Resource Guide for Integrated Pest Management in …midwestpesticideaction.org/wp-content/uploads/2013/10/MPAC... · Resource Guide for Integrated Pest Management In Schools/Childcares

R E S O U R C E G U I D E F O R

INTEGRATED PEST MANAGEMENT

I N S C H O O L S / C H I L D C A R E SIntegrated Pest Management (IPM) is state-of-the-art

for safer and healthier pest management. This Resource

Guide will help you get started implementing an IPM

program at your school/childcare.

4611 N. Ravenswood, Chicago, IL 60640 773.878.7378 www.midwestpesticideaction.org

Resource Guide for Integrated Pest Management In Schools/Childcares How to use this binder and its contents

I. Illinois Schools and Childcare Integrated Pest Management Program (Reference)

a. Overview of Integrated Pest Management (IPM) for Schools/Childcares b. IL Laws Protecting Children from Pesticides (Structural & Lawncare)

i. (Links to actual law are embedded in document) c. Setup Your IPM Program in 8 Steps (PDF Form to Complete)

i. Sample IPM Policy ii. Sample Pesticide Notification Protocol

iii. Sample Pest Emergency Protocol iv. IPM Coordinator Role and Responsibility v. Food Service Responsibilities and IPM

vi. Guidelines for hiring a pest management provider

II. My Facilitys IPM Program (Site Specific) a. IPM Program Evaluation and Improvement Form(PDF Form to Complete) b. IPM Program Summary Form (PDF Form to Complete) c. IPM Roles and Responsibilities

i. IPM Coordinator Role and Responsibility (PDF Form to Complete) ii. Copies of Training Certificates/Documents

d. Pest Specific IPM Plan (PDF Form to Complete) e. Other: Add information here for school Green Teams (sample included), Green

Cleaning activities, etc. i. 5 Simple Steps to Green Cleaning in Schools (Links to actual law

embedded in document) III. My Facilitys Pest management provider (PMP) info

(Documents to be inserted by facility) a. Contract/Request for Qualifications Documents Outlining Services b. Business License c. General Use Pesticide Applicator Certification

IV. My Facilitys Recommendations, Service Reports and Inspections

(Documents to be inserted by facility) a. Inspection checklist for IPM

i. Sample Inspection Checklist b. IPM Recommendations and Service Reports c. Inspection Reports

i. PMP/Self Inspections ii. Food Service

iii. Other_____________ d. Work Orders

V. My Facilitys Active Pest Management

a. Monitoring and Pest Sightings i. Pest Monitoring Protocol

ii. Monitor Trap Log iii. Pest Sighting Log

b. Active Pest Management Plans and Actions i. Pest Specific IPM Plan (PDF Form to Complete)

ii. Sample Non-Bait/Broadcast Pesticide Protocol (PDF Form to Complete) iii. Sample Request to Apply Pesticides Form (PDF Form to Complete) iv. Pest Emergency Form/Steps (PDF Form to Complete)

VI. My Facilitys Notifications

a. Pesticide Application Notification Guidelines b. Sample Application and Registry Notifications (bilingual) c. Notification Actions Taken

i. My Schools Registry ii. Archived letters

VII. Material Safety Data Sheets (REF/ACTIVE)

a. Broadcast (i.e. sprayed) Pesticides (sample included) b. Baits & Gels (sample included) c. Other (sample included)

VIII. IPM Resources (REF)

a. Web Resource Guide for Schools/Childcares Pest Control b. Choosing Pest Control Products c. IPM Solutions for Common Pests

i. Ants ii. Bees/Wasps

iii. Fruitflies iv. Mice v. Yellowjackets

vi. Cockroaches vii. Rats

Section: I

Illinois Schools and ChildcaresIntegrated Pest Management Program

This section should include copies of

a. Overview of Integrated Pest Management (IPM) for Schools/Childcares

b. IL Laws Protecting Children from Pesticides (Structural & Lawncare)

i. (Links to actual law are embedded in document)c. Setup Your IPM Program in 8 Steps (PDF Form to Complete)

i. Sample IPM Policyii. Sample Pesticide Notification Protocol

iii. Sample Pest Emergency Protocoliv. IPM Coordinator Role and Responsibilityv. Food Service Responsibilities and IPM

vi. Guidelines for hiring a pest management provider

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How often to you think about pest control in your facility? Think about this:

Studies link pesticide exposure inchildhood to cancer, behavioral problems, developmental delays and immune system disorders.

