IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
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: These were all cleaned over the summer.
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 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
g. No evidence of drainage problems exist. Water drains away from the building including roof
downspouts.
N/A
h. Sprinklers do not spray directly toward the building or into outdoor air intakes.
John Walsh reported that a room had the sprinkler spraying into a classroom. It was quickly
corrected.
i. Grass clippings from mowers are directed away from the building air intakes.
The landscaper has been informed to blow clippings away from the building. This is being
monitored.
j. Clean walk-off mats are present at exterior entrances.
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. Over the summer and early Fall we accomplished an aggressive maintenance
plan for district roofs. Also each roof was thermally scanned which identified areas of wet
insulation. There were four (4) areas identified at MSS. These had insulation cut out, replaced, and
the roof being patched.
b. There is no evidence of water ponding on the roof.
This is a ballasted roof but no evidence of ponding was apparent.
c. Intake ventilation units are operating properly and free of debris.
These were all cleaned over the summer.
d. All exhaust fans are operating properly and free of debris.
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 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
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.
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: 53.1; 53.5 degrees.
Highest temperature – Location: 808; 308; Reading of 76; 75.3 degrees.
Lowest temperature – Location: 98, cafeteria; 100; Reading of 70.8; 69.6 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.
Outdoor relative humidity: 51.8; 30.8%
Highest relative humidity – Location: 408; 308; Reading of 47.6; 32.3%
Page 3 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
Lowest relative humidity – Location: 600; 304;Reading of 33.5; 25%
N/A
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: 0; .1
Highest CO Location: 607; 500 Reading: .2; .5
Lowest CO Location: Several 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 + 331; 378 PPM = 1031; 1078 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: 331; 378 PPM
Highest CO2 reading – Location: 808; 707; Reading of 1650; 1072 PPM
Lowest CO2 reading – Location: 98; 308; Reading of 502; 441 PPM
Work orders were written to address high readings. See the Recheck of these rooms.
Page 4 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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.
N/A
iii. CO2 levels were checked three months ago.
g.
h.
i.
j.
k.
l.
iv. CO2 levels on “leave-in” devices, where present, where checked.
NONE
Offensive odors are not apparent.
If false, list problem areas:
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,
summer).
If false, record findings and locations here: There were stained ceiling tile in 94 A, 95, 96, the hallway
by 802 and 802. Work orders were written to check out and then replace the tile. These are
condensation leaks primarily with one being reported as an active leak (802). This is being
confirmed.
Mold or mildew growth is not evident.
If false, record findings and locations here:
All pest management issues are being handled by Integrated Pest Management.
We are in process of covering air intake vents with smaller mesh to keep out mice.
No other unresolved concerns or complaints by building personnel are known.
If false, list any pending issues not previously mentioned in this report here:
There are no incomplete HVAC preventative maintenance (PM) work requests.
Page 5 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
If false, list any incomplete HVAC work request here:
6. Bathrooms and General Plumbing
a. All locker or restroom exhaust fans are working.
Inoperable or malfunctioning fans are listed as follows:
Location:
Problem:
N/A
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.
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.
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).
Page 6 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
N/A
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
manufacturers’ guidelines.
k. Oil based paints are stored in approved storage cabinets.
No oil based paint is allowed in the 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.
Combustion analysis is scheduled for Nov. 2 and 3 with Barr Mechanical.
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.
Page 7 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
d. Flue components are clean and free of soot.
N/A
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:
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.
ii.
Floors are mopped nightly.
