IAQ Check List
Building: May Whitney Elementary School
Date: November 14, 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:Rooms 104, 216 and 222 I found the unitvents off. these
were turned back on. I brought this to the attention of the principal.
2. Ground Level Outdoor Inspection (weather permitting)
a. Univent air intakes are free of obstructions.
If false, record locations here: Rooms 109 and 107 had shrubs growing close to the intakes. A work
order was written to trim them back.
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 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: November 14, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
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.
b. There is no evidence of water ponding on the roof.
I found one spot on the roof over the 1929 building where water had ponded right before the roof
drain. It has frozen.
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.
Page 2 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: November 14, 2014
Building Inspection Performed by: Lyle Erstad
Report Compiled by: Lyle Erstad
Check List
IAQ Check List
True
False
N/A
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: 34.8; 28.4; 31.9; 21.2 degrees.
Highest temperature – Location: 126; 223; 106; 222; Reading of 79.3; 73.3; 73.9; 70 degrees.
Lowest temperature – Location: Main Office; 106; 19; Reading of 74.7; 70.4; 71.1 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: 26.3; 34.3; 30.7; 21.3%
Highest relative humidity – Location: 222; 106; 19; 222; Reading of 23.5; 26.5; 21.1; 17.6%
Lowest relative humidity – Location: 16; 137; 106;Reading of 13.2; 16.1; 17.4%
Page 3 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: November 14, 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; 0; 0; .9
Highest CO Location: 14, 101, 109, 216, 222; 106, 104, 216; 106; 222 Reading: 1.1; 1; 1; 1.4
Lowest CO Location: 15, 137, Cafeteria; 137; 19
Reading: .7; .8; .9
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: 430; 551; 431; 406 PPM
Highest CO2 reading – Location: 222; 106; 19; 222; Reading of 1989; 1391; 936; 934 PPM
Lowest CO2 reading – Location: 139; 137; 106; Reading of 488; 534; 910 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: November 14, 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: A smell was reported in the hallway outside room 141.
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: There was a stained ceiling tile in Room 121 in the library
near the ac unit on the left as you enter. Water had entered around the AC sleeve.
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: November 14, 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: 10/2014
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.
Page 6 of 9
Revised 3/7/2011 AMJ
Created 11/2010
IAQ Check List
Building: May Whitney Elementary School
Date: November 14, 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.
This has been scheduled with Barr Mechanical to conduct this analysis. We will report back at the
Winter IAQ meeting.
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: November 14, 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: November 14, 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 Fall 2014 IAQ Readings
Site
Location
Date/Time
May Whitney Outdoor Air 11/12/2014 9:53:05 AM
May Whitney
13 11/12/2014 12:49:40 PM
May Whitney
14 11/12/2014 12:34:39 PM
May Whitney
15 11/12/2014 12:47:12 PM
May Whitney
16 11/12/2014 2:00:53 PM
May Whitney
18 11/12/2014 1:55:37 PM
May Whitney
19 11/12/2014 1:51:28 PM
