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Energy $mart Schools

NYSED Capital & Maintenance Planning Reports Toolbox


(For Producing Comprehensive Maintenance Plans, Five-Year Capital Facilities Plans & Facility Report Cards)

INTRODUCTION
This template was designed by the New York State Energy Research and Development Authority and the New York State Education Department to help New York Schools produce required annual reports easily and effectively. After you enter your schools' data once, it will print out on three reports. The Toolbox also acts as a database that can be easily updated each year. Some of the appendices contained in the Toolbox provide templates for a Preventive Maintenance (PM) program.
In addition to reducing your paperwork, organizing your building data and your requests for expenses between your Five-Year Capital Facilities Plan, your Facility Report Cards and your Comprehensive Maintenance Plan (CMP), this template tries to serve a variety of objectives, including: Fulfill NYSED Commissioners Regulation 155.4(d)(2) to develop and annually update a Comprehensive Maintenance Plan (CMP). Help ensure that all school buildings in New York State are maintained in a state of good repair, combing data from the CMP and Report Cards. Help Superintendents of Buildings and Grounds (SBGs) manage operating costs (energy, annual maintenance, and repairs) with effective maintenance. Help improve occupant health, safety and comfort Help justify capital expenses that reduce energy or maintenance costs. Focus preventive maintenance approaches to improve overall maintenance. Document capital expenses above and beyond annual costs (for service contracts, supplies, and reoccurring costs) that will be included in the Five-Year Capital Facilities Plans . By showing the benefits of these capital expenses in reducing maintenance and energy costs, it will help justify each year's capital costs.

INSTRUCTIONS
1) Beginning with the yellow General Info tab, fill in all information as prompted. The information provided on the General Info tab will automatically transfer to the other tabs in the spreadsheet, so the information only needs to be provided once. 2) Continue to fill out the other yellow tabs. Additional instructions highlighted at the top of each page. 3) The green tabs are used only to review and print the Five Year Capital Plan and the Facility Report Card. No data needs to be entered on the green tabs, but an idividual school's Capital Plan budget or an individual school's Report Card can be viewed before printing. 4) The blue Appendix tabs are there as resources, but will not be included in reports unless selected. 5) When information is entered, use the print button below to generate the reports. The individual tabs throughout the tool are also print-formatted, so each report can be printed as needed.
PRINT REPORTS

Energy $mart Schools


Comprehensive Maintenance Plan (CMP) GENERAL INFORMATION
Date: School District: BOCES: Plan Year: Number of Schools in District: Number of Buildings in District:

2/1/2005 Sample Town CSD Valley View BOCES 2005 4 4

Person Preparing this Plan: Title/Position Address: City: State: Zip: Telephone: Fax: E-mail:

John Doe Superintendent of Buildings and Grounds 101 Main Street Albany NY 12345 999-999-9999 888-888-8888
test@imagine.com

Energy $mart Schools


District: Sample Town CSD
Elementary Elementary School
123456789 1234 Willow Road Sacketts Harbor NY 12345 1958 95,000 2 Yes 1,175 1,200 K-6 Owned Natural Gas

Prepared by: John Doe

Date: 02/01/2005

FACILITIES INVENTORY
Name of School/Facility
BEDS Code Street Address City State ZIP Year Built Square Footage # of Floors Basement? Enrollment Capacity Grades Ownership Type: Primary Heat Source:

Good Grades Middle School


987654321 9 Chain Road Albany NY 12345 1967 100,300 1 No 1,200 1,500 6-8 Operated Oil

Example School 3 Example School 4 Example School 5 Example School 6

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

OVERVIEW
Summary of Overall Conditions
School Name Insert assessment here Elementary Elementary School Insert assessment here Good Grades Middle School Insert assessment here Example School 3 Insert assessment here Example School 4 Insert assessment here Example School 5 Insert assessment here Example School 6 General Conditions and Goals

Work Order Systems


To help with unplanned maintenance and repairs, do you have a work-order system in place? If yes, approximately how many work orders were completed last year?
Yes/No

Service Contracts
Indicate all systems that have preventive maintenance (PM) or service and repairs performed under service contracts with outside contractors. Yes/No Heating Air Handling Cooling HVAC Controls Fire Protection/Suppression Plumbing Other Yes Yes Yes Yes Yes Yes Yes Computer/PA Roof Backup Power Electrical Distribution Lighting Landscaping Other Yes/No Yes Yes No Yes Yes No No Yes

Has the District compared costs of these contracts with in-house costs to ascertain whether the service contracts are cost-effective?