Page 8 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: October 21, 2011
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
N/A
iii. Dust at least weekly.
c. Radon testing is recommended by IEMA every 5 years. Last testing date listed below:
Date: 4/2009; Reading of <.5
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 9
Revised 3/7/2011 AMJ
Created 11/2010
Middle School South 435 W.Cuba Road. IAQ Readings Fall 2011
Site
Location
Date/Time
Temperature °F
Relative Humidity
%RH
Carbon
Monoxide ppm
Carbon
Dioxide ppm
Occupants
Middle School South
Outdoor Air
14-Oct-11 11:22:34 AM
53.1
51.8
0.0
331
Middle School South
140
14-Oct-11 12:55:31 PM
71.5
34.4
0.0
505
15
Middle School South
208
14-Oct-11 01:55:42 PM
72.3
35.0
0.1
666
19
Middle School South
209
14-Oct-11 01:53:24 PM
73.6
36.0
0.0
987
19
Middle School South
211
14-Oct-11 01:52:00 PM
73.1
35.2
0.0
716
23
Middle School South
303
14-Oct-11 01:42:44 PM
75.9
42.9
0.0
1037
25
Middle School South
305
14-Oct-11 01:43:56 PM
75.6
37.4
0.0
800
25
Middle School South
408
14-Oct-11 01:39:06 PM
75.4
47.6
0.0
1610
38
Middle School South
410
14-Oct-11 01:40:26 PM
74.6
38.9
0.1
739
2
Middle School South
504
14-Oct-11 01:36:49 PM
74.1
37.6
0.0
838
26
Middle School South
506
14-Oct-11 01:35:03 PM
72.9
36.0
0.0
735
23
Middle School South
508
14-Oct-11 01:33:31 PM
71.9
33.7
0.1
542
25
Middle School South
509
14-Oct-11 01:32:19 PM
73.2
38.8
0.0
968
6
Middle School South
511
14-Oct-11 01:31:06 PM
73.8
41.4
0.0
861
22
Middle School South
600
14-Oct-11 01:29:36 PM
73.1
33.5
0.0
678
2
Middle School South
605
14-Oct-11 01:22:29 PM
74.7
39.5
0.0
991
32
Middle School South
606
14-Oct-11 01:24:14 PM
74.3
37.8
0.1
1375
24
Middle School South
607
14-Oct-11 01:25:32 PM
73.1
36.4
0.2
833
22
Middle School South
608
14-Oct-11 01:28:00 PM
73.2
34.9
0.0
771
25
Middle School South
706
14-Oct-11 01:17:44 PM
75.1
37.7
0.0
766
19
Middle School South
707
14-Oct-11 01:19:07 PM
75.0
40.9
0.0
1243
24
Middle School South
800
14-Oct-11 01:04:49 PM
74.9
34.3
0.0
600
23
Middle School South
801
14-Oct-11 01:12:17 PM
75.5
38.2
0.0
728
22
Middle School South
802
14-Oct-11 12:59:14 PM
74.3
37.0
0.0
761
20
Middle School South
803
14-Oct-11 01:15:40 PM
75.5
36.9
0.0
857
28
Middle School South
804
14-Oct-11 01:07:01 PM
75.4
35.6
0.0
557
19
Middle School South
806
14-Oct-11 01:10:25 PM
74.7
34.1
0.0
579
15
Middle School South
808
14-Oct-11 01:14:02 PM
76.0
41.5
0.0
1650
25
Middle School South
94
14-Oct-11 12:44:21 PM
72.4
38.8
0.0
667
23
Middle School South
95
14-Oct-11 12:47:15 PM
72.3
36.7
0.1
757
24
Middle School South
96
14-Oct-11 12:49:14 PM
71.5
34.0
0.0
541
4
Middle School South
98
14-Oct-11 12:50:51 PM
70.8
34.3
0.0
502
2
Middle School South
Cafeteria
14-Oct-11 02:00:02 PM
70.8
33.7
0.0
661
80
Middle School South
138
14-Oct-11 12:53:39 PM
71.8
35.6
0.0
559
5
Taken by
Taken With
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