May Whitney
20 11/12/2014 12:42:53 PM
May Whitney
21 11/12/2014 12:40:30 PM
May Whitney
23 11/12/2014 1:53:32 PM
May Whitney
24 11/12/2014 12:44:27 PM
May Whitney
101 11/12/2014 12:20:04 PM
May Whitney
103 11/12/2014 12:18:43 PM
May Whitney
104 11/12/2014 12:16:59 PM
May Whitney
106 11/12/2014 12:15:16 PM
May Whitney
107 11/12/2014 1:36:55 PM
May Whitney
108 11/12/2014 1:10:05 PM
May Whitney
109 11/12/2014 2:21:46 PM
May Whitney
110 11/12/2014 12:11:17 PM
May Whitney
116 11/12/2014 11:43:07 AM
May Whitney
118 11/12/2014 11:44:35 AM
May Whitney
120 11/12/2014 11:49:23 AM
May Whitney
121 11/12/2014 11:47:43 AM
May Whitney
125 11/12/2014 1:04:50 PM
May Whitney
126 11/12/2014 2:18:19 PM
May Whitney
131 11/12/2014 1:39:46 PM
May Whitney
133 11/12/2014 1:40:55 PM
May Whitney
135 11/12/2014 1:48:08 PM
May Whitney
139 11/12/2014 2:32:20 PM
May Whitney
141 11/12/2014 12:55:34 PM
May Whitney
212 11/12/2014 2:23:58 PM
May Whitney
214 11/12/2014 12:07:35 PM
May Whitney
216 11/12/2014 12:05:39 PM
May Whitney
218 11/12/2014 12:01:48 PM
°F
34.8
76.8
76.8
76
77.8
75.7
76.9
76.4
75.8
76.4
76.3
76.6
76.7
76.3
76.1
77
78.2
78.4
76
75.2
75.1
75.1
75.2
78.7
79.3
77.5
77.4
77.2
76.4
75.9
78.6
75.5
74.8
75.6
%RH
26.3
19
16.7
17.2
13.2
13.7
18.2
17
18.2
15.1
16.7
19
17.6
20
22.2
15.7
17.7
14
19.2
14.2
14.4
15.6
17.6
20.2
19.1
14.5
16.2
15.5
14.9
17
16.5
16.4
23.2
16.1
CO ppm CO2 ppm Occupancy
0
430
0.9
995
22
1.1
690
1
0.7
677
21
1
609
21
0.8
576
21
0.8
1131
10
1
597
14
1
829
22
0.9
747
20
1
770
22
1.1
845
24
0.9
669
23
1
1231
25
1
1602
23
0.9
848
26
1
976
28
1.1
590
15
1
765
1
0.8
518
10
0.9
503
4
0.9
552
6
0.9
692
8
1
943
3
1
911
1
0.8
550
5
0.9
597
6
0.9
619
4
0.7
488
2
1
630
7
0.9
707
20
1
591
7
1.1
1863
23
0.9
793
21
AC
Window
Note
Univent off
Y - Off
Stained tile by left ac
Y - Off
Univent off
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
219
220
221
222
224
118b
131a
Atkinson
Cafeteria
Gym 129
library
Losavio
Main office
11/12/2014 12:00:04 PM
11/12/2014 11:58:07 AM
11/12/2014 1:16:31 PM
11/12/2014 1:21:43 PM
11/12/2014 11:56:26 AM
11/12/2014 11:46:08 AM
11/12/2014 2:29:41 PM
11/12/2014 1:02:33 PM
11/12/2014 12:30:14 PM
11/12/2014 11:41:17 AM
11/12/2014 11:51:15 AM
11/12/2014 1:00:20 PM
11/12/2014 11:37:50 AM
75.5
75.2
77.7
79
75.2
74.9
76.9
78.1
75.7
74.8
75.2
77.3
74.7
17.4
15.8
18.7
23.5
18.1
15.3
13.3
19
17
19.9
16.9
19.1
21.3
0.9
0.8
0.8
1.1
0.9
0.9
0.9
1
0.7
0.8
0.8
0.9
1
993
784
1401
1989
882
510
548
567
744
620
683
525
853
25
20
23
22
23
2
1
1
80
19
13
1
4
°F
28.4
70.4
71.3
72.2
72.4
72.9
73.3
%RH
34.3
26.5
20.3
16.1
19.9
21
20.9
CO ppm CO2 ppm Occupancy
0
551
1
1391
22
1
670
24
0.8
534
9
1
726
18
0.9
943
20
0.9
742
22
AC
Window
Note
Date/Time
11/14/2014 13:40
11/14/2014 14:01
11/14/2014 14:35
°F
31.9
71.1
73.9
%RH
30.7
21.1
17.4
CO ppm CO2 ppm Occupancy
0
431
0.9
936
9
1
910
23
AC
Window
Note
Date/Time
12/1/2014 1:45:06 PM
12/1/2014 2:05:20 PM
°F
21.2
70
%RH
21.3
17.6
CO ppm CO2 ppm Occupancy
0.9
406
1.4
934
18
AC
Window
Note
Univent off
Y - Off
Y - Off
Y - Off
CO2 Formula: 700 +350 = 1050
Site
Location
Date/Time
May Whitney Outdoor Air 11/13/2014 10:08:21 AM
May Whitney
106 11/13/2014 10:33:03 AM
May Whitney
104 11/13/2014 10:35:13 AM
May Whitney
137 11/13/2014 10:47:45 AM
May Whitney
216 11/13/2014 10:38:39 AM
May Whitney
221 11/13/2014 10:40:06 AM
May Whitney
223 11/13/2014 10:42:04 AM
CO2 Formula: 700 +350 = 1050
Site
Location
May Whitney Outdoor Air
May Whitney
19
May Whitney
106
CO2 Formula: 700 +350 = 1050
Site
Location
May Whitney Outdoor Air
May Whitney
222
CO2 Formula: 700 +350 = 1050