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

DISTRICT LEVEL BUDGET SUMMARY


Estimated Costs to Restore Buildings to a State of Good Repair Element Site Elements Roofing Envelope Elements Structural Interior Elements/Finishes Electrical Plumbing HVAC Special Construction Emergency Systems (fire alarm, sprinklers, public address, etc.) Other Cost Estimate $ $ $ $ $ $ $ $ $ $ 11,000 12,000 Notes Estimated Annual Costs to Keep Buildings in a State of Good Repair Cost Estimate $ $ $ $ $ $ $ $ $ $ 2,000 9,000 Notes Projected Budget for O&M Costs

Cost Estimate $ $ $ $ $ $ $ $ $ $ 3,000 6,000 -

Notes

TOTAL Estimated Cost

23,000

11,000

9,000

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

PREVENTIVE MAINTENANCE PLAN


Preventive Maintenance (PM) typically provides significant benefits such as: Lower overall maintenance costs versus correcting problems after they occur; Reduce equipment down time; Lower energy costs by maintaining systems in a more efficient operating condition; Lower replacement costs through longer equipment life; Improve indoor environment; and Improve occupant comfort, health and safety.

Approach Used in this District


Does the District perform PM? If so, what types of systems do you use (e.g., informal schedules, formal schedules with charts for maintenance intervals, computerized maintenance management systems (CMMS) with PM assignments automatically generated)? Example: We use a spreadsheet systems with all our major equipment and the maintenance intervals recommended in the O&M manuals. Our Office Manager

Lessons Learned
What lessons have been learned in the District about the usefulness of PM? What works best and what doesnt work well that can be shared with other Districts?

Checklist of Items Being Serviced Through PM


Performing PM is one way of demonstrating that the District takes good care of existing systems and deserves State funding when those systems eventually wear out. The PM Checklist in Appendix A can be used to show which systems are maintained with PM. The list can also serve as a prompt to work with systems that may have needed more regular PM. The list should only be considered a starting point and how it is used will depend on the District's specific needs.

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

HEALTH & SAFETY


Description of Health and Safety Committee activities: Yes/No Yes Does the district have a health and safety committee? No Does the Health and Safety Committee have a chairperson? John Milton - Name 212-867-5309 - Phone Number milty@school.com - Email Does the Health and Safety Committee membership include: Yes - District Officials No - Staff Yes - Bargaining Units No - Parents Yes Did the Health and Safety Committee receive any type of training? Health and Safety Committee membership expanded during construction to include district officials, staff, bargaining units, parents and: Yes - Project Architect Yes - Project Engineer No - Construction Manager Yes - Contractors Frequency of Health and Safety Committee meetings (check one): 3-5 Times / School Year

ENVIRONMENTAL AWARENESS
SCHOOL/FACILITY: Elementary Elementary School Yes/No Yes Good Grades Middle School Yes/No Yes Example School 3 Yes/No Example School 4 Yes/No Example School 5 Yes/No Example School 6 Yes/No

Environmental Awareness

Has this building been tested for the presence of lead: paints, plumbing, etc.? Based on the testing results, are there elements in this building that would require construction or maintenance projects to be conducted in accordance with the US Department of Housing and Urban Development Guidelines for the Evaluation and Control of Lead Based Paint Hazards in Housing? If yes, has this type of work been done in accordance with the Guidelines? Does this building contain known or assumed Asbestos Containing Building Materials? (ACBM) If yes, has an original Asbestos Hazard Emergency Response Act (AHERA) management plan been developed for this building? (The AHERA Management Plan for this building must be able to be viewed at the main office during normal business hours). When was the AHERA management plan last updated? Has the district reviewed the geological potential for the presence of radon from the New York State Dept. of Health Radon Measurement Database? Did the geological potential indicate testing this facility was necessary? If yes, did the highest test in this building exceed 4pCi/L? If yes, describe mitigation activities: Elementary Elementary School Good Grades Middle School Example School 3 Example School 4 Example School 5 Example School 6

No

Yes

Yes No

Yes Yes

Yes 4/4/2004 Yes No Yes

Yes 3/3/2003 Yes Yes Yes

Mitigation activities described here. Mitigation activities described here. Mitigation activities described here. Mitigation activities described here. Mitigation activities described here. Mitigation activities described here.

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

INTEGRATED PEST MANAGEMENT


SCHOOL/FACILITY: Elementary Elementary School Good Grades Middle School Example School 3 Example School 4 Example School 5 Example School 6

Status of measures to assure acceptable integrated pest management:

Yes/No

Yes/No

Yes/No

Yes/No

Yes/No

Yes/No

Does this building have an Integrated Pest Management program? See Appendix B.

Yes

Yes

Does this building have a person designated to oversee the pest management program?

No

Yes

Has this building established a list of persons to notify at least 48 hours prior to the application of pesticides?

Yes

Yes

Have pesticide application summary reports been provided to all parents and staff pursuant to CR 155.24?

