IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: 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 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
Building Inspection Performed by: Denys Armashov, Lyle Erstad
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.
On the 300 wing, a down spout was disconnected from the drainage system. A work order has been
submitted.
h. Sprinklers do not spray directly toward the building or into outdoor air intakes.
N/A
i.
Grass clippings from mowers are directed away from the building air intakes.
Landscaper has been instructed and is being monitored to ensure clippings are being blown away
from the building.
j. Clean walk-off mats are present at exterior entrances.
Each vestibule has new entrance walk off material as of this summer.
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. This past summer all district building roofs were thermally scanned. As a
result of this there were locations that showed wet insulation. These were addressed building by
building.
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.
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: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: 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.
Remaining ductwork was cleaned over the summer.
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: 72.3; 77.3 degrees.
Highest temperature – Location: Cafeteria; 306; Reading of 77.2; 79.6 degrees.
Lowest temperature – Location: 112; Main Office; Reading of 73.6; 75.1 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: 48.6; 49.2%
Highest relative humidity – Location: Cafeteria; Cafeteria; Reading of 59.8; 60.4%
Lowest relative humidity – Location: 304; Gym;Reading of 43.3; 50.3%
Page 3 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: Denys Armashov, Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
True False
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; .3
Highest CO Location: 106; Cafeteria Reading: 0.4; .3
Lowest CO Location: 107, 112; Several rooms
Reading: 0.0; .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 + 405; 416 PPM = 1105; 1116 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: 405; 416 PPM
Highest CO2 reading – Location: 309 W; 309 W; Reading of 1433; 1150 PPM
Lowest CO2 reading – Location: 304; 205; Reading of 606; 585 PPM
ii. If reading is above threshold, check univent and air handling dampers to ensure a value is set to
Page 4 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
Building Inspection Performed by: Denys Armashov, Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
True False
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.
Work orders were submitted for high readings.
iii. CO2 levels were checked three months ago.
g.
h.
i.
j.
N/A
iv. CO2 levels on “leave-in” devices, where present, where checked.
No leave-in devices
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 is a water leak in the stairwell leading to the
cafeteria. The source of the leak is not readily apparent. It is behind a concrete wall in the crawl
space. Investigation is continuing.
Mold or mildew growth is not evident.
If false, record findings and locations here: A thorough inspection of the building was conducted after
having found mold on the underside of the roof deck. All mold was removed from these areas.
All pest management issues are being handled by Integrated Pest Management.
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.
Page 5 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: Denys Armashov, Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
True False
N/A
6. Bathrooms and General Plumbing
a. All locker or restroom exhaust fans are working.
Inoperable or malfunctioning fans are listed as follows:
Location:
Problem:
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: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: Denys Armashov, Lyle Erstad
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 allowed 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.
Combustion analysis is scheduled for November 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.
d. Flue components are clean and free of soot.
Page 7 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: Denys Armashov, Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
True False
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.
District wide, kitchen exhaust hoods were cleaned over the summer.
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: Seth Paine Elementary School
Date: October 11, 2011
IAQ Check List
Building Inspection Performed by: Denys Armashov, Lyle Erstad
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: 4/10/2009; Reading of 0.5 pCi/L
National concern level: 4.0 pCi/L or above
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
Seth Paine 50 Miller Road. IAQ Readings Fall 2011
Carbon
Dioxide ppm
Seth Paine Elementary
Outdoor Air
05-Oct-11 10:53:37 AM
72.3
48.6
0.0
Seth Paine Elementary
102
05-Oct-11 12:18:59 PM
76.4
53.1
0.3
1154 16
Seth Paine Elementary
103
05-Oct-11 12:17:40 PM
76.9
50.5
0.1
1070 18
Seth Paine Elementary
104
05-Oct-11 12:16:32 PM
76.1
52.3
0.2
1193 18
Seth Paine Elementary
105
05-Oct-11 12:10:55 PM
76.2
51.7
0.1
1065 19
Seth Paine Elementary
106
05-Oct-11 12:14:58 PM
76.3
51.7
0.4
1048 23
Seth Paine Elementary
107
05-Oct-11 12:47:13 PM
76.7
50.0
0.0
960 7
Seth Paine Elementary
108
05-Oct-11 12:49:25 PM
76.3
51.3
0.2
1076 12
Seth Paine Elementary
109
05-Oct-11 11:14:54 AM
75.7
51.9
0.1
1268 7
Seth Paine Elementary
111
05-Oct-11 10:59:41 AM
75.4
48.1
0.3
1122 19
Seth Paine Elementary
112
05-Oct-11 10:54:46 AM
73.6
48.5
0.0
Seth Paine Elementary
200
05-Oct-11 11:29:24 AM
74.4
47.9
0.3
1043 4
Seth Paine Elementary
201
05-Oct-11 11:32:42 AM
75.2
51.5
0.1
1095 6
Seth Paine Elementary
202
05-Oct-11 11:31:20 AM
74.7
50.1
0.1
990 21
Seth Paine Elementary
204
05-Oct-11 12:04:46 PM
76.6
51.2
0.2
1119 21
Seth Paine Elementary
205
05-Oct-11 12:06:36 PM
76.6
51.4
0.1
1134 22
Seth Paine Elementary
207
05-Oct-11 12:52:00 PM
76.0
51.1
0.3
1069 15
Seth Paine Elementary
208
05-Oct-11 11:34:47 AM
75.2
52.2
0.2
1228 12
Seth Paine Elementary
209
05-Oct-11 11:36:01 AM
75.6
52.9
0.2
1268 22
Seth Paine Elementary
210
05-Oct-11 11:37:15 AM
75.5
51.8
0.2
1141 17
Seth Paine Elementary
211
05-Oct-11 11:38:48 AM
76.0
52.5
0.2
1262 18
Seth Paine Elementary
300
05-Oct-11 11:41:41 AM
76.4
51.2
0.2
1248 4
Seth Paine Elementary
301
05-Oct-11 11:43:27 AM
76.8
49.4
0.2
1049 2
Seth Paine Elementary
302
05-Oct-11 11:45:17 AM
76.7
48.8
0.2
1065 2
Seth Paine Elementary
304
05-Oct-11 11:46:52 AM
76.1
43.3
0.3
606 1
Seth Paine Elementary
306
05-Oct-11 12:13:11 PM
76.5
50.2
0.1
1106 17
Seth Paine Elementary
307
05-Oct-11 12:56:42 PM
76.9
48.0
0.2
1005 20
Seth Paine Elementary
308
05-Oct-11 12:57:58 PM
76.8
48.7
0.2
1036 19
Seth Paine Elementary
309
05-Oct-11 12:59:14 PM
76.2
48.6
0.3
1197 4
Seth Paine Elementary
309 West
05-Oct-11 01:01:04 PM
76.3
48.3
0.2
1433 1
Seth Paine Elementary
Cafeteria
05-Oct-11 12:25:08 PM
77.2
59.8
0.1
1246 99
Seth Paine Elementary
Faculty lounge
05-Oct-11 11:12:52 AM
75.1
47.3
0.2
866 4
Seth Paine Elementary
Office Nurse
05-Oct-11 11:05:51 AM
75.0
46.3
0.1
758 1
Seth Paine Elementary
Main office 100
05-Oct-11 11:04:47 AM
75.0
50.6
0.1
1107 3
Seth Paine Elementary
101
05-Oct-11 12:20:47 PM
76.9
51.8
0.1
1187 21
Seth Paine Elementary
Principal 100B
05-Oct-11 11:11:43 AM
75.1
48.0
0.2
887 1
Seth Paine Elementary
309 East
310
Gym
Music
Art
Seth Paine Elementary
Seth Paine Elementary
Seth Paine Elementary
Carbon Dioxide
700+405=1105
Protocol: Readings taken after 10:30am
Same
Same
Same
Same
Same
Temperature °F
Carbon
Monoxide ppm
Location
Seth Paine Elementary
Date/Time
Relative Humidity
%RH
Site
Occupants
405
702 19
Taken by
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
Denys
Denys
Denys
Denys
Denys
Denys
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
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Window
open
Yes
Yes
Yes
Building Re-check
Seth Paine Elementary
Outdoor Air
11-Oct-11 11:12:03 AM
77.3
49.2
0.3
416
Seth Paine Elementary
102
11-Oct-11 11:57:28 AM
76.7
55.2
0.0
719 20
Seth Paine Elementary
104
11-Oct-11 11:56:19 AM
76.7
54.1
0.0
629 21
Seth Paine Elementary
109
11-Oct-11 11:27:30 AM
75.9
53.1
0.0
615 1
Seth Paine Elementary
110
11-Oct-11 11:31:29 AM
75.5
55.8
0.0
727 19
Seth Paine Elementary
204
11-Oct-11 11:54:26 AM
77.7
52.0
0.1
654 21
Seth Paine Elementary
205
11-Oct-11 11:53:30 AM
77.6
51.2
0.0
585 20
Seth Paine Elementary
208
11-Oct-11 11:21:38 AM
76.7
53.7
0.1
753 14
Seth Paine Elementary
209
11-Oct-11 11:22:40 AM
76.6
54.3
0.0
793 15
Seth Paine Elementary
210
11-Oct-11 11:23:58 AM
76.5
53.4
0.1
719 14
Seth Paine Elementary
211
11-Oct-11 11:25:08 AM
76.3
54.3
0.1
743 11
Seth Paine Elementary
300
11-Oct-11 11:20:25 AM
77.2
52.8
0.0
786 4
Seth Paine Elementary
306
11-Oct-11 11:49:41 AM
79.6
51.5
0.1
Seth Paine Elementary
309
11-Oct-11 11:15:53 AM
77.4
52.7
0.0
Seth Paine Elementary
309 East
11-Oct-11 11:19:17 AM
76.6
52.7
0.1
824 1
Seth Paine Elementary
309 West
11-Oct-11 11:17:37 AM
77.1
53.3
0.0
1150 1
Seth Paine Elementary
310
11-Oct-11 11:13:39 AM
77.5
51.4
0.0
740 6
Seth Paine Elementary
Cafeteria
11-Oct-11 11:35:12 AM
76.2
60.4
0.3
838 70
Seth Paine Elementary
Gymnasium
11-Oct-11 12:30:55 PM
77.4
50.3
0.1
604 19
Seth Paine Elementary
Main office 100
11-Oct-11 11:29:47 AM
75.1
54.5
0.1
631 2
Seth Paine Elementary
101
11-Oct-11 11:58:44 AM
77.1
53.7
0.0
622 19
Carbon Dioxide ppm
700+416=1116
Protocol: Readings taken after 10:30am
757 18
1063 9
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
Yes
Yes