Health & Life Safety Manual - Electronic Resource Center

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SCHEDULE OF VIOLATIONSFORROEUSEONLYAMENDMENT NUMBERAMENDMENT DATE1. COUNTY CODE/NAME: 2. DISTRICT CODE/NAME: 3. SITE CODE/NAME: 4. FACILITY CODE/NAME:ITEM I.D.(5)LOCATION NAME(S) & ROOM NUMBER(S)(6)TYPE(7)RULE VIOLATED(8)DESCRIPTION OF THE PROBLEM(9)CAUSE(10)Form 35-47 (3/04) (Prescribed by ISBE for local board use)THIS IS PAGE ____ OF ____ PAGES4-16
Instructions for CompletingSchedule of Violations1. COUNTY CODE/NAME. Enter the county name and the 3 digit number taken from the ISBE Directory of Illinois Public Schools,Public School Districts and other Education Units.2. DISTRICT CODE/NAME. Enter district name and the 4-digit number taken from the ISBE Directory of Illinois Public Schools,Public School Districts and other Education Units.3. SITE CODE. Enter the 3-digit number assigned by the Regional Superintendent.4. FACILITY CODE/NAME. Enter the name of the building or structure and the 3-digit facility number assigned by the RegionalSuperintendent.5. ITEM I.D. Enter the number to identify the violation found during the inspection.6. LOCATION NAME(S) & ROOM NUMBER(S). Specify the location name(s) and room number(s) where each of the violation(s) isfound.7. TYPE. Enter the type code that best describes the problema. Structural b. HVAC c. Plumbingd. Electrical e. Lighting f. Means of Egressg. Fire Detection h. Fire Suppression i. Asbestosj. School Security k. Handicapped Accessibility l. Improper Space Usem. Energy Conservation n. Other – Specify:8. RULE VIOLATED. Specify the rule number in the code that is applicable to the facility where the violation is found, as stated inSection 180.60. Example: Fire alarm systems are not functioning properly - specify section 185.395d, section 175.470 or section918, the applicable rule used when the building was built.9. DESCRIPTION OF VIOLATION. In a clear and concise manner, describe the violation10. CAUSE. Enter the code that best describes the probable cause of the problem.a. Improper operation or use b. Inadequate maintenance c. Defective designd. Defective materials or workmanship e. Required component or system missing f. Accidental damageg. Vandalism h. Worn beyond normal lifetime i. Other – Specify:Form 35-47A (3/04) (Prescribed by ISBE for local board use)4-17
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Health/LifeEffectiveMarch 20042 nd
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FOREWORDThe information in this pub
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TABLE OF CONTENTSForeword----------
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• Application for Extension of Ti
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School Building Construction/Recons
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CHAPTER 1FORMS• Application for B
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Pre-Construction Plans and Specific
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Regional Superintendent’s Verific
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SCHOOL BUILDING PERMITREGIONAL OFFI
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______________________________ COUN
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PARTIAL FACILITY OCCUPANCY RESTRICT
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Annual Building InspectionOverviewT
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CHAPTER 2FORMS• Notice of Annual
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HEALTH/LIFE SAFETY ANNUAL INSPECTIO
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Y N NA Boiler Room(s) 175 185 180 R
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Y N NA Music Practice Room 175 185
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HEALTH/LIFE SAFETY CHECKLIST/GLOSSA
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23. Hold-Open Devices (185.370b11A;
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52. Door Closers (185.390e2E; 185.3
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72. Door Closers (185.380c10E; 185.
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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
Page 75 and 76: X. LEAD-BASED PAINT Peeling paint w
Page 77 and 78: NOTICE OF INCOMPLETE SAFETY SURVEY
Page 79 and 80: CHAPTER 4HEALTH/LIFE SAFETY AMENDME
Page 81 and 82: State Superintendent on the Approva
Page 83 and 84: Step #4The state superintendent che
Page 85 and 86: Procedures for Health/Life SafetyEm
Page 87 and 88: HEALTH/LIFE SAFETYCERTIFICATE OF AU
Page 89 and 90: Fire Prevention and Safety Funds--E
Page 91 and 92: CHAPTER 4FORMS AND DOCUMENTS• Eme
Page 93: CERTIFICATION OF NEED FOR FIRE PREV
Page 97 and 98: Instructions for CompletingRecommen
Page 99 and 100: REGIONAL SUPERINTENDENT’S CERTIFI
Page 101 and 102: ORDER TO EFFECT COMPLIANCE WITH THE
Page 103 and 104: This application is to befilled out
Page 105 and 106: STATEMENT OF COMPLETION FORHEALTH/L
Page 107 and 108: REGIONAL OFFICE OF EDUCATIONAPPLICA
Page 109 and 110: Sample wording for notices of publi
Page 111 and 112: CHAPTER 5TEMPORARY FACILITIES• Te
Page 113 and 114: Temporary vs Permanent Facility Pro
Page 115 and 116: Application for Approval for Use of
Page 117 and 118: c c c 29. Is the insulation materia
Page 119 and 120: CHAPTER 6CONDEMNATION/DEMOLITION PR
Page 121 and 122: ORDER OF CONDEMNATIONDISTRICT NAME
Page 123 and 124: DISTRICT NAMEFACILITY NAMEAPPLICATI
Page 125 and 126: cccccc9. Removal of debris:Verify t
Page 127 and 128: Code InformationWhen are Part 180,
Page 129 and 130: Reference List of Codes for Public
Page 131 and 132: Asbestos Abatement for Public and P
Page 133 and 134: The Illinois Water Well and Pump In
Page 135 and 136: ARTICLE 14. CHILDREN WITH DISABILIT
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