No

Yes

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe
Good Grades Middle School Example School 3

Date: 02/01/2005
Example School 4 Example School 5 Example School 6

INDOOR ENVIRONMENTAL QUALITY


SCHOOL/FACILITY: Elementary Elementary School

Status of actions and policies taken to assure acceptable indoor environmental quality: Does this building use the US Environmental Protection Agencys Indoor Air Quality Tools for Schools Action Kit? Does this building have a procedure in place for reporting indoor environmental quality concerns? Is ventilation with outdoor air available in all occupied spaces? 1) Is all ventilation and exhaust equipment operational? 2) Are all outdoor air intakes unobstructed and clear of foreign objects? 3) Are all outside air damper controls in place and operational? 4) Have facilities operations been reviewed with respect to impact on outside air intakes (i.e., vehicle emissions, waste storage, mowing, etc.)? Are there any unresolved complaints regarding the indoor environment at this facility? If yes, describe for each building: Elementary Elementary School Good Grades Middle School Example School 3 Example School 4 Example School 5 Example School 6 Are the heating, ventilation, and air conditioning equipment cleaned and maintained in accordance with manufacturers instructions (e.g., filter changes, coils cleaned, etc.)? Has the interior of ductwork (air passageways) been inspected for cleanliness within the past year? Have exterior ductwork and rooftop air handling units been inspected for leaks within the past year?

Yes/No Yes Yes Yes Yes Yes Yes Yes Yes

Yes/No No No No No No Yes Yes Yes

Yes/No

Yes/No

Yes/No

Yes/No

IEQ description here. IEQ description here. IEQ description here. IEQ description here. IEQ description here. IEQ description here.

Yes

Yes

No Yes

Yes No

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe
Good Grades Middle School Example School 3

Date: 02/01/2005
Example School 4 Example School 5 Example School 6

INDOOR ENVIRONMENTAL QUALITY


SCHOOL/FACILITY: Elementary Elementary School

Does the District have a policy encouraging the use of environmentally friendly products? Does the District annually review products used in and around the building with the intent of reducing or eliminating hazardous chemicals that occupants and visitors are exposed to, including volatile organic compounds (VOCs), semi-volatile organic compounds, etc. (cleaning supplies, repair and maintenance supplies, materials, etc.)? Does the District perform an annual review to ensure hazardous chemicals used as part of instructional programs are used and stored properly? Is each building inspected for roof leaks, growth of mold and mildew, evidence of rodent infiltration, and other indicators of potential problems to acceptable IEQ? What level (dB) of maximum background accoustic settings has been set for classrooms? Does this facility regularly test and record levels of CO, CO2, total VOCs, Radon, mold spores, etc? Does this facility regularly measure and track relative humidity levels? Does this facility verify lighting levels meet Illuminating Engineering Society guidelines each year? Does this facility follow green cleaning guidelines? Is this facility seeking to comply with a whole building sustainable guideline, such as the U.S. Green Building Council's LEED for Existing Buildings?

No

Yes

Yes

Yes

No

Yes

Yes

Yes

35 Yes Yes Yes No

70 Yes Yes Yes No

Yes

No

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

ENERGY BENCHMARKING
SCHOOL/FACILITY: Status of measures taken to optimize energy use: What was this buildings score in the U.S. Environmental Protection Agencys Energy Star Portfolio Manager ? Elementary Elementary School Current Year Last Year Good Grades Middle School Current Year Last Year Example School 3 Current Year Last Year Example School 4 Current Year Last Year Example School 5 Current Year Last Year Example School 6 Current Year Last Year

60 Yes/No

50

60 Yes/No

50 Yes/No Yes/No Yes/No Yes/No

Has this buildings energy use been benchmarked using NYSERDAs Energy Smart Schools Program against other New York schools? Do you follow the U.S. Environmental Protection Agencys ENERGY STAR and U.S. Department of Energys FEMP purchasing standards? Who manages the energy use for this building (Name and Title)? Estimated electricity costs for current year (In Dollars): Estimated natural gas costs for current year (In Dollars): Estimated fuel oil costs for current year (In Dollars): Estimated other energy costs for current year (In Dollars): Estimated electricity consumption for next year (In kWh): Estimated natural gas consumption for next year (In Therms): Estimated fuel oil consumption for next year (In Gallons): Estimated other energy consumption for next year (List Units Here): What is the facility's goal to score in the Portfolio Manager in one year ? What is the facility's goal to score in the Portfolio Manager in three years?

Yes

No

No

No

$35,000.00 $40,000.00 $0.00 $3,000.00 250,000 200,000 0 0 60 75

$20,000.00 $0.00 $18,000.00 $5,000.00 400,000 0 40,000 0 60 75

Energy $mart Schools


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

MAJOR PROJECTS DURING LAST YEAR


SED # (if applicable) SED #00-00-00-00-0-000 Brief Project Description Example: New Boiler Controls Project Dates 5/5/03 to 9/5/03 Costs $120,000 Project Benefits Reduce energy costs $150/year, eliminate frequent repairs.