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
Gray Wolf
Open
Window
Yes
Yes
Yes
Yes
Yes
Yes
Carbon Dioxido PPM
700+331=1031
Protocol: Readings taken after 10:30am
Middle School South
Outdoor Air
17-Oct-11 01:18:56 PM
53.5
30.8
0.1
378
Middle School South
101
17-Oct-11 01:40:54 PM
71.4
29.8
0.0
668
Middle School South
105
17-Oct-11 01:34:49 PM
70.2
25.6
0.0
451
Middle School South
110
17-Oct-11 01:30:40 PM
69.9
32.3
0.0
745
Middle School South
112
17-Oct-11 01:29:22 PM
69.8
32.2
0.0
650
1
Middle School South
213
17-Oct-11 01:45:31 PM
70.6
29.2
0.0
512
21
Middle School South
302
17-Oct-11 01:52:49 PM
74.2
27.2
0.0
627
3
Middle School South
303
17-Oct-11 01:48:17 PM
72.7
29.4
0.0
749
16
Middle School South
304
17-Oct-11 02:20:28 PM
72.9
25.0
0.0
513
4
Middle School South
306
17-Oct-11 01:51:28 PM
74.2
27.6
0.1
562
2
Middle School South
307
17-Oct-11 01:50:09 PM
74.3
28.3
0.0
561
16
Middle School South
308
17-Oct-11 02:31:20 PM
75.3
25.8
0.0
441
2
Middle School South
309
17-Oct-11 02:26:52 PM
74.0
25.6
0.0
457
2
Middle School South
404
17-Oct-11 02:32:34 PM
74.5
26.6
0.2
705
1
Middle School South
405
17-Oct-11 01:54:20 PM
74.2
28.1
0.0
831
14
Middle School South
407
17-Oct-11 01:56:03 PM
74.2
29.1
0.0
861
14
Middle School South
408
17-Oct-11 01:57:25 PM
74.6
31.0
0.0
845
4
Middle School South
500
17-Oct-11 01:59:17 PM
72.7
26.0
0.5
547
2
Middle School South
505
17-Oct-11 02:00:54 PM
73.3
26.9
0.0
575
12
Middle School South
507
17-Oct-11 02:34:44 PM
73.9
27.2
0.0
639
1
Middle School South
602
17-Oct-11 02:04:21 PM
74.6
28.1
0.0
789
3
Middle School South
603
17-Oct-11 02:03:09 PM
74.0
28.6
0.0
739
24
Middle School South
604
17-Oct-11 02:06:05 PM
73.1
25.5
0.1
654
3
Middle School South
704
17-Oct-11 02:08:01 PM
74.2
28.2
0.0
781
13
Middle School South
705
17-Oct-11 02:09:29 PM
74.5
30.7
0.0
936
14
Middle School South
707
17-Oct-11 02:11:29 PM
74.4
32.0
0.0
1072
18
Middle School South
808
17-Oct-11 02:13:13 PM
74.7
28.2
0.0
677
11
Gymnasium 120 17-Oct-11 02:40:46 PM
72.2
24.4
0.0
516
9
69.6
31.2
0.1
564
4
Middle School South
Middle School South
100
17-Oct-11 01:28:10 PM
Carbon Dioxide PPM
700+378=1078
Protocol: Readings taken after 10:30am
1
1
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
Denys
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
Yes
Re-Check
Middle School South
Outdoor Air
20-Oct-11 01:53:32 PM
51.0
35.6
1.0
422
Middle School South
408
20-Oct-11 02:03:39 PM
73.2
33.2
0.1
786
6
Middle School South
606
20-Oct-11 02:01:35 PM
72.6
37.2
0.3
1048
23
Middle School South
707
20-Oct-11 01:58:05 PM
71.4
36.1
0.4
940
18
Middle School South
808
20-Oct-11 01:59:37 PM
72.3
32.7
0.2
750
9
Middle School South
303
20-Oct-11 01:55:16 PM
69.0
37.3
0.0
829
16
Carbon Dioxide PPM
700+422=1122
Protocol: Readings taken after 10:30am
Denys
Denys
Denys
Denys
Denys
Denys
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf