IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
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:
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: February 10, 2012
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.
i.
Grass clippings from mowers are directed away from the building air intakes.
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.
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.
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.
4. Attic
a. There is no evidence of roof or plumbing leaks.
No Attic
Page 2 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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:
N/A
b. Only vacuums with HEPA filters are being used.
c. All supply and exhaust ventilation units are working properly.
Superior Test and Balance has inspected the science fume hoods. We have one hood not meeting
minimum requirements.
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: 35.6; 34.9 degrees.
Highest temperature – Location: 303; 213; Reading of 76.6; 76.5 degrees.
Lowest temperature – Location: 96; 107, 111; Reading of 71.9; 70.0 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: 41.1; 23.2%
Highest relative humidity – Location: 508; 107; Reading of 27.6; 21.8%
Lowest relative humidity – Location: 704; Gym 120;Reading of 18.5; 11.2%
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)
Page 3 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
N/A
e. Occupied space readings of carbon monoxide (CO) levels are less than 9.0 PPM.
Outdoor Air CO Reading: 0; .1
Highest CO Location: 706; 109 Reading: .5; .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 + 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: 373; 283 PPM
Highest CO2 reading – Location: 508; 307; Reading of 1590; 1012 PPM
Lowest CO2 reading – Location: 98; Gym 120; Reading of 432; 479 PPM
Work orders were written to address the high readings. Siemens is also involved and we are
awaiting information from them on how we can get better control of the air handling system at
South and Isaac Fox..
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
Page 4 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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.
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:
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.
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:
6. Bathrooms and General Plumbing
a. All locker or restroom exhaust fans are working.
Inoperable or malfunctioning fans are listed as follows:
Location:
Problem:
Page 5 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
IAQ Check List
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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.
The custodial department is reminded of these procedures regularly.
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: 11/2011
LZFD: 11/2011
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.
Page 6 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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.
N/A
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.
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
IAQ Check List
Building: Lake Zurich Middle School South
Date: February 10, 2012
Building Inspection Performed by: Lyle Erstad, Denys Armashov
Report Compiled by: Lyle Erstad
Check List
True False
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.
N/A
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: February 10, 2012
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: 12/19 - 21/2011; Reading of (Highest) <1.7 pCi/L in Room 94.
National concern: Greater than 4.0 pCi/L
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: 1-20-2012
Page 9 of 9
Revised 3/7/2011 AMJ
Created 11/2010
435 Cuba Road. Indoor Air Quality Testing Readings Winter 2012
Site
Location
Date/Time
Temperature °F
Relative Humidity
%RH
Carbon
Monoxide ppm
Carbon
Dioxide ppm
Middle School South
Outdoor Air
07-Feb-12 10:38:37 AM
35.6
41.1
0.0
373
Middle School South
100
07-Feb-12 11:55:34 AM
73.3
21.4
0.1
518
4
Middle School South
101
07-Feb-12 11:56:42 AM
73.8
21.6
0.1
573
2
Middle School South
114
07-Feb-12 11:58:19 AM
72.7
21.6
0.3
567
6
Middle School South
138
07-Feb-12 01:18:05 PM
73.3
21.4
0.0
676
11
Middle School South
140
07-Feb-12 01:20:01 PM
73.7
21.2
0.3
664
15
Middle School South
208
07-Feb-12 12:06:45 PM
75.2
21.5
0.1
580
28
Middle School South
209
07-Feb-12 02:12:47 PM
75.2
21.6
0.2
933
15
Middle School South