TOTAL

$120,000

Energy $mart Schools


District: Sample Town CSD
Facility Name Elementary Elementary School Elementary Elementary School Elementary Elementary School Good Grades Middle School Good Grades Middle School Elementary Elementary School SED Number Project Description

Prepared by: John Doe


Funding Source Capital Capital Cost

Date: 02/01/2005
Annual Benefits Notes

PLANNED CAPITAL PROJECTS


Year Priority Construction Type Project Type 43305439053 121212121234124 New RTUs New Windows Treat pest problems in 36 classrooms 2 5 1 3 New Construction Addition Major System Health/Safety $30,000.00 $20,000.00

34059384535

Alteration

Health/Safety

Bond

$10,000.00 Lower energy costs, reduced service contract, and defer planned replacement (est repl cost $250K) by 5-8 years.

121212121234124 10294958771729 3242309482

Example Remove remaining asbestos Example

1 4 2

2 2 2

Alteration Addition Alteration

Energy Health/Safety Major Repair

Bond Capital Bond

$15,600.00 $60,000.00 $20,000.00

$12,000.00

$4,000.00

School Facility Report Card


School District/BOCES: School Building Address: Certificate of Occupancy Status: Sample Town CSD -- , 0 Expiration Date: 0 1/0/1900 Building Name:

Example School 6

<< Select to change school

Location where certificate of occupancy is posted: Section I: School Building General Information 1. Person completing this School Facility Report Card: John Doe

Date: 2/1/2005

2. Right-to-Know designee concerning this school building and School Facility Report Card: Name: John Doe Position: Superintendent of Buildings and Grounds Address: 101 Main Street 3.a. Original Construction Date (year): 3.b. Present size of school building (SF): 0 0 Number of floors: 0 Basement? (Yes/No): 0 Current enrollment: 0 0 0 Telephone: 999-999-9999 Fax: 888-888-8888 City: Albany E-mail: test@imagine.com Zip: 12345

4. Grade levels currently housed in this building: 0 5. Upgrades to school building systems can be viewed on the Building Condition Survey? 6. Number of different types of program spaces currently in this school building can be viewed on the Building Condition Survey? Section II: School Building Ratings 7. Date current 5-year building condition survey conducted: Overall school building safety rating from Building Condition Survey as certified by the Board of Education: 8. Date current year annual visual inspection conducted: Overall condition:

1/0/1900 0 1/0/1900 0

Section III: Building Capital, Maintenance, and Operations Information 9. List any current unsatisfactory building systems that have not been corrected since the previous Building Condition Survey. (Add additional sheets as necessary) Building systems listed here. 10. Estimated remaining useful life of school building and systems can be viewed on the Building Condition Survey? (Yes/No) 11. The need for routine maintenance, repairs, rehabilitation, reconstruction, and construction can be viewed on the Capital Facilities Plan? (Yes/No) List prioritized health and safety improvements for this facility as indicated in the five year plan: Year Priority 0 0 Description

School Facility Report Card


Estimated Costs to Restore Buildings to a State of Good Repair Cost Estimate Site Elements 0.00 Roofing 0.00 Envelope Elements 0.00 Structural Interior 0.00 Elements/Finishes 0.00 Electrical 0.00 Plumbing 0.00 HVAC 0.00 Special Construction 0.00 Emergency Systems (fire alarm, sprinklers, public 0.00 address, etc.) Other 0.00 TOTAL Estimated Cost 0.00 12. Estimated energy costs for current school year by type: Electricity: $0.00 Fuel Oil: $0.00 Total estimated energy costs: $0.00 Section IV: Health and Safety 13. Description of Health and Safety Committee activities: a. Does the district have a health and safety committee? b. Does the Health and Safety Committee have a chairperson? c. Phone number of Health and Safety Committee Chairperson: Gas: $0.00 Other: $0.00 Estimated Annual Costs to Keep Buildings in a State of Good Repair Cost Estimate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Projected Budget for O&M Costs Cost Estimate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Yes/No Yes No 212-867-5309

Name: John Milton Email: milty@school.com

d. Basic Health and Safety Committee membership: - District Officials - Staff - Bargaining Units - Parents e. Health and Safety Committee membership expanded during construction to - Project Architect - Project Engineer

Yes No Yes No Yes Yes

- Construction Manager - Contractors f. Frequency of Health and Safety Committee meetings (check one):