Pesticide sprays, mouse droppings andcockroaches can lead to asthma.

A new Illinois law requires public schoolsand licensed childcares to protect children from unnecessary pesticide exposure. Home providers are encouraged to use IPM too!

Illinois law requires public schools and licensed childcares to stop routine pesticide spraying and use a safer method of pestcontrol called Integrated Pest Management or IPM if economically feasible. The law also requires facilities to notify parents and staff before pesticides are applied inside the facility.

Requirements of the New IPM Law: Stop routine pesticide spraying inside the

facility. Adopt and implement an IPM program,

see Set Up Your IPM Program in SixSteps.

Appoint an employee to oversee IPM and record keeping (IPM Coordinator).

Send appointed person for training.*

Notify parents & staff in writing of plans to apply pesticides at least two business days but less than thirty days before application (bait pesticides do not require notification).

Never spray pesticides when children are present.

Keep children out of treated areas for at least two hours after the application.

* Training is required if a facility requests an exemption from

the IPM requirement for economic reasons.

How Do I Control Pests Without Spray Pesticides?By using IPM, we prevent pest problems before they occur. How do we prevent pests? Think like a pest and then rid the building ofthings that pests need to survive like access to food, water and shelter. Existing pest problems are handled with least-toxic pesticides like bait. IPM works very well, if everyone in the facility works together. There are six steps to IPM:

1.) Keep Pests Out; 2.) Remove Pests Food & Water; 3.) Remove Pests Harborage/Shelter; 4.) Monitor for Pest Problems; and 5.) Treat Existing Pest Problems. 6.) Keep Accurate Records

Keep Pests Out:If a pest cant get inside, then it wont be a problem. Many pests enter a facility by simply walking or flying in.

Caulk or cement cracks and holes on the outside of the building. Focus on gaps around pipes, ducts, baseboards and window frames. Install door sweeps on outside doors and avoid propping doors open. Place dumpsters as far away from outside doors as possible. Inspect deliveries (where pests can hitch-hike in), remove delivered items from cardboard boxes and get rid of the boxes as soon as possible (roaches LOVE cardboard).

Remove Pests Food & Water:Any pest in your building is there for a reason: there is enough food and water for them to thrive and multiply. Good sanitation is good pest management!

Clean to the corner - periodically moveequipment or shelves to clean hard to reach spaces. Store food in clear plastic or metal pest-proof containers. Check your arts and

crafts area if cereal or candy sprinkles are used for craft projects store these items in pest-proof containers, too. Sweep and mop daily. Do not leave full garbage cans or dirty dishes overnight. Repair leaky pipes and periodically clean evaporation trays under refrigerators to eliminate water sources for uninvited guests.

Remove Pests Harborage/Shelter:Clutter, cardboard and holes in walls provideplaces for pests to hide, sleep and reproduce. Clutter also hides evidence of pest infestation.

Organize storage rooms and clean periodically especially in food storage areas. Throw away or recycle corrugated cardboard it is a favorite living-space for cockroaches - avoid using it for storage. Caulk or seal cracks or holes in interior walls: around pipes; behind sinks and along baseboards. Use wire shelveswith the bottom shelf at least 2 inches above the floor, so you can clean under it. Be on the lookout for small spaces where pests can hideand use caulk to seal them up.

Monitor for Pest Problems:Monitoring for pest problems is an essential part of IPM. It detects pest problems when they are minor and ensures bigger problems dont sneak up.

