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Notice of Unsafe or Unhealthful Working Conditions MUST BE POSTED AT WORKSITE UNTIL ALL DEFICIENCIES ARE CORRECTED Category / Rank Legend: ‘Serious Code and Law Violation, 2= Non-Serious Code and Law Violation RAG - Severity / Probability Code Legend: | ccataatrophic -Citeal -Saniteart W- Mloor/ As Frequan Likely, © - Occasional D- Rarely = Safety, H= Handicap! jion: GREAT PLAINS Agency: Rosebud Agency Site: P5001 - AO7-03 - COUNTY SCHOOLS - HE DOG ection Number: $-2047-725 Inspection Created Date: 11/01/2016 Finalized Dat 3512212017 zation Type: 1100-Bullding Maximo ID: AB100566 Use: Building! Garage / Bus vucturett: 511 Room@: Location Description: Garage, Bus marks: - Work Order Defi ‘Abatement Cat Sev RAC eney Codeisiondard Recommended Correction a ee ‘AB421470 North wall flexible condult with metal NFPA 110.3 Install permanently mountes electric 3 «6 s/2 myc 4 boxes (2) being used as permanent boxes and receptacles per NEC. wining. raddiiona informations REPEAT DEFIGIENGY (05/20/2017): New Category 5; New Rank 2; New Severty II; New Probabltty: C: RAC is now 4; Abatement period is now: 30. COMMENT: ‘ABA56244 Garage electric outlets are not GFCI NFPA 0, 210.0(B) Replace outiets with GFCT protected 32 mc 4 protected. coutets. 1A6456330 Portable re extinguishers lack requires _-NFPA.10,7.2_Davelop complete Inventory it of al 30 sz yD 5 ‘monthly "quick check” inspections. portable fre extinguishers and develop fronthy inspection schedule. Conduct Feauired monthly "quick check” Inspections and record on tag provided. {Gulek cheek Inspections shall include: location in designated place; no bbetruction to azcess or visibility: pressure gauge reading or indicator In ‘pereble range or poston; fulness Setermines by weighing or hefting; seat ra pin in place and intact. |AB4S6520 Water and mud enter the garage creating 29.U.S.C. $654, _Mosiy the overhead door entry area to 180 ‘Bip nazaras. Water may cause damage © Stet ensure water and mud co not enter te builing. butaing peation Type: 1100-Bullding Maximo ID: AB100567 Use: Building / School Elementary / Day tructuro#: 618 Room#: = Location Description: ‘School, Elementary, Day s2 mc 4 ein ea, See Sulng Sola pun. re alam ton. Nose eystm. Dv age ane F206 instal elevator. Notice of Unsafe or Unhealthful Working Conditions MUST BE POSTED AT WORKSITE UNTIL ALL. DEFICIENCIES ARE CORRECTED Category / Rank Legend: landicap 4 = Serious Code and Law Violation, 2= Non-Sorious Code and Law Violation RAC - Severity / Probability Code Legon: 1 -catastrophic, Il -Critcal, tl - Significant IV-Minor A= Frequent, B - Likely, C- Occasional D- Rarely 'S= Safety, H Region: GREATPLAINS Agency: Rosebud Agency Site: P5001 - AO7-03 - COUNTY SCHOOLS - HE DOG spection Number: $-2017-725 Inspection Created Date: 11/01/2016 Finalized Date: 05/22/2017 : MO0-Building —Maximo\D: AB100867 Use: Building / School Elementary ! Day Room#: - Location Description: School, Elementary, Day Avaement Gxt) Sevt RAC Defltency codeistendard Recommended Correction - fe ALS Uma ealcrtiee Eu RGEA — Neensn = caimncececomecornaccommoreres, 30/2 MIDS Gone cpening force A cuany spesss out ‘72.148 and dosing speeds mest requrements- of adjustment raison ifort REPEAT DEFICIENCY (05/20/2037); New Catena S; New Rank 2; New Severy 1; New Pobabay: Ds RAC IS ow Si Abatement period leno 30. COMMENT: ‘A0456343 Upper Level east room uses extension NFPA, 11.1.5.6 Remove extension cord. Tosa 2 DS bist permanent ing. Pte re Esmpllant secre oreutloutet. anand. ‘2421482 Storage Room (stage) not Lhourfre. —-NFPA304, 15.3.2. Prowde 1 hour fire seperebon. 10 sa eS Seporated rom the rest ofthe ulna. raaacanainforauon; REPEAT DEFICIENCY (05/20/2017): New Category S; New Rank 2; New Seve IV; New Probably: Ci RAC is ] now 5; Abatement period is tow 180. COMMENT: | pmezuses Se Oa Sua sec aap fom bosom APPA 101,7.1.30.1 Repo eirstooiminae ipffallhezerds. 