No Yes 3-5 Times / School Year

School Facility Report Card


Section V: Environmental Awareness 14. Lead testing: a. Has this building been tested for the presence of lead: paints, plumbing, etc.? b. Based on the testing results, are there elements in this building that would require construction or maintenance projects to be conducted in accordance with the US Department of Housing and Urban Development Guidelines for the Evaluation and Control of Lead Based Paint Hazards in Housing? c. If yes, has this type of work been done in accordance with the Guidelines? 15. Federal Asbestos Hazard Emergency Response Act (AHERA) Plan: a. Does this building contain known or assumed asbestos containing building materials? (ACBM) b. If yes, has an original AHERA management plan been developed for this building? (The AHERA Management Plan for this building may be viewed at the main office during normal business hours). c. When was the AHERA management plan last updated? 16. Radon testing: a. Has the district reviewed the geological potential for the presence of radon from the NYSDOH Radon Measurement Database? b. Did the geological potential indicate testing this facility was necessary? c. If yes, did the highest test in this building exceed 4pCi/L? d. If yes, describe mitigation activities: Mitigation activities described here. 0 0 0 0 0 1/0/1900 Yes/No 0

0 0

17. Integrated Pest Management Program: a. b. Does this school have an integrated pest management program? Does this school have a person designated to oversee the pest management program? 0 0

c. d.

Has this school established a list of persons to notify at least 48 hours prior to the application of pesticides? Have pesticide application summary reports been provided to all parents and staff pursuant to CR 155.24?

0 0

18. Status of measures taken to assure acceptable indoor air quality: a. Does this school utilize the EPA Indoor Air Quality Tools for Schools Action Kit? b. Does this school have a procedure in place for reporting indoor air quality concerns?

0 0

School Facility Report Card


c. Is ventilation with outdoor air available in all occupied spaces? 1. Is all ventilation and exhaust equipment operational? 0 0 0 0 0 0 2. Are all outdoor air intakes unobstructed and clear of foreign objects? 3. Are all outside air damper controls in place and operational? 4. Have facilities operations been reviewed with respect to impact on outside air intakes (i.e., vehicle emissions, waste storage, mowing, etc.)? d. Are there any unresolved complaints regarding indoor air at this facility? If yes, describe: IEQ description here. e. Maintenance: Heating, ventilation, and air conditioning equipment are cleaned and maintained in accordance with manufacturers instructions (i.e., filter changes, coils cleaned, etc.) f. Has the interior of ductwork (air passageways) been inspected for cleanliness? g. Have exterior ductwork and rooftop air handling units been inspected for leaks? h. Operations and maintenance program: 1. Does the District have a policy encouraging the use of environmentally friendly products? 2. Products entering a school building are reviewed with the intent of reducing or eliminating hazardous chemicals, including volatile organic compounds (VOCs), semivolatile organic compounds, etc. (cleaning supplies, repair and maintenance supplies, materials, etc.). 3. Review performed to ensure hazardous chemicals used as part of instructional program are used and stored properly. i. Buildings are inspected for roof leaks, growth of mold, evidence of rodent infiltration, and other potential problems to acceptable IAQ. j. Is this facility seeking to comply with a whole building sustainable guideline, such as the U.S. Green Building Council's LEED for Existing Buildings?

0 0 0 0 0

0 0 0

Sample Town CSD Valley View BOCES

Five-Year Capital Facilities Plan

Submitted/Revised 2/1/2005

Table of Contents
Item
Executive Summary Building Inventories Elementary Elementary School Good Grades Middle School Example School 3 Example School 4 Example School 5 Example School 6 District Analysis and Prioritization Estimated Expenses Elementary Elementary School Good Grades Middle School Example School 3 Example School 4 Example School 5 Example School 6 9 10 11 12 13 14 2 3 4 5 6 7 8

Page
1

Executive Summary
Following are the people who prepared this plan and the resources used:
People and resources here.

Following is a narrative of the general conditions of each facility:


Facility Name Narrative

Elementary Elementary School Insert assessment here

Good Grades Middle School

Insert assessment here

Example School 3

Insert assessment here

Example School 4

Insert assessment here

Example School 5

Insert assessment here

Example School 6

Insert assessment here

Building Inventory Form


Building Name: Bed Codes Number: Address: Use: Total square footage:
0

Example School 6
0

-- ,

Current enrollment: Rated Capacity:

Ownership:

Building Condition Survey Rating:

Building Age: Construction Year Original Addition #1 Addition #2 Addition #3 Addition #4 Addition #5 Addition #6 Addition #7 Addition #8 Addition #9 Addition #10 0 0 0 0 0 0 0 0 0 0 0 Square Footage 0 0 0 0 0 0 0 0 0 0 0

Heating System Energy Source: Energy Consumption:


(per year) 0 kWh (electricity) 0 gallons (fuel oil)

0 therms (natural gas) 0 units (other)

Probable Useful Life of Building:

0 years

Estimated Replacement Value:

$0.00

District-Wide Analysis and Prioritization


District: Year 1 Sample Town CSD SED Number 121212121234124 Priority 2 Facility Name Good Grades Middle School Costs $15,600.00

