IAQ Check List
Building: May Whitney Elementary School
Date: April 23, 2014
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:
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.
At morning start-up buses do run while they are parked near the tracks and on the Hill parking lot.
Page 1 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
g. No evidence of drainage problems exist. Water drains away from the building including roof
downspouts.
There is a walk way leading to doors 22 and 23 that was not draining. It was assigned to our
District plumber to investigate and fix.
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.
IAQ Check List
True
False
N/A
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.
The entire roof was covered in a thin layer of ice and snow.
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: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ Check List
True
False
N/A
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: 38.3; 54.5 degrees.
Highest temperature – Location: 14; 219; Reading of 80.2; 74.1 degrees.
Lowest temperature – Location: Library; Ensemble Room; Reading of 76.3; 72.7 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: 33.2; 46.3%
Highest relative humidity – Location: 219; Ensemle Room; Reading of 23; 34.4%
Lowest relative humidity – Location: Library; 219;Reading of 14.6; 30.8%
Page 3 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
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)
IAQ 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
Highest CO Location: All rooms both days Reading: 0
Lowest CO Location:
Reading:
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; 468 PPM = 1050; 1168 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: 407; 468 PPM
Highest CO2 reading – Location: 219; 219; Reading of 1333; 597 PPM
Lowest CO2 reading – Location: 135; Ensemble Room; Reading of 462; 487 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
Page 4 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
reading is consistently elevated, then use data logging to monitor CO2 concentrations over time and
look for other sources of problems.
IAQ Check List
True
False
N/A
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:
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: Room 12, PTO Work Room, had a stained tile again from
the leak from the stoop.
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.
See Pest Work Order Log.
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:
Page 5 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
Location:
IAQ Check List
True
False
N/A
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: Custodial staff is reminded regularly of 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.
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: 3/27/14
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
Building: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ Check List
True
False
N/A
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.
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: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
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.
IAQ Check List
True
False
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: May Whitney Elementary School
Date: April 23, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ 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: 12/12 - 14/2011; Reading of 1.4pCi/L in Room 23 (highest)
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: 1/27/14
Page 9 of 9
Revised 3/7/2011 AMJ
Created 11/2010
May Whitney Spring 2014 IAQ Data
Site
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
Location
Outdoor Air
13
14
15
16
18
19
20
21
22
23
24
25
100
101
103
104
106
107
108
109
110
116
118
120
121
122
125
126
127
Date/Time
4/16/2014 8:45:55 AM
4/16/2014 1:35:32 PM
4/16/2014 11:21:30 AM
4/16/2014 11:23:20 AM
4/16/2014 12:32:48 PM
4/16/2014 12:41:42 PM
4/16/2014 12:39:50 PM
4/16/2014 1:29:41 PM
4/16/2014 1:31:11 PM
4/16/2014 1:32:54 PM
4/16/2014 12:44:41 PM
4/16/2014 12:46:20 PM
4/16/2014 2:15:37 PM
4/16/2014 11:09:32 AM
4/16/2014 11:11:29 AM
4/16/2014 11:07:35 AM
4/16/2014 11:05:08 AM
4/16/2014 11:01:09 AM
4/16/2014 10:59:32 AM
4/16/2014 10:54:59 AM
4/16/2014 10:57:04 AM
4/16/2014 10:53:38 AM
4/16/2014 10:43:28 AM
4/16/2014 12:52:23 PM
4/16/2014 2:12:56 PM
4/16/2014 10:51:19 AM
4/16/2014 10:49:42 AM
4/16/2014 10:39:15 AM
4/16/2014 1:41:30 PM
4/16/2014 1:42:55 PM
°F
38.3
78
80.2
78.9
79.8
79.1
79.5
77.8
77.9
77.7
78.2
78.4
77.9
79.9
79.9
79.3
80
77.7
77.1
76.9
77.5
76.6
78.7
77.4
79.4
77.4
76.6
79.6
78.6
79.1
% RH
33.2
19
17.2
18.1
16
16.1
18.1
18.2
19.6
20.3
17.1
18.1
16.9
16.5
16.2
16
19.1
17.8
16.2
17.2
16.8
16.3
15.1
15.3
14.6
15.6
15.8
16
17.6
15.9
CO ppm CO2 ppm Occupant
0
407
0
940
27
0
742
9
0
932
24
0
535
16
0
501
8
0
853
9
0
615
15
0
918
18
0
806
18
0
800
21
0
720
18
0
649
2
0
830
23
0
642
20
0
683
21
0
924
13
0
854
23
0
715
18
0
821
20
0
740
22
0
700
1
0
528
9
0
563
4
0
478
23
0
583
11
0
616
1
0
691
1
0
734
4
0
488
1
Window
AC
On
Yes 1"
Off
Off
Off
Note
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
May Whitney
131
133
135
137
139
141
212
214
218
219
220
221
222
223
224
118b
120b
Cafeteria
Gym 129
library
Losavio
Main office
4/16/2014 12:00:39 PM
4/16/2014 12:02:23 PM
4/16/2014 12:07:24 PM
4/16/2014 12:09:08 PM
4/16/2014 12:12:42 PM
4/16/2014 12:11:12 PM
4/16/2014 11:42:14 AM
4/16/2014 11:39:25 AM
4/16/2014 11:37:35 AM
4/16/2014 11:31:06 AM
4/16/2014 1:21:07 PM
4/16/2014 11:33:41 AM
4/16/2014 11:27:29 AM
4/16/2014 1:22:51 PM
4/16/2014 11:35:24 AM
4/16/2014 1:26:32 PM
4/16/2014 10:48:12 AM
4/16/2014 11:19:12 AM
4/16/2014 10:41:36 AM
4/16/2014 10:45:22 AM
4/16/2014 1:44:50 PM
4/16/2014 10:37:39 AM
77.6
77.4
77.2
77.5
77.8
77.7
79.5
78.9
79.3
79.8
79.9
78.1
77.5
79
79.2
78.2
77.5
79.2
79.4
76.3
78
79
15.9
17.7
16.8
17.8
17.6
17.6
17.5
16.8
15.1
23
17.2
17.3
17
17.6
18.6
16.5
16.7
17.3
16.1
14.6
16.5
16.4
Site
Location
Date/Time
May Whitney Outdoor Air
4/17/2014 10:59:04 AM
May Whitney
219 4/17/2014 10:55:33 AM
May Whitney Ensemble Room
4/17/2014 10:52:04 AM
°F
54.5
74.1
72.7
% RH
46.3
30.8
34.4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
530
597
462
511
561
485
780
709
627
1333
677
697
797
749
751
582
902
804
631
557
558
739
7
5
1
8
3
1
3
9
24
25
21
25
23
21
22
6
4
100
25
29
1
3
Off
Yes 1"
Yes 2"
On
Off
CO2 Formula: 700 + 350 = 1050
CO2 Formula: 700 + 468 = 1168
CO ppm CO2 ppm Occupant
0
468
0
597
21
0
487
12
Window
AC
Note