30 S/t_ THB. 3 hes damaged stair reaa that may cause tip nevards rcdsonay THOFTon REPEAT DEFICIENCY (05/20/2017); New Category; New Rani; New Severty HH; New Probably: 81 ACIS | ow 3 Roatorent pri snow 30, COMMENT: ppageons "geared caereae Deo ees SC STCENAOA,_Reainch ong ime. Tempeh noe 90 112 (Banssing iets. Mo52% posable, cormac recognized txt {Eboratery (UD to est ond relabel doors ‘nth misung factory tobe. “ion formation; REPEAT DEFICENGY (05/20/2017); tewCalepry S; New Raia; New Severy IV; New Probebity: D; BACs Acer Roatement period snow 30, COMMENT: nss21487 Noth Stars deteorating and missing NFPA 103, 7.1.10-1 Replace wth complain stars and 30st TB 3 porion of andre May cause tip fanarais, asa. -paanional nforpoton: REPEAT DEFICIENCY (05/20/2017): New Category S; New Rank 1; New Severity Il; New Probably: B; RAC ¢ ow Abatement period ig now: 30, COMMENT: nea2i489 toner Level Boys Restroom fre rated -«NFPA10%, _—Reatinc mising lobes: Ttreatach not 30 wo 5 separation door missing label. — — 8.3.3.23 possible, contact recognized test eee EBboratory (UL) to test and relate! doors : ‘en migsng factory abel raaaitianal Information: REPEAT (5]2072017); New Category S; New Rank 2; New Severity IV; New Probably: D; RACs hon 5} Abatement period is now: 2 2 2 AB421490 Lower Level Boys Restroom tollet stall -29CFR1910.141(c) Replace tollet stall door. 20 sf Wo 5 door missing. ee 2x0 eee) Category / Rank Legend: eee nce EET eer ciation RAC - Severty | Probability Code Legend: | Catastrophic, = Grtica, i - Significant. - Minor! A~ Frequent 8 -Liksly, © - Occasional D = Rarehy gion: GREAT PLAINS Agency: Rosebud Agency Site: P5001 - AOT-03 - COUNTY SCHOOLS -HE DOG Finalized Date: 08/22/2017 Ingpection Number: §-2017-725 Inapaction Created Dane: 19/01/2018 Location Type: 1100-Bullding Maximo 0; AB100667 Use: ‘Bullding School Elementary ‘Day Structures: 818 Room: - Location Description: School, Elementary, Day Baller Room portable eyewash station je ANSE Z358.1 secace en pera et ‘ow on water and not propery meinines. ‘pattn connect to the Silage wate ur [adaionalinormation: REPEAT OEPICIENCY (95/20/2087) Wem Catagory 5; New Rank 2; New Seventy Vi New ‘Probability: D; RACs now 5; Abatement period w now: 60. COMMENT: ‘AB456321 Lower Lavel chart system gate cis 29US.C $654, Repar door itch, 2 sz mC 4 ‘compliant latch to ensure coor wont oper ‘Sat ‘uring vse (60421495 Lower Level cetaroom fe rated doors —=««APATOL, © Raptiachmisangiateis. Meemimcinat = 30. S/2 NID. S rising abel (2223 poasble, comack recogni test ‘Socracry (UL) w teak and rebel doors (oss factory abel. [adatonal information: REPEAT GEFICIENCY (05/20/20 now 5; Abatement period i now: 38. COMMENT: ‘ABAZI496 Lower Level Lobby Noor rain is werk in NFPA 10%, 7.1.10.1 Mody oor drain to ebminate mpnarard. 30 S/2 HC y “creating @ potential trip hazard. [ndaltionsl information: REPEAT DEFICIENCY (05/20/2037); Mew Category S; Mew Rank 2; New Severty Ill; New Probapity: C: RAC Is - [now 4; Abatement period Is row: 30. COMMENT: ower Level Me Geusroom secondary et RFPA 30%, 7.1.10:4 Renove name: ‘s obstructed with ORs ea aammen ‘loads during ran storms and snow melts. [adational information: REPEAT DEFICIENCY (05/20/2477. Nem Category Sj Mem Rack 1 [now 3; Abatement peri is now: 30. COMMENT. aoe ‘Several accessible areas suen 36 WTA 101,953.3 & ‘restrooms, classcooms, et. ack visual S| Notice of Unsafe or Unhealthful Working Conditions Category / Rank Legend: 'S= Safety, H = Handicap /1 = Serious Coda and Law Violation, 2= Non-Serious Code and Law Vioiation RAC. Severity / Probability Code Legand: 1.