Year Total Year 2 SED Number 3242309482 34059384535 43305439053 Priority 2 3 1 Facility Name Elementary Elementary School Elementary Elementary School Elementary Elementary School

$15,600.00 Costs $20,000.00 $10,000.00 $30,000.00

Year Total Year 3 SED Number Priority Facility Name

$60,000.00 Costs

Year Total Year 4 SED Number 10294958771729 Priority 2 Facility Name Good Grades Middle School

$0.00 Costs $60,000.00

Year Total Year 5 SED Number 121212121234124 Priority 3 Facility Name Elementary Elementary School

$60,000.00 Costs $20,000.00

Year Total District Total

$20,000.00 $155,600.00

Facility Estimated Expenses


District: Facility Name: Sample Town CSD Example School 6 << select to change school New Construction Major System Major Repair

Alterations

Addition

Energy

Year 1

Priority

SED #

Item Description Year Total

Capital

Bond

Cost $0.00 Cost $0.00 Cost $0.00 Cost $0.00 Cost $0.00 $0.00

Year 2

Priority

SED #

Item Description Year Total

Year 3

Priority

SED #

Item Description Year Total

Year 4

Priority

SED #

Item Description Year Total

Year 5

Priority

SED #

Item Description Year Total Facility Total

Energy $mart Schools Comprehensive Maintenance Plan (CMP)


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

Equipment Inventory
School: ________________________________ Date Updated: ____________________________
Efficiency Rating 75% Number in Building 2 Expected Service Life (yrs) 35 Suggested Maint Interval (# per year) 4 Annual Maintenance Cost ($) $1,200

Heating Systems Boilers Furnaces Condenser pumps Deaerator tank Steam traps Steam valves Fuel tanks & distribution Heat exchangers Terminal/package units Fin tubes/radiators Dampers/draft control Ductwork Stacks Insulation Piping Valves Control sensors

P.M. Ref #
HS 2004-01

Manufacturer IBR

Model # K500-B

Serial # 123-456-78

Size 500,000 Btu

Fuel Type Gas

Installation Date 1977, 1992

Location Boiler room next to loading dock

Special Tools Required No. 14 3-headed left-handed propanepowered pneumatic sprocket

Notes

Air Handling Systems Air handling units Unit ventilators Fans Fire dampers Filters Humidifiers

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Cooling Systems Condensing units Air compressors Heat exchangers Packaged A/C units Chillers CHW Pumps Heat pumps Fire Protection/ Suppression Systems Sprinkler piping Backflow preventers

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Equipment Inventory
School: ________________________________ Sprinkler heads Fire extinguishers Fire hose system Standpipe connection Fire pumps Grease hood extinguisher Alarms and detectors
Expected Service Life (yrs) Suggested Maint Interval (# per year) Annual Maintenance Cost ($)

Date Updated: ____________________________

Mechanical Controls Compressors Pneumatic valves/levers Pneumatic tubing Electronic controls

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Location

Special Tools Required

Notes

Plumbing Systems Cold water piping Water heaters Hot water piping Circulation pumps Sump pumps Valves and traps Septic tanks

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Lighting Systems Fluorescent fixtures Incandescent fixtures HID fixtures Lighting panels Emergency lighting Exterior lighting Occupancy controls Daylight controls Other controls

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Signal Systems Computer data Public address Television Telephone Clock system Fire alarms Security alarm/devices

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Equipment Inventory
School: ________________________________ Foundation and Substructure Footings Foundation walls Slab/beams on grade Piling/Posts How? Waterproofing How? Insulation Underdrains How? Date Updated: ____________________________
Efficiency Rating Number in Building Expected Service Life (yrs) Suggested Maint Interval (# per year) Annual Maintenance Cost ($)

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Installation Date

Location

Special Tools Required

Notes

Superstructure Columns Beams Floor structure Roof structure Monolithic bearing walls Stairs and railings Structural bracing Welds/connectors

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Roof Systems Roofing Insulation Paving and ballast Paving? On a roof? Curbs/supports Expansion/seismic joints Drains, gutters, etc. Drywells Flashing and trim Fasteners Snow stops Roof openings Parapet caps

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Exterior Wall Systems Facade integrity Cladding/sheathing Doors Window systems Balcony walls/railings Louvers and screens Expansion/seismic joints Insulation Protective coating

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Equipment Inventory
School: ________________________________ Sealants
Expected Service Life (yrs) Suggested Maint Interval (# per year) Annual Maintenance Cost ($)

Date Updated: ____________________________

Interior Construction Fixed partitions Demountable partitions Retractable partitions Doors Carpet Resilient tile/sheet Ceramic/clay tile Terrazzo Paint Vinyl/fabric wall cover Ceiling system

