Indoor Air Quality - Tools for Schools Action Kit for Canadian Schools

Chapter 4: How to Get Started (Continued)

Coordinator Forms

IAQ Management Plan Checklist

IAQ Coordinator
School
Date Completed

Use the checklist below to record and monitor the steps you have taken to activate the IAQ Management Plan

Steps Taken

1. Selected IAQ Coordinator
   Name:
2. Read Guidance
3. Obtained Administrative Support
4. IAQ Checklist Interval Established
   Number of times each year:
   Date:
5. Prepared Emergency Response
   Contacted local health agency
   Identified and contacted IAQ professional
   Prepared or identified equipment and supplies for wet carpets or contacted local professional cleaning firm
   Completed local IAQ Service Providers form
6. Informed Committees and Groups
   Contacted health and safety committee(s)
   Contacted building committee(s)
   Informed/notified PTA
   Others:
7. Prepared and Distributed IAQ Policies
   Smoking
   Pest control
   Ventilation system operation
   Painting
   Others:

Date
Comments/Notes

IAQ Coordinator's Checklist

IAQ Coordinator
School
Date Completed

Use the checklist below to record and monitor the steps you have taken to activate the IAQ Management Plan

Steps Taken

1. Start Checklists Log
2. Distribute Action Packets
   All appropriate people have received an Action Packet
   Each Action Packet type has been distributed
3. Receive and Summarized IAQ Checklists
   Receive all IAQ Checklists
   Review IAQ Checklists
   Transfer data to Checklist Log
   List things to review during walk-through inspection
4. Perform Walkthrough with Walkthrough Checklist
5. Identified Recent Changes
   Flooding/water damage
   Night or weekend classes
   New Staff
   Other
6. Set Repair and Upgrade Priorities
   Made to-do list
7. Gain Consensus and Approval for Repairs and Upgrades
8. Distribute Status Report
9. Perform Repairs and Upgrades
10. Conduct Follow-up Inspections
11. Develop Schedule of IAQ Events
    Set next date for applying IAQ Checklist
    Note upcoming renovation and repairs
    Note future addition of staff
12. Assess Problem Solving Performance
13. Establish and Update IAQ Policies
14. Distribute Summary Report to:
    Students and staff
    Parents
    School administration
15. Check Contacts List
16. File paperwork, Checklists, Reports, and Notes
    

Checklists Log

To enlarge image

Local IAQ Service Providers List

• Hazardous Materials Hotline
  • Firm, Contact, Title, Phone, Emergency, Address
• Local Health Department
  • Firm, Contact, Title, Phone, Emergency, Address
• Provincial/ Territorial Health Canada Department
  • Firm, Contact, Title, Phone, Emergency, Address
• Provincial/ Territorial Health Canada Department
  • Firm, Contact, Title, Phone, Emergency, Address
• Carpet Cleaner
  • Firm, Contact, Title, Phone, Emergency, Address
• IAQ Consultant
  • Firm, Contact, Title, Phone, Emergency, Address
• Mechanical Systems Operator
  • Firm, Contact, Title, Phone, Emergency, Address