-Catastrophie, I ritical,l- Significant, V- Minot/A Frequent, 8 Likely, - Occasional, D- Rarely Region: GREAT PLAINS Agency: Rosebud Agency Site: PSO01 - AO7-02 - COUNTY SCHOOLS - HE DOG Inspection Number: §-2017-725, Inspection Created Date: 111012018 Finalized Date: 06/22/2017 Location Type: 1100-Bullding Maximo!D: AB100S67 Uso: Building / School Elementary Day Structurot: 516 Room: = Location Descrstion: School, Elementary, Day Remarks: - cca) Sev! RAC ‘Work Order Detitoncy codastancare Recommended Corecton Anatoment cat) Sel ‘48421493 Boler Room portable eyenash stations ANSI Z358.1.__Replace win permanent installed oo sa MD § low on water ad not propery manta. (eyewash salon connected tothe btings water supp WAC [Aactional information; REPEAT DEFICIENCY (05/20/2017) New Catepory S; New Rank 2; New Seventy TV; New Probabilty ow 5; Abatement period is now: 60, COMMENT: ‘AB456321 Lower Level char it yster gate lacks 29 U.S.C. § 654, Repair door latch. 30 sz mC 4 ‘compliant latch to ensure doar wort pen Se) ‘uring Use, RB421495 Lower Level classroom fre rated doors NFPA 101, Reatach missing labels. reattach not «30/2 WIS. rising abe. B3223 poste, contact recognized test Taboratory (UL) te test and reiabel doors ‘wih missing factory labels. Aditonalinormation: REPEAT DEFICIENCY (05/20/2017): New Category S; New Rank 2; New Severity 1Vj New Probability: D; RAC Is ow 5; Abatement period is now: 30. COMMENT: 'kB421496 Lower Level Lobby floor drain is sunk in. NFPA JO1, 7.1.10.1 Medfy Mor drain to elminate tip hazard, 30. S/2 YC 4 reaing potential trp hazard. 5 Information: REPEAT DEFICIENCY (05/20/2017): New Category S; New Rank: “Abatement period is no: 30. COMMENT: ; New Seventy Il; New Probably: C; RAC IS ‘AB456942 Lower Level NE ciassroom secondary ext NFPA4101,7.1.10.1 Removeltems andeepeliextsclearat = 10 S/2_ WD IS obetractea wan boxes. alte, ‘98436203 tower Level clessrcoms at southside «29 U.S.C. $654, Determine source of leaks end repr. 3 si mye 3 floods during ran storms and snow melts, S(@)L [adaitional Information: REPEAT OEFICIENCY (05/20/2017): New Category Sj New Rank 4; New Seventy Ii New Prebabity: 8; RACI6 how 3; Abatement period is now: 30. COMMENT: sscilin< sevcnl cet wor ncran | wParam TC restrooms, cassrooms, etc. lack vsval fre atarm system fire arm devices ‘ 4 on: ciency ory 5) New Rank 2; New Seve = TRI so oman, EAT OERCING 0/0/2017 Nw tay Ne 3H Seve en aby: CRAG ow 4; Abatement period is now: 160, 10421506 There are several ext sgn tft are rene MPA 101,702, Developm : a cae ae ee sa ws Spertn ts Notice of Unsafe or Unhealthful Working Conditions Category / Rank Legend 4 = Getty, H= Handicap 1 = Serious Code and Lew Violation, 2= Non-Sarious Code and Law Vielton RAC. Sever Probably Codo Legend: _FAG Sevay | rota eer 8“, C-Occaslona,D Rare Region: GREATPLAINS Agency: Rosebud Agency Site: PSOD1 - AOT.03 - COUNTY SCHOOLS -HE DOG Inspection Number: $-2017-725 Inspection Created Date: 11/01/2016 Finalized Date: 05/22/2017 | catastrophic, It- Critical, Location Type: 1100-Bulling Maximo1D: ABI00S87 Use: Bulding/ Schoo! / Elementary Pay Rooms: ~ Location Description: School, Elementary, Day ca Sei RAC . Coue/standard ‘Recommended Correction. Avatement call Seu ‘AB4Z1506 School's Emergency Action Plan not NFPA 101, 15.7.1 Develop an Emergency Acton Plan and 60 | s/2 DS Updates. PSvtefrevise before the beginning of ‘ech schoo! year. The plan shall ncude {he tolewing: procedures for reporting of emergencies; occupant and staft fesponse to emergencies evacuation, Fetocation, and shelterin-plsee procedures appropriate tothe bulding, Mi occupancy, emergencies, and hazards; ‘Boropratoness ofthe use of elevators (if Provided); design and conduct offre rss type and coverage of builng fire protection systems; headcount Procedures and practices to ensure all Eteupants