Keep a simple log of pest sightings when and where they occur. Share this information with your pest control professional (if you use one). Use sticky traps and glue boards todetect pest problems, place them under sinks, along walls, under shelves, in furnace rooms, storage rooms and kitchens. These traps are inexpensive and work 24 hours a day. Work with your pest control professional or assignmaintenance staff to check traps periodicallyand look out for mouse droppings.

Treat Existing Pest Problems:Once their entry points have been sealed; food and water eliminated; and hiding places removed, many pests will leave for friendlier fields.

Pests, such as most ants and crickets pose no threat to childrens health and can be eliminated by vacuuming or mopping. For

more dangerous pests, create a control strategy that relies first on non-chemical control methods, such as traps and vacuums. For persistent pest problems work with a pest control professional to select least-toxic pesticides generally those formulated as baits or gels and placed in self-contained units. If other pesticides are required, consult a professional; be sure to request IPM and notify parents if pesticides are sprayed. Spraying or fogging is rarely necessary, and should only be used when all other methods have failed.

Keep Accurate Records:Keeping accurate records of past, current and future pest management activities is equally as important as the other five action items.Accurate and complete records give a snap shot of what the status of your pestmanagement practices are and will give insight into what is working and what isnt.

Examples of the records that need to be kept are:

1. Inspection Reports2. Pest Monitoring and Sighting Logs3. IPM Related Work Orders4. Request to Apply Non-Bait Pesticide

Forms5. Notification Registry6. Notification Letters Sent7. Pesticide MSDS Forms

Is IPM Challenging?

IPM is easy youre already doing much of it! By taking it one step further and thinking like a pest, you could reduce or eliminate pesticides and maintain a safe, pest-free learning environment. Overtime, schools and childcare facilities report spending less money on IPM compared to conventional spraying. And an effective IPM program leads to other benefits, such as increased energy efficiency, reduced clutter and a cleaner, safer facility.

For details on the law and other IPM resources, visit www.midwestpesticideaction.org or call 773- 878-7378.

Illinois Laws Protecting Children from Pesticides

Public Act 91-0525 IPM in Schools and Childcares The Structural Pest Control Act (225 ILCS 235) is administered by the Illinois Department of Public Health and has been amended to cover indoor pest management practices in public schools and licensed childcare (day care) facilities.

Schools and licensed childcare facilities are required to adopt an integrated pest management1 program.

Illinois law requires public schools and licensed childcares to stop routine pesticide spraying and use a safer method of pest control called Integrated Pest Management or IPM. The law also requires schools and childcare centers to notify parents and staff before pesticides are applied inside the facility.

Requirements of the Act

Schools and Licenced Childcare Facilities must1. Develop and implement an IPM program when economically feasible.*

2. Appoint an IPM Coordinator: an employee to oversee the IPM program and maintain records.3. Training is required for facilities requesting an exemption from the IPM requirement. A designated person

must attend training one year after the effective date of the amendatory act and every 5 years thereafter.4. Notify: School districts and childcares must maintain a registry of parents and guardians of students and

employees who have registered to receive written notification prior to application of pesticides to school property or day care centers or provide written notification to all parents and guardians of students before such pesticide application. Parents/guardians and employees must be notified at least once per year that the registry is available. Use of pesticide baits or disinfectants does not require notification.

*Facilities requesting exemption must notify IDPH in writing of their request for exemption with economic justification.

Other Pest Management Laws

Public Act 91-0099 (SB #527) Parents Right-to-Know: This law amends the Lawn Care Products Application and Notice Act, administered by the Illinois Department of Agriculture.

Schools must provide notification prior to the application of pesticides on school grounds. School districts must provide written notices to parents who register to be notified or provide written notification through newsletters, bulletins, calendars or other correspondence currently published by the school district.

Parent notification allows those with a particular sensitivity to pesticides to take steps to protect themselves from exposure.

Public Act 85-177 Illinois Pesticide Act: This law outlines the requirement for licensing of outdoor pesticide applicators.

At least one employee must have a Public2 Applicators License obtained by passing the General Standards Exam and exams in each applicable category: turf, ornamental, right-of-way, mosquito. Other employees who apply pesticides must have an Operators License received after passing the General Standards Exam only.

