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Steps in the Annual School BuildingInspection Process and FormsStep #1:Regional superintendent develops schedule of inspections and notifies thedistrict.Suggested Forms:• Form 36-18 Notice of Annual Inspection (Page 2-5)Step #2:Inspector(s) visits each building and note any violations on a checklist (onechecklist for each building). Previously noted violations are visually inspected.Suggested Forms:• Health/Life Safety Annual Inspection Checklists (Page 2-6 or 2-7)• Form 36-19 Field Notice of Violations (Page 2-31)Step #3:For each district, inspector(s) writes a final report that is sent to thesuperintendent with copies sent to the school board president.Suggested Forms: NoneStep #4:School district responds by letter to the violations, indicating action taken, or tobe taken.Suggested Forms: NoneStep #5:Inspectors review school district's responses.Suggested Forms: NoneStep #6: Regional superintendent files report with ISBE by October 1 (180.50).Forms Required:• Form 35-54 –Annual Inspection Report (Page 2-33)2-3
CHAPTER 2FORMS• Notice of Annual Inspection – Form 36-18 (3/04) ------------------------- (Page 2-5)• Health/Life Safety Annual Inspection Checklist (short form) --------- (Page 2-6)• Health/Life Safety Annual Inspection Checklist (long form)----------- (Page 2-7)• Field Notice of Violations – Form 36-19 (3/04)------------------------------ (Page 2-31)• Annual Inspection Report – Form 35-54 (3/04)----------------------------- (Page 2-33)• Posted Occupancy Notice Sample -------------------------------------------- (Page 2-34)• Regional Superintendent’s Annual Report – Form 35-75 (3/04) ------ (Page 2-35)2-4
Page 1 and 2: Health/LifeEffectiveMarch 20042 nd
Page 3 and 4: FOREWORDThe information in this pub
Page 5 and 6: TABLE OF CONTENTSForeword----------
Page 7 and 8: • Application for Extension of Ti
Page 9 and 10: School Building Construction/Recons
Page 11 and 12: CHAPTER 1FORMS• Application for B
Page 13 and 14: Pre-Construction Plans and Specific
Page 15 and 16: Regional Superintendent’s Verific
Page 17 and 18: SCHOOL BUILDING PERMITREGIONAL OFFI
Page 19 and 20: ______________________________ COUN
Page 21 and 22: PARTIAL FACILITY OCCUPANCY RESTRICT
Page 23: Annual Building InspectionOverviewT
Page 27 and 28: HEALTH/LIFE SAFETY ANNUAL INSPECTIO
Page 29 and 30: Y N NA Boiler Room(s) 175 185 180 R
Page 31 and 32: Y N NA Music Practice Room 175 185
Page 33 and 34: HEALTH/LIFE SAFETY CHECKLIST/GLOSSA
Page 35 and 36: 23. Hold-Open Devices (185.370b11A;
Page 37 and 38: 52. Door Closers (185.390e2E; 185.3
Page 39 and 40: 72. Door Closers (185.380c10E; 185.
Page 41 and 42: GREENHOUSE121. Fire Detectors (185.
Page 43 and 44: 153. Hold-Open Devices (185.370b11A
Page 45 and 46: 185. Illuminated Exit Signs (185.37
Page 47 and 48: 228. Flammable Storage (185.370b4H;
Page 49 and 50: 263. Hold-Open Devices (185.370b11A
Page 51 and 52: 312. Door Closers (185.380c10E; 185
Page 53 and 54: GLOSSARYNUMBERLOCATION(i.e. Fire Ar
Page 55 and 56: Posted Occupancy NoticeNOTICEFOR YO
Page 57 and 58: REGIONAL SUPERINTENDENT’S ANNUAL
Page 59 and 60: OVERVIEW OF TEN-YEAR SURVEY PROCESS
Page 61 and 62: CHAPTER 3FORMS AND DOCUMENTS• App
Page 63 and 64: CERTIFICATE OF BUILDING COMPLIANCE(
Page 65 and 66: Form 35-84 (3/04)INSTRUCTIONS FOR C
Page 67 and 68: 5) Utility supply services (water,
Page 69 and 70: SAMPLE 10-YEAR SURVEY REPORT(To be
Page 71 and 72: paneling on stud walls with either
Page 73 and 74: water converter to heat these secti
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X. LEAD-BASED PAINT Peeling paint w
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NOTICE OF INCOMPLETE SAFETY SURVEY
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CHAPTER 4HEALTH/LIFE SAFETY AMENDME
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State Superintendent on the Approva
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Step #4The state superintendent che
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Procedures for Health/Life SafetyEm
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HEALTH/LIFE SAFETYCERTIFICATE OF AU
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Fire Prevention and Safety Funds--E
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CHAPTER 4FORMS AND DOCUMENTS• Eme
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CERTIFICATION OF NEED FOR FIRE PREV
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Instructions for CompletingSchedule
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Instructions for CompletingRecommen
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REGIONAL SUPERINTENDENT’S CERTIFI
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ORDER TO EFFECT COMPLIANCE WITH THE
Page 103 and 104:
This application is to befilled out
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STATEMENT OF COMPLETION FORHEALTH/L
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REGIONAL OFFICE OF EDUCATIONAPPLICA
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Sample wording for notices of publi
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CHAPTER 5TEMPORARY FACILITIES• Te
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Temporary vs Permanent Facility Pro
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Application for Approval for Use of
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c c c 29. Is the insulation materia
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CHAPTER 6CONDEMNATION/DEMOLITION PR
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ORDER OF CONDEMNATIONDISTRICT NAME
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DISTRICT NAMEFACILITY NAMEAPPLICATI
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cccccc9. Removal of debris:Verify t
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Code InformationWhen are Part 180,
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Reference List of Codes for Public
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Asbestos Abatement for Public and P
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The Illinois Water Well and Pump In
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ARTICLE 14. CHILDREN WITH DISABILIT
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