0
27.1
0.3
673
26
Denys
Seth Paine
Health Office Nurse
19-Apr-11 12:49:03 PM
67.6
33.0
0.1
766
2
Denys
Seth Paine
100
19-Apr-11 12:47:30 PM
67.6
34.8
0.0
803
4
Denys
Seth Paine
Principal 100B
19-Apr-11 12:53:46 PM
68.6
33.9
0.2
821
5
Denys
Denys
Seth Paine
Outside
5/10/2011
12:30
90.5
36.5
5
183
Denys
Seth Paine
208
5/10/2011
12:58
77.7
54.8
3.0
1518
24
Denys
Seth Paine
207
5/10/2011
12:56
78.2
53.5
1.0
651
2
Denys
Seth Paine
303
5/10/2011
13:02
77.0
53.1
1.0
827
1
Denys
Seth Paine
302
5/10/2011
13:00
77.3
53.7
1.0
832
2
Denys
Seth Paine
201
5/10/2011
12:54
78.9
49.6
1.0
802
3
Denys
Seth Paine
112
5/10/2011
12:52
79.5
49.3
1.0
745
14
Denys
Seth Paine
Art
5/10/2011
-
-
-
-
-
Empty
Denys
Seth Paine
Music
5/10/2011
12:47
81.3
45.3
1.0
920
24
Denys
Seth Paine
Gym Office
5/10/2011
12:50
80.0
47.2
2.0
770
2
Denys
Seth Paine
Main Office
5/10/2011
12:35
84
39.3
1
781
2
Denys
Seth Paine
Principals Office
5/10/2011
12:40
83.8
41.7
1
771
1
Denys
Seth Paine
Nurses Office
5/10/2011
12:42
83
44.8
1
799
1
Denys
Seth Paine
Faculty Lounge
5/10/2011
12:45
82.1
45
1
778
1
Denys
Taken With
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
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