1 Integrated Pest Management (IPM) is a proven method of pest control that emphasizes simple, inexpensive prevention practices that cause the least harm to people and the environment.2

Private school employees need a Commercial Not-For-Hire License.

Midwest Pesticide Action Center is dedicated to reducing the health risks and environmental impacts of pesticides and promoting safer alternatives.

4611 N. Ravenswood Ave., Suite 107, Chicago, Illinois 60640 Tel: 773-878-7378 Fax: 773-878-8250 Web: www.midwestpesticideaction.org

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Purdue University Department of Entomology IPM Technical Resource Center

Integrated Pest Management (IPM) is common sense pest control. It relies on pest prevention, monitoring for pest problems, and control methods like traps and bait to eliminate or drastically reduce pesticide use. Using IPM in your facility will control pests and protect the children in your care from the health risks associated with exposure to pests and pesticides it is also required by IL law.

IPM Program Checklist: ______ 1. Adopt an IPM policy. A policy should state how pests will be managed inside your

facility and in outdoor play areas. Your policy should establish a procedure to notify parents and staff if pesticides must be used as well as create minimum qualifications for a pest control company. A sample IPM policy can be found in of this IPM binder.

______ 2. Designate an IPM Coordinator. Often, the facility manager, director or principal acts as the IPM Coordinator, but other staff can fill this position. The Coordinator is responsible for communication with the pest control Company and staff and for keeping adequate records. Recommendations from the pest control technician (for cleaning, repairs, etc) should be relayed by the IPM Coordinator to the staff. Pest sightings should be reported to the IPM Coordinator. No treatment should be done without his/her involvement.

______ 3. Educate staff, faculty and parents about IPM program. IPM is a team effort and requires communication and cooperation between teachers, directors, custodial staff, maintenance staff, children and parents. Encourage parents to use IPM at home. Factsheets for parents & staff can be found under IPM Resources or visit www.spcpweb.orgfor additional materials or training options.

______ 4. Implement 3 steps of pest prevention. The three steps for pest prevention are ongoing tasks requiring everybodys participation. For details on each step attend an IPM Training Workshop, call your local ROE, R&R or Safer Pest Control Project, (773) 878-7378 for details.

______ a. Keep Pests Out: Perform repairs as needed to prevent pest access to buildings.

______ b. Remove Pests Food & Water: Review sanitation practices. Sanitation includes kitchen cleaning and maintenance, and waste disposal. Repair leaking pipes and eliminate standing water wherever possible.

______ c. Remove Pest Shelter: Clutter offers shelter for many pests, including rodents, spiders, and cockroaches. Organize clutter and eliminatecardboard. Convert to box-less storage as much as possible, particularly in food areas.

These steps will keep you on track as you transition to IPM. To help you with the transition, please visit our website, www.midwestpesticideaction.org. Also call Midwest Pesticide Action Center (773) 878-7378 with questions and concerns.



Implement 3 steps of pest prevention. The three steps for pest prevention are ongoing tasks - requiring everybody's participation. For details on each step attend an IPM Training Workshop, call your local ROE, R&R or Midwest Pesticide Action Center, (773) 878-7378 for details.

______ 5. Contract with the right pest control company (NA if pest control is done in house).It is important to contract with a pest control professional qualified to deliver IPM services and familiar with the Illinois Schools and Childcare Laws. See What to Expect from you IPM contractor

______ a. Have buildings and grounds inspected. Your pest control professional will note evidence of infestations and conditions that contribute to your pest problem. Your technician should make additional recommendations for controlling pests, such as sealing of pest entry points, clutter reduction, and improved sanitation.

______ b. Establish monitoring procedures. Your pest control professional should place pest monitoring traps in all pest prone areas. Staff should be instructednot to move the traps. Pest sightings should be reported to the IPM Coordinator.

______ c. Establish record keeping. Your pest control company must provide written service reports, detailing their actions taken for each visit. These reports must be kept in your pest control binder. Reports should include recommendations for improving pest prevention inside the facility and should NOT detail spraying without your knowledge and consent.

