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1. Water Sources - Is the school’s water source, whether municipal, on-site well, or other,     (    ) Yes  (    ) No
protected from potential contaminants?                                                                     

If yes, in 50 words or less describe those efforts:


You need to know where your school’s drinking water comes from and what steps are taken to ensure that it is safe to drink. This can include protecting the watershed from which the water is drawn, or treatment at a plant, or both. Contaminants can include microorganisms, disinfectants (yes, really), disinfectant byproducts, inorganic chemicals, organic chemicals and radionuclides.


2. Drinking Water - Does your school have a program in place to test for and control lead    (    ) Yes  (    ) No
or other contaminants in drinking fountains and sinks?

If yes, in 50 words or less, describe the school’s program:


You need to know if your school tests for lead in drinking water on a regular basis and if it has a plan for dealing with lead if detected.


3. Moisture - Does your school take steps to control moisture from leaks, condensation,                     (    ) Yes  (    ) No
and excess humidity, to promptly clean up mold or remove moldy materials when found?

If yes, in 100 words or less, describe the school’s actions:

You need to know if your school takes steps to control moisture from leaks, condensation, and excess humidity and if it monitors for and cleans up mold and removes moldy materials when found.

Your custodial staff should be able to help with this.



4. Ventilation - Does your school have procedures and protocols for inspecting and              (    ) Yes  (    ) No
maintaining the building’s ventilation system and all unit ventilators to ensure they are clean
and operating properly, and to ensure spaces are adequately ventilated with outside air
consistent with state or local codes or national standards?

If yes, in 100 words or less, describe the school’s actions:

You need to check with your facilities person to see what procedures and policies are in place to inspect and maintain the ventilation system, to ensure all areas receive outside air and to ensure the system meets standards.


5. Airborne Contaminants - Has your school taken steps to control for specific airborne                     (    ) Yes  (    ) No
contaminants like exhaust systems for heating systems and labs, no idling policies for
vehicles (including school buses), vehicle loading/unloading zones at least ten feet
away from air intakes, doors and windows, and or other policies and practices?

If yes, in 100 words or less, describe the school’s actions:


6. Integrated Pest Management - Does your school use Integrated Pest Management                       (    ) Yes  (    ) No
 (IPM) to control pests?

If yes, in 100 words or less, describe your school’s IPM efforts:

You need to include IPM/green certifications earned, routine inspections, pest identification, monitoring, record keeping, etc. Include the volume of annual pesticide use (gal/student/year) and other efforts to reduce pesticide use.



7.  Chemical Management – Does your school have policies and procedures for identifying,            (    ) Yes  (    ) No
managing and or reducing exposure to other chemical hazards like smoking on school grounds or
buses, mercury in thermometers, radon in below ground spaces, CCA in playground equipment,
materials used for cleaning, chemicals used for teaching, etc.?

If yes, in 100 words or less, describe the policies and procedures:  


Chemical management involves tracking and monitoring all the chemicals coming onto your school’s campus, whether for cleaning, maintenance, landscaping, pest control or teaching. You may need to check with housekeeping staff, facilities management and/or landscaping, and the science teacher/department.





8. Healthier US Schools – Does your school participate in the USDA’s Healthier                               (   ) Yes  (   ) No
Schools Challenge or a similar program?

If yes, in 100 words or less, describe your efforts:

Check with your cafeteria manager to see if the school participates in any healthy foods program. If possible, get a feel for the barriers that are faced in terms of budget, food wastage, logistics and skills.


9. Healthy Foods – Does your school incorporate fresh, local and/or organic produce                       (   ) Yes  (   ) No
a Farm to School program, a school garden or some other source into the cafeteria,
or a class cooking lesson?

If yes, in 50 words or less, describe your efforts:

You can refer back to question 18 in Pillar 1 for some of the information you might need for this question.



10. Fitness – How many minutes a week are spent on supervised P.E., and what % of that takes place outdoors?

minutes P.E.:

% outdoor P.E.:     %

In 100 words or less, describe the outdoor P.E. activities:

Missouri requires all school districts to implement a minimum of 150 minutes of physical activity each week for elementary students (K-6). The state mandated 50 minutes of P.E. per week and mandated 20 minute daily recess may both count towards this 150 minute total. The state mandates 45 minutes of P.E. in grades 7-8 and encourages at least 225 minutes of P.E. at this level. High schools are mandated to provide P.E to students.

Your P.E. Instructor should be able to help you with this question and with identifying and quantifying the outdoor P.E. activities.


11. Outdoor Safety – Does your school have programs to raise awareness of safe sun                        (   ) Yes  (   ) No
exposure (e.g. EPA SunWise), safe outdoor air quality (e.g. AirNow AQ Flag), etc.

If yes, in 50 words or less, describe the outdoor safety programs:

Being outdoors is great for kids, but pollution and sun exposure both carry risks for some students. You need to know what steps, if any, your school takes to monitor these risks and protect students from them.


12. Outdoor Activity – Does your school provide opportunities for outdoor exercise and                    (   ) Yes  (   ) No
recreation separate from P.E.?           

If yes, in 100 words or less, describe the outdoor exercise and recreation:

How much free time do students have to play outside and what do they do with their outdoor time? Consider non-competitive games and activities, and outdoor skills as well as ball sports.



13.  Health Education – Is education about exercise, nutrition and safety integrated             (   ) Yes  (   ) No
into classroom assignments and assessed?                 

If yes, in 100 words or less, describe what is assessed and how:

Health Education is any combination of planned learning experiences that provide the opportunity to acquire information and the skills students need to make quality health decisions. It can happen in classrooms, lunchrooms and in P.E.


14. Health Services – Does your school have a school nurse or health center to provide                  (   ) Yes  (   ) No
first aid, emergency care, assessment and planning management for chronic conditions
like asthma and management of health and emotional stressors for students and staff?

If yes, in 100 words or less, describe the health services:

You need to describe the health services available for students, especially those relevant to monitoring their environmental health. These could include a health center, a school nurse, or similar resources.


15. Mental Health - Does your school take steps to support student mental health and                       (   ) Yes  (   ) No school climate through anti-bullying programs, peer counseling, etc.?

If yes, in 100 words or less, describe these steps:


The social and emotional climate of the school addresses students’ psychological educational experiences that could impact engagement in school activities, relationships with other students, staff, family, community, and academic performance.


16. Employee Wellness – Does your school provide programs to assist employees with                     (   ) Yes  (   ) No
 fitness, nutrition, stress management, avoidance of injury and environmental hazards and
decreased tobacco use?   

If yes, in 100 words or less, describe employee wellness programs:


School teachers, administrators and staff with healthy lifestyles set important examples for students as well as increasing their own quality of life. Describe any programs or policies that support healthy eating, active lifestyles, decreasing tobacco use, management of stress and avoiding injury and exposure to environmental hazards.


17. Community  - Does your school have partnerships in the community to help support                    (   ) Yes  (   ) No
school initiatives, to connect the classroom with real-life examples, and to provide
support for health-related activities?


If yes, in 100 words or less, describe community partnerships to support health:


A partnership between the school and surrounding community facilitates support for student learning, development, and health-related activities.


18. Family – Does your school take steps to make families of all types welcome and to                      (   ) Yes  (   ) No
actively engage them in ways to improve health outcomes?


if yes, in 100 words or less, describe steps to engage families:


The relationship between the school and families works to reinforce student health and learning in multiple settings—at home, in school, in out-of-school programs, and in the community.