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Location

Special Tools Required

Notes

Power Generation Generators Transfer switches Transformers Service wiring Substation Switchgear Overcurrent protection Power Distribution Systems Main distribution panel Wiring, conduits, & distribution panels Electrical receptacles Circuit breakers Electric baseboard heaters Heat trace

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Landscaping Systems Irrigation Tree/shrub/flower bed plantings Turf/lawn Walks/plazas Playfields and Playground Systems Athletic fields

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Equipment Inventory
School: ________________________________ Hard surface courts Swings Safety mats Gravel and containment Markings/painting
Expected Service Life (yrs) Suggested Maint Interval (# per year) Annual Maintenance Cost ($)

Date Updated: ____________________________

Vehicular Systems Parking lots Roads/drives Curbs Fire lanes

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Location

Special Tools Required

Notes

Site Utilities Fuel tanks Fuel distribution piping Storm drainage Fire hydrant systems

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Specialties Toilet partitions Display boards Projection screens Display cases Lockers Elevators Waste handling equipment Food service equipment Woodworking shop equipment Auto/engine shop equipment Vaults Swimming pools

P.M. Ref #

Manufacturer

Model #

Serial #

Size

Fuel Type

Efficiency Rating

Number in Building

Installation Date

Expected Service Life (yrs)

Location

Suggested Maint Interval (# per year)

Special Tools Required

Annual Maintenance Cost ($)

Notes

Energy $mart Schools Comprehensive Maintenance Plan (CMP)


District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

PM Checklist and Log


School: ____________________________________ Year: ________________
Implementor M Frequency/Year 4 10 4 4 2 4 1-4 1 2 4 4 4 2 4 2 4 1 2

Implementor Key: M = Maintenance Mechanic C = Custodian/on-site staff


Jan Feb x Mar Apr May Jun Jul

G = Grounds crew
Aug x Sep

CC = Contracted to others
Oct x Nov Dec x

Heating Systems
Boilers Boiler water treatment Furnaces Condenser pumps Deaerator tank Steam traps Steam valves Fuel tanks & distribution Heat exchangers Terminal/package units Fin tubes/radiators Dampers/draft control Ductwork Stacks Insulation Piping Valves Control sensors

P.M. Ref #
HS 2004-01

Air Handling Systems


Air handling units Unit ventilators Fans Fire dampers Filters Humidifiers

P.M. Ref #

Implementor

Frequency/Year 4 4 2 1 2-4 2 Frequency/Year 4 12 2 4 52 12 2-4 4

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Cooling Systems
Condensing units Air compressors Heat exchangers Packaged A/C units Chillers: oil levels and operation Chillers: other CHW Pumps Heat pumps

P.M. Ref #

Implementor

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Fire Protection/Suppression Systems

District: Sample Town CSD

Prepared by: John Doe

Date: 02/01/2005

PM Checklist and Log


School: ____________________________________
Sprinkler piping Backflow preventers Sprinkler heads Fire extinguishers Fire hose system Standpipe connection Fire pumps Grease hood extinguisher Alarms and detectors Mechanical Controls Compressors Pneumatic valves/levers Pneumatic tubing Electronic controls Plumbing Systems Cold water piping Water heaters Hot water piping Circulation pumps Sump pumps Valves and traps Septic tanks Lighting Systems Fluorescent fixtures Incandescent fixtures HID fixtures Lighting panels Emergency lighting Exterior lighting Occupancy controls Daylight controls Other controls Signal Systems Computer data Public address Television Telephone Clock system Fire alarms Security alarm/devices Foundation and Substructure

Year: ________________

Implementor Key: M = Maintenance Mechanic C = Custodian/on-site staff

G = Grounds crew

CC = Contracted to others

District: Sample Town CSD

Prepared by: John Doe

Date: 02/01/2005

PM Checklist and Log


School: ____________________________________
Footings How? Foundation walls Slab/beams on grade Piling/Posts How? Waterproofing How? Insulation Underdrains How? Superstructure Columns Beams Floor structure Roof structure Monolithic bearing walls Stairs and railings Structural bracing Welds/connectors

Year: ________________

Implementor Key: M = Maintenance Mechanic C = Custodian/on-site staff

G = Grounds crew

CC = Contracted to others

Roof Systems Roofing Insulation Paving and ballast Paving? On a roof? Curbs/supports Expansion/seismic joints Drains, gutters, etc. Drywells Flashing and trim Fasteners Snow stops Roof openings Parapet caps Exterior Wall Systems Facade integrity Cladding/sheathing Doors Window systems Balcony walls/railings Louvers and screens Expansion/seismic joints Insulation Protective coating Sealants Interior Construction

