IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ 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:Room 310 was partially covered. The univents were off in
402 (hearing testing), 312, 406.
2. Ground Level Outdoor Inspection (weather permitting)
a. Univent air intakes are free of obstructions.
If false, record locations here: I found several rooms where there were hornets nests located by the
air intakes for the room univents. The screens used to prevent mice from entering the building
were in good shape.
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: I found several rooms where there were hornets nests located
by the air intakes for the room univents.
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)
Page 1 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
f. Trucks and buses are not allowed to keep their engines idling near the building.
IAQ 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.
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. This past summer Riddiford Roofing made a complete inspection of all
district roofs and made repairs as a result of that inspection. All American Exteriors is called in for
issues during the year.
b. There is no evidence of water ponding on the roof.
This is a ballasted roof. There was no evidence of ponding.
c. Intake ventilation units are operating properly and free of debris.
See note on 2 a.
d. All exhaust fans are operating properly and free of debris.
They were free of debris but several were off for Johnson Controls to wire them into the new
controls system being installed.
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.
See note on 2 a.
Page 2 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
g. Plumbing stacks and exhaust vents are located away from air intakes.
IAQ 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.
The exhaust units were free of debris but several were off for Johnson Controls to wire them into
the new controls system being installed.
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: 54.6; 56.6; 30.6; 36.9 degrees.
Highest temperature – Location: 201, 202A; 313, 315; 315; 301; Reading of 76.2; 73.2; 71.4; 69.2
degrees.
Lowest temperature – Location: Cafeteria; 404; 400A, 406; Reading of 72.7; 70.1; 70.2 degrees.
ii. Relative humidity range is 30% to 60%.
 Non-air-conditioned spaces may be higher on rainy or humid summer humid days.
Page 3 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
 All spaces may be less than 30% when the out-door air temperature is less than 32 degrees.
Outdoor relative humidity: 39.4; 55.9; 55.8; 36.7%
Highest relative humidity – Location: 315; 404; 315; 312; Reading of 32.6; 46.6; 29.9; 32.2%
Lowest relative humidity – Location: 100; 302; 316; ;Reading of 26; 43.1; 25.7; %
IAQ 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
Highest CO Location: n/a Reading:
Lowest CO Location: All
Reading: 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 + 388; 400; 350; 350 PPM = 1088; 1100; 1050; 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: 388; 400; 328; 366 PPM
Highest CO2 reading – Location: 315; 406; 312; 312; Reading of 1169; 1471; 1169; 1299
Page 4 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ Check List
True
False
N/A
PPM
Lowest CO2 reading – Location: 300; 302; 400A; 301; Reading of 457; 562; 551; 814 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.
NONE
g. Offensive odors are not apparent.
If false, list problem areas:
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,
summer).
If false, record findings and locations here:
i. Mold or mildew growth is not evident.
Page 5 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
j.
IAQ Check List
True
False
N/A
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: We have replaced the
Building Automation System for controls. We are monitoring this in order to make sure that
it is doing what we need it to do. Also, we switched cleaning services provider this summer.
there has been an issue of things not being consistently cleaned. This too is being monitored
now that we are fully staffed.
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: See note on 5 c.
b. All of the following drain-trap maintenance procedures are being conducted according to the frequency
indicated.
If false, indicate all deviations and locations: The custodial staff is reminded regularly on these
procedures.
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.
Page 6 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ 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: 10/2013
LZFD: Yet to be scheduled.
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
manufacturers’ guidelines.
Page 7 of 10
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
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.
IAQ Check List
True
False
N/A
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.
This has not been scheduled yet as the heating system has just begun. We will scheduled and will
report back at the Winter IAQ meeting on its completion.
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: Isaac Fox Elementary School
Date: November 18, 2013
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ 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.
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: 12/20/2011 -12/22/2011; Reading of <1.3 (Highest) pCi/L in several rooms.
National concern: 4.0 pCi/L or higher.
