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					                                                   SCHOOL DISTRICT # 91
                                                  Mechanical and Safety Checklist
School : Longfellow

Custodian:__________________________ Month:___________________Year:________________

Weekly Checklist                                                                    list date and initial             Daily Checklist
Check water softener, fill as needed (put N/A if this does not apply)                                       Visual check of boiler/mech. rms.
                                                                                                             WEEK M T        W TH F
Monthly Checklist                                                                   list date and initial        1
Test all emergency & exit lights                                                                                 2
Check fire alarm system monthly (fire drill)                                                                     3
Check and/or clean Sump pump                                                                                     4
Check fire extinguishers monthly                                                                                 5
Start ATV and run for 5-10 minutes


Yearly Checklist                                                        list date & initial
Test hot water Safety Valve                                                                                       Weekly Checklist
Test boiler safety valve                                                                                         Test low water cut-off
Clean smoke detectors                                                                                        WEEK 1 2 3 4 5




Principal signature:____________________                                        Date:______________



         START NEW CARD AT FIRST OF EACH MONTH AND FILE ON SITE FOR ONE YEAR
                                                                                                                                                revised 11/2011
EMERGENCY FIXTURE CHECKLIST




                                         NUMBER
                          FIXTURE




                                         FIXTURE
                          TYPE
SCHOOL                                             LOCATION             NOTES
    LONGFELLOW       CL             1              MAIN ENTRANCE
    LONGFELLOW       XL             2              MAIN ENTRANCE
    LONGFELLOW       EB             3              BOY'S REST ROOM
    LONGFELLOW       EB             4              GIRL'S REST ROOM
    LONGFELLOW       CL             5              B WING
    LONGFELLOW       CL             6              B WING
    LONGFELLOW       CL             7              B WING
    LONGFELLOW       CL             8              OFFICE
    LONGFELLOW       XL             9              MAIN ENTRANCE
    LONGFELLOW       CL             10             WEST HALL
    LONGFELLOW       CL             11             WEST HALL
    LONGFELLOW       CL             12             WEST HALL
    LONGFELLOW       XL             13             A-1
    LONGFELLOW       XL             14             A-2
    LONGFELLOW       EL             15             A-2
    LONGFELLOW       CL             16             MULTI PURPOSE ROOM
    LONGFELLOW       EL             17             MULTI PUROSE ROOM
    LONGFELLOW       CL             18             MULTI PUROSE ROOM
    LONGFELLOW       XL             19             GYM HALL
    LONGFELLOW       EL             20             GYM HALL
    LONGFELLOW       EL             21             BASEMENT
    LONGFELLOW       EL             22             BASEMENT
    LONGFELLOW       EL             23             BASEMENT
    LONGFELLOW       XL             24             EAST HALL
    LONGFELLOW       CL             25             EAST HALL
    LONGFELLOW       CL             26             EAST HALL
    LONGFELLOW       CL             27             EAST HALL
    LONGFELLOW       XL             28             A-4
    LONGFELLOW       EL             29             A-4
    LONGFELLOW       XL             30             A-3
    LONGFELLOW       CL             31             EAST HALL
    LONGFELLOW       XL             32             Z1
    LONGFELLOW       EL             33             Z1
    LONGFELLOW       EL             34             Z2
    LONGFELLOW       EL             35             Z2
    LONGFELLOW       XL             36             Z2
    LONGFELLOW       XL             37             MEDIA CENTER
    LONGFELLOW       CL             38             MEDIA CENTER
    LONGFELLOW       EL             39             MEDIA CENTER
    LONGFELLOW       CL             40             MEDIA CENTER
    LONGFELLOW       XL             41             MEDIA CENTER




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