District: Sample Town CSD

Prepared by: John Doe

Date: 02/01/2005

PM Checklist and Log


School: ____________________________________
Fixed partitions Demountable partitions Retractable partitions Doors Carpet Resilient tile/sheet Ceramic/clay tile Terrazzo Paint Vinyl/fabric wall cover Ceiling system Power Generation Generators Transfer switches Transformers Service wiring Substation Switchgear Overcurrent protection Power Distribution Systems Main distribution panel Wiring, conduits, & distribution panels Electrical receptacles Circuit breakers Electric baseboard heaters Heat trace Landscaping Systems Irrigation Tree/shrub/flower bed plantings Turf/lawn Walks/plazas Playfields and Playground Systems Athletic fields Hard surface courts Swings Safety mats Gravel and containment Markings/painting Vehicular Systems Parking lots Roads/drives

Year: ________________

Implementor Key: M = Maintenance Mechanic C = Custodian/on-site staff

G = Grounds crew

CC = Contracted to others

District: Sample Town CSD

Prepared by: John Doe

Date: 02/01/2005

PM Checklist and Log


School: ____________________________________
Curbs Fire lanes Site Utilities Fuel tanks Fuel distribution piping Storm drainage Fire hydrant systems Specialties Toilet partitions Display boards Projection screens Display cases Lockers Elevators Waste handling equipment Food service equipment Woodworking shop equipment Auto/engine shop equipment Vaults Swimming pools Raised computer flooring

Year: ________________

Implementor Key: M = Maintenance Mechanic C = Custodian/on-site staff

G = Grounds crew

CC = Contracted to others

Preventive Maintenance Work Order Sheet


Equipment to be Worked on: School District: School: Performed By: Type of PM to be Performed: Monthly Time to Allow for Perform PM Work: Tools Required:
Quarterly

Date Issued: Date Completed: PM Code #:


Semi-Annual Annual Other

Hour (s)

Description of Work to be Performed: 1.

Remarks:

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Additional Follow-up Activities Needed:

O&M Specification Language


A. Operation and Maintenance Instructions: Arrange for each Installer of equipment that requires regular maintenance to meet with the Owner's personnel to provide instruction in proper operation and maintenance of the installed equipment. Provide instruction by manufacturer's representatives if installers are not experienced in operation and maintenance procedures. Include a detailed review of the following items: 1 2 3 4 5 6 7 8 9 10 11 12 Maintenance manuals. Record documents. Spare parts and materials. Tools. Lubricants. Fuels. Identification systems. Control sequences. Hazards. Cleaning. Warranties and bonds. Maintenance agreements and similar continuing commitments.

B. Maintenance Manuals: Organize operation and maintenance data into suitable sets of manageable size. Bind properly indexed data in individual, heavy-duty, 3-ring, vinyl-covered binders, with pocket folders for folded sheet information. Mark appropriate identification on front and spine of each binder. Include the following types of information: 1 2 3 4 5 6 7 8 PM intervals Emergency instructions. Spare parts list. Copies of warranties. Wiring diagrams. Inspection procedures. Shop Drawings and Product Data. Replacement schedules for filters, seals, lubricants, etc.

C. Training: As part of instruction for operating equipment, demonstrate the following procedures: 1 2 3 4 5 6 7 8 Startup. Shutdown. Emergency operations. Noise and vibration adjustments. Safety procedures. Economy and efficiency adjustments. Effective energy utilization. Periodic PM procedures.

Best Practices Guides and Resources


US Environmental Protection Agency (EPA) Indoor Air Quality Tools for Schools Action Kit is available by calling 1-800-438-4318 or online at www.epa.gov/iaq/schools/toolkit.html . US EPA Integrated Pest Management (IPM) in Schools resources are available online at www.epa.gov/pesticides/ipm/index.htm . The popular EPA booklet, "Pest Control in the School Environment: Adopting IPM" is designed to encourage and assist school officials in examining and improving their pest management practices. It identifies ways to reduce the use of pesticides in school buildings and landscapes, as well as alternative methods of managing pests commonly found in schools. A copy of the booklet may be obtained on-line by contacting the National Service Center for Environmental Publications , or by phone at 1-800-4909198. The EPA publication number is EPA 735-F-93-012. US EPA Energy Star Portfolio Manager and the New York State Energy Research and Development Authority (NYSERDA) Energy Smart Schools Program free energy benchmarking service is available by calling 1-866NYSERDA. US Department of Energy, Energy Smart Schools Program has numerous resources available at www.rebuild.org/sectors/ess/index.asp School Operations and Maintenance: BEST PRACTICES FOR CONTROLLING ENERGY COSTS, A Guidebook for K-12 School System Business Officers and Facilities Managers. U.S. Department of Energy Office of Energy Efficiency and Renewable Energy Weatherization and Intergovenmental Program, Rebuild America EnergySmart Schools Program, August 2004.

ADDITIONAL REFS TO BE ADDED

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