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: 1/8/13
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
Isaac Fox Fall 2013 IAQ Data
Site
Location
Isaac Fox Outdoor Air
Isaac Fox
100
Isaac Fox
103
Isaac Fox
105
Isaac Fox
106
Isaac Fox
107
Isaac Fox
110
Isaac Fox
112
Isaac Fox
201
Isaac Fox
202A
Isaac Fox
203
Isaac Fox
204
Isaac Fox
205
Isaac Fox
207
Isaac Fox
208
Isaac Fox
209
Isaac Fox
210
Isaac Fox
300
Isaac Fox
303
Isaac Fox
305
Isaac Fox
307
Isaac Fox
308
Date/Time
11/4/2013 10:29
11/4/2013 12:10
11/4/2013 12:32
11/4/2013 12:17
11/4/2013 12:19
11/4/2013 13:09
11/4/2013 12:30
11/4/2013 12:23
11/4/2013 13:05
11/4/2013 13:07
11/4/2013 12:55
11/4/2013 12:53
11/4/2013 12:37
11/4/2013 12:39
11/4/2013 12:51
11/4/2013 12:41
11/4/2013 12:42
11/4/2013 12:56
11/4/2013 12:58
11/4/2013 11:55
11/4/2013 11:58
11/4/2013 12:00
°F
54.6
74.9
74.2
75.3
75
75.4
73.3
73.4
76.2
76.2
75.5
74.5
75
75.1
75.1
75.5
75.9
75.3
75.5
74.3
75.1
75.9
%RH
39.4
26
28.7
27.1
27.9
27.4
29.9
28.1
28.7
27.2
31.7
28.6
30.6
31.4
27.3
31.5
30.7
27.2
28.1
30.2
31.3
30.6
CO ppm CO2 ppm Occupant
0
388
0
489
1
0
721
23
0
621
1
0
518
16
0
715
20
0
650
15
0
671
17
0
648
3
0
694
6
0
994
27
0
707
26
0
859
19
0
906
11
0
514
5
0
1040
24
0
717
26
0
457
20
0
605
14
0
714
12
0
1045
20
720
19
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
310
311
314
315
401
11/4/2013 12:02
11/4/2013 13:01
11/4/2013 12:04
11/4/2013 12:06
11/4/2013 11:50
74.9
76.1
74.7
75.9
73.6
31.2
29.2
31.6
32.6
27.8
0
0
0
0
0
995
802
1013
1334
506
22
19
20
20
4
Isaac Fox
402
11/4/2013 11:52
74.3
30.8
0
957
5
Window
Notes
Y
Partially covered
Y
Unit off due to
testing
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
403
404
406
Cafeteria
Gym 109
Staff Lounge
11/4/2013 12:47
11/4/2013 12:45
11/4/2013 13:13
11/4/2013 12:28
11/4/2013 12:21
11/4/2013 12:16
75.2
75.5
75.1
72.7
73.3
75.4
29.6
32
30.5
27.4
26.4
26.2
0
0
0
0
0
0
751
1169
1193
538
473
480
16
17
21
120
19
5
Date/Time
11/5/2013 11:18:11 AM
11/5/2013 12:15:50 PM
11/5/2013 12:18:25 PM
11/5/2013 12:21:22 PM
11/5/2013 12:24:02 PM
11/5/2013 12:25:45 PM
11/5/2013 12:09:38 PM
11/5/2013 12:13:24 PM
11/5/2013 12:11:41 PM
°F
56.6
71.4
72.5
73.2
73.2
73.1
70.1
70.5
70.5
%RH
55.9
43.1
46.1
44.3
44.7
43.6
46.6
45.6
45.9
CO ppm CO2 ppm Occupant
0
400
0
562
5
0
1467
23
0
1004
21
0
1455
20
0
949
21
0
1039
16
0
787
20
0
1471
18
Window
°F
30.6
71.1
71.4
71
70.2
70.2
%RH
55.8
29.5
29.9
25.7
28.3
28.2
CO ppm CO2 ppm Occupant
0
328
0
1169
24
0
1054
21
0
792
21
0
551
1
0
679
17
Window
Notes
°F
36.9
%RH
36.7
CO ppm CO2 ppm Occupant
0
366
Window
Notes
Unit off
CO2 Formula: 700 + 388 = 1088
Site
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Location
Outdoor Air
302
312
313
315
316
404
405
406
Notes
Unit Off
Y
Unit Off
CO2 Formula: 700 + 400 = 1100
Site
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Isaac Fox
Location
Date/Time
Outdoor Air 11/18/2013 11:25:06 AM
312 11/18/2013 12:10:49 PM
315 11/18/2013 12:12:24 PM
316 11/18/2013 12:14:27 PM
400A 11/18/2013 12:00:17 PM
406 11/18/2013 12:03:54 PM
CO2 Formula: 700 + 350 = 1050
Site
Location
Isaac Fox Outdoor Air
Date/Time
11/20/2013 10:46
Isaac Fox
Isaac Fox
Isaac Fox
301
312
315
CO2 formula: 700 + 350 = 1050
11/20/2013 11:17
11/20/2013 11:13
11/20/2013 11:15
69.2
68
68.3
27
32.2
28.3
0
0
0
814
1299
973
3
16
19