211
07-Feb-12 02:15:15 PM
75.5
21.2
0.0
853
30
Middle School South
212
07-Feb-12 02:16:37 PM
76.3
23.1
0.2
1078
3
Middle School South
302
07-Feb-12 02:18:40 PM
75.9
21.1
0.4
839
3
Middle School South
303
07-Feb-12 02:19:47 PM
76.6
23.7
0.0
904
17
Middle School South
306
07-Feb-12 12:11:29 PM
75.5
20.8
0.2
749
7
Middle School South
406
07-Feb-12 12:14:27 PM
74.7
21.6
0.1
750
9
Middle School South
503
07-Feb-12 02:09:21 PM
75.7
18.7
0.0
626
2
Middle School South
504
07-Feb-12 02:07:28 PM
74.1
21.2
0.2
955
23
Middle School South
505
07-Feb-12 02:06:25 PM
75.2
22.0
0.2
856
25
Middle School South
506
07-Feb-12 02:05:11 PM
74.9
21.1
0.3
861
12
Middle School South
507
07-Feb-12 02:03:27 PM
75.6
20.7
0.2
832
4
Middle School South
508
07-Feb-12 02:01:51 PM
75.5
27.6
0.1
1590
16
Middle School South
509
07-Feb-12 12:16:56 PM
75.0
20.5
0.0
637
3
Middle School South
511
07-Feb-12 02:00:25 PM
74.8
24.2
0.2
1447
7
Middle School South
604
07-Feb-12 01:53:15 PM
75.1
19.2
0.0
509
2
Middle School South
605
07-Feb-12 01:42:39 PM
74.2
22.8
0.4
991
28
Middle School South
607
07-Feb-12 01:45:22 PM
73.3
22.4
0.4
973
21
Middle School South
608
07-Feb-12 01:47:06 PM
74.4
22.0
0.0
925
23
Middle School South
704
07-Feb-12 01:55:21 PM
74.5
18.5
0.1
595
16
Middle School South
705
07-Feb-12 01:56:29 PM
74.6
21.4
0.1
771
8
Middle School South
706
07-Feb-12 01:35:21 PM
74.1
23.0
0.5
931
24
Middle School South
707
07-Feb-12 01:57:28 PM
74.8
20.5
0.1
774
22
Middle School South
802
07-Feb-12 01:25:57 PM
74.1
22.3
0.1
956
27
Middle School South
803
07-Feb-12 01:33:14 PM
75.3
23.4
0.2
1009
23
Middle School South
804
07-Feb-12 01:28:05 PM
74.4
20.5
0.2
807
24
Middle School South
806
07-Feb-12 01:30:06 PM
74.8
19.2
0.2
636
15
Middle School South
808
07-Feb-12 01:31:59 PM
75.5
22.1
0.1
913
29
Middle School South
94
07-Feb-12 12:26:14 PM
73.9
23.1
0.4
743
26
Middle School South
95
07-Feb-12 12:24:47 PM
74.9
24.1
0.3
759
25
Occupants
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
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
Gray Wolf
Gray Wolf
Gray Wolf
Open
Window
Yes
Middle School South
96
07-Feb-12 01:15:16 PM
71.9
19.5
0.2
509
9
Middle School South
98
07-Feb-12 12:23:37 PM
74.8
19.6
0.0
432
2
Middle School South
99
07-Feb-12 11:52:58 AM
73.5
24.2
0.1
615
28
Middle School South
Cafeteria
07-Feb-12 11:59:47 AM
73.1
25.4
0.1
701
120
07-Feb-12 01:23:22 PM
73.2
24.3
0.2
750
Middle School South Gym East Auditorium 800
27
Denys
Denys
Denys
Denys
Denys
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Gray Wolf
Occupants
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
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
CO2 Formula 350 + 700 = 1050
Site
Location
Date/Time
Temperature °F
Relative Humidity
%RH
Carbon
Monoxide ppm
Carbon
Dioxide ppm
Middle School South
Outdoor Air
08-Feb-12 11:03:22 AM
34.9
23.2
0.1
283
Middle School South
109
08-Feb-12 11:13:22 AM
70.5
19.8
0.5
626
4
Middle School South
111
08-Feb-12 11:14:46 AM
70.0
17.6
0.3
570
1
Middle School South
210
08-Feb-12 11:41:28 AM
74.0
13.6
0.2
552
13
Middle School South
211
08-Feb-12 11:38:31 AM
75.5
17.1
0.0
773
30
Middle School South
213
08-Feb-12 12:29:23 PM
76.5
15.9
0.3
980
21
Middle School South
304
08-Feb-12 11:29:48 AM
73.5
18.9
0.1
962
21
Middle School South
305
08-Feb-12 12:17:51 PM
75.2
17.2
0.1
797
3
Middle School South
307
08-Feb-12 11:31:33 AM
74.3
21.4
0.1
1012
21
Middle School South
308
08-Feb-12 11:33:35 AM
74.7
16.3
0.1
832
13
Middle School South
309
08-Feb-12 11:35:41 AM
74.8
20.0
0.1
997
25
Middle School South
404
08-Feb-12 12:30:55 PM
76.1
14.3
0.2
555
1
Middle School South
405
08-Feb-12 11:53:40 AM
73.9
16.8
0.2
821
6
Middle School South
407
08-Feb-12 11:24:34 AM
73.2
19.8
0.0
995
30
Middle School South
408
08-Feb-12 11:55:47 AM
75.1
19.2
0.1
949
30
Middle School South
409
08-Feb-12 11:26:19 AM
72.6
16.9
0.1
773
8
Middle School South
410
08-Feb-12 11:27:31 AM
72.7
18.3
0.0
967
21
Middle School South
508
08-Feb-12 12:27:31 PM
76.1
15.3
0.0
694
26
Middle School South
511
08-Feb-12 12:26:33 PM
75.5
12.7
0.1
772
22
Middle School South
600
08-Feb-12 11:21:58 AM
72.2
15.1
0.1
524
5
Middle School South
602
08-Feb-12 12:43:46 PM
75.7
15.0
0.0
867
4
Middle School South
603
08-Feb-12 12:20:47 PM
73.8
14.8
0.1
673
22
Middle School South
93
08-Feb-12 12:13:52 PM
71.5
15.4
0.3
543
20
Middle School South
Gymnasium 120
08-Feb-12 12:46:53 PM
74.1
11.2
0.0
479
3
Middle School South
107
08-Feb-12 11:11:58 AM
70.0
21.8
0.0
775
2
CO2 Formula 350 + 700 = 1050
Open
Window
Yes