are accounted for; and other frems that moy be necessary to protect lite and property. Provide training tall ‘Saft and staderts. ensure all staff feceives 2 copy. Maiftain original plan in fhe administrators ofce, Ensure fire rll og is included and maintained in ‘dominssrator's office. (ew Category 5; New Rank 2; New Seventy Il; New Probability: D; RAC I= [aaalional information: REPEAT OEFICIENCY (05/20/201 Row 5; Abatement perled is nom: 60. COMMENT: ‘Fre Dells not conducted by the school on NFPA 101, 15,7,2. Schools shal conduct fre evacuation 3 sf MID S ‘3 montniy basis. Grills per NFPA 101, 15.7.2.3 as folows: Sot fess than one emergency egress cri, Shall be conducted every month that faclity tin session, uriess both of the following ester are met. fin climates where the weather's sever, the menthiy emergency egress drils shal be permitted to be deferred. ‘oe requlred number of emergency tegress drills shall be conducted, and not less than four shal be conducted before: the als are deferred. ‘Al occupants of the bulding shal paricpate in the dil. “One aeaitonal emergency egress dil, ‘ther tran for education occupancies that fare open on a year-round basis, shall be ‘required within the frst 30 days of ‘operation ‘Evacuation cris to be recorded on 2 ‘esignated fie dll og and maintenence In the administrators office, Notice of Unsafe or Unhealthful Working Conditions MUST BE POSTED AT WORKSITE UNTIL ALL DEFICIENCIES ARE CORRECTED % Category | Renk Legend 'S= Safety, H = Handicap / = Serious Code and Law Violation, 2 = Non-Serious Code and Lew Vielstion : RAC - Sever / Probability Code Legend: | Catastrophic, 1- Critial I~ Significant, W- Minor A - Frequent, B- Likely, © - Occastonal,D~ Rarely ion: Rept Ge CUR Atay Recetiee area re COUNTY ‘SCHOOLS - HE DOG sspection Number: $-2017-725 Inspection Crested Date: 1101/2016 Finalized Date: 05/222017 Locat tion Type: 1100-Bullging Maximo ID: AB100567 Use: Building School Elementary !Day Structured: 515 Room Location Descrintion: School, Elementary, D ee into CL ry, Day Work Order Deicency Codersandard Recommend Correction ‘abatement Cat) Sev RAC Pood Rank Prob asasex2s we 5. Fire rated doors throughout lack NFPA 103, §.3.2.12 Develop inspection and malatenance 2» 8A Inspection and testing program to ensure program forall fre rated doors, Ensure ‘operational reliably. Famtenance conducted monty oF Groner tnopections and teting offre Fated door aasemblles shal be performed ‘Samual. All inpections and testing sal fe documented and kept for Ife of the csembly The record of inspection ang song shal be at a minimum: Date of Inspection; Name af faciny, Adress of frety; name ot person performing Inspections and testing; Company aame land address of inspection company lonature of inspector, inlvidual record ofeach Inspected and test fre doo" Sesembly; aperng identier ad location ‘Sfeseh inspected an tested fire door Stsembiy; werteation of viuel ingpection re funetional operauon; isting of ‘endences in aceordance with NFPA 80, Sia, Section 5.3 and Section 504, EsSeSLe Dorr ond dour hardaare ine markor a < Mprn 101, Develop inspection spd mabteneny sz mp 5 gress are net inspected monthly 0 72.153 pregrem and repar doors. Ext door ensure proper operation. Sisumples ina mean of egress shall Be iRepected ane tested atleast annual Develop inspection seule and program per NFPA requirements. Tosation Type: 1100-Bullding Maximo|D: AB100569 Use: Bullding/ Pump House Structured: 517 Room#: ~ Location Description: Pump House remarks: Pump house. Notin use. Due to age and condition, condemn and demolish. i aL ulding deteroctng ond harerdeus to 29 USC.§654, Condemn and demolish buldng 30 enter z SG) liminste narards, ABI00669 Use: Building / Pump House

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