Indoor Air Quality - Tools for Schools Action Kit for Canadian Schools
Chapter 4: How to Get Started (Continued)
Coordinator Forms
IAQ Management Plan Checklist
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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 |
Date |
Comments/Notes |
1. Selected IAQ Coordinator
Name: |
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2. Read Guidance |
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3. Obtained Administrative Support
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4. IAQ Checklist Interval Established
Number of times each year:
Date: |
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5. Prepared Emergency Response |
- Contacted local health agency
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- Identified and contacted IAQ professional
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- Prepared or identified equipment and supplies for wet carpets or contacted local professional cleaning firm
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- Completed local IAQ Service Providers form
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6. Informed Committees and Groups |
- Contacted health and safety committee(s)
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- Contacted building committee(s)
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7. Prepared and Distributed IAQ Policies |
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- Ventilation system operation
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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 |
Date |
Comments/Notes |
1. Start Checklists Log |
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2. Distribute Action Packets |
- All appropriate people have received an Action
Packet
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- Each Action Packet type has been distributed
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3. Receive and Summarized IAQ Checklists |
- Receive all IAQ Checklists
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- Transfer data to Checklist Log
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- List things to review during walk-through inspection
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4. Perform Walkthrough with
Walkthrough Checklist |
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5. Identified Recent Changes |
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6. Set Repair and Upgrade Priorities |
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7. Gain Consensus and Approval for Repairs and Upgrades |
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8. Distribute Status Report |
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9. Perform Repairs and Upgrades |
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10. Conduct Follow-up Inspections |
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11. Develop Schedule of IAQ Events |
- Set next date for applying IAQ Checklist
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- Note upcoming renovation and repairs
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- Note future addition of staff
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12. Assess Problem Solving Performance |
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13. Establish and Update IAQ Policies |
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14. Distribute Summary Report to: |
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15. Check Contacts List |
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16. File paperwork, Checklists, Reports, and Notes |
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Checklists Log
Local IAQ Service Providers List
Hazardous
Materials
Hotline
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Firm |
Contact |
Phone
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Address |
Title |
Emergency
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Local
Health
Department
|
Firm |
Contact |
Phone
|
Address |
Title |
Emergency
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Provincial/
Territorial
Health Canada
Department |
Firm |
Contact |
Phone
|
Address |
Title |
Emergency
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Carpet
Cleaner |
Firm |
Contact |
Phone
|
Address |
Title |
Emergency
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IAQ
Consultant |
Firm |
Contact |
Phone
|
Address |
Title |
Emergency
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Mechanical
Systems
Operator |
Firm |
Contact |
Phone
|
Address |
Title |
Emergency
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Firm |
Contact |
Phone
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Address |
Title |
Emergency
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Firm |
Contact |
Phone
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Address |
Title |
Emergency
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Firm |
Contact |
Phone
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Address |
Title |
Emergency
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