______ d. Identify any pests found and choose a control strategy: Control strategies may include improved sanitation, repairs, non-chemical controls and, lastly, pesticide baits.

______ e. If a pesticide is needed, select the least hazardous pesticide: This includes a gel or containerized bait. Treatments should be made only to areas showing pest activity. Notify all parents and staff before using spray pesticides. Pesticides should never be applied when children are present!

______ 6. Create Pest Specific IPM Plans. Establish tolerance levels and an action plan for each pest. This includes determining where and under what conditions pest control activities will take place. Doing so will help prevent the unnecessary use of pesticides. Having a pest specific IPM plan will also clearly demonstrate to an inspector that you are in compliance with the law.

______ 7. Set up procedures for notifying parents and staff in writing if pesticides (other thangel bait or containerized bait) are applied.

______ 8. Evaluate the program on a regular basis: Work with your pest control company and incorporate feedback from staff to improve the program.



Sample Integrated Pest Management (IPM) Policy forSchools and Childcare Facilities

PurposeAn official policy requiring Integrated Pest Management (IPM) to be practiced in school and childcare facilities makes it clear to employees and contractors that they must comply with the IPM program. The policy also serves as a guide for the pest manager as he or she makes decisions on pest control.

PolicyIt is the policy of this school district/childcare facility to implement and practice Integrated PestManagement (IPM) to control pests in buildings and to minimize exposure of students, faculty and staff to pesticides. It is also the policy of this school district/childcare facility to notify, in writing, all students, parents, and employees prior to use of non-bait pesticides inside the facility and for schools, on school grounds. According to Illinois law, if pesticides are applied, they may not be applied in the presence of children; toys and other items mouthed by children must be removed prior to spraying; and children may not re-enter the treated for at least two hours or as long as is stated on the product label.

PestsIt is the policy of this school district/childcare facility to control pests in the school environment. Pests can pose hazards to human health, damage property, and disrupt learning.

PesticidesIt is the policy of this school district/childcare facility to minimize potential exposure to pesticides in the environment. Exposure to pesticides can pose a health risk to students, staff, and others, which can be minimized by practicing IPM. Teachers and staff may not use or keep pesticides in the facilities. Only authorized individuals may purchase or store pesticides.

Regularly scheduled applications of pesticides are not permitted under this IPM policy.

Integrated Pest Management (IPM)The IPM program at this facility will include the following:

Regular monitoring to identify pest problems Preventive actions to reduce future pest problems Preference for the use of non-chemical control methods to address pest problems When necessary, the use of least-hazardous chemical controls after non-chemical controls methods

have been applied Training for staff to facilitate this program

IPM CoordinatorAn appropriate staff member will be designated as the IPM Coordinator. This person will be responsible for overseeing pest control for the district.

NotificationIf a pesticide application is deemed to be necessary by the IPM Coordinator, parents and staff will be notified in writing two business days prior to the pesticide application this applies to both indoor application of pesticides and outdoor application of pesticides on facility grounds. Antimicrobial (sanitation) agents and insecticide and rodenticide baits are exempt from notification requirements.

ContractorsAny contractor hired by the school district/childcare facility to provide pest control or other services must comply with the facilitys IPM and notification policy. S/he should be knowledgeable about the IPM in Schools/Childcare Laws and the use of IPM for structural pest control. Contractors must refrain from routine pesticide spraying, provide detailed service reports with each visit and give recommendations for pest prevention.



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Parents Right-to-Know

Pesticides are chemicals designed to kill or eliminate pests. Exposure to pesticides during childhood is linked to asthma, some developmental delays and cancer. Although pesticides can endanger the health of any child, children with asthma and other medically sensitive children are more vulnerable to the effects of pesticides.

Illinois law requires public schools and licensed childcare centers to use Integrated Pest Management (IPM) and notify all parents, guardians and staff prior to the indoor application of pesticides. Illinois law also requires school to notify parents, guardians and staff prior to outdoor application of pesticides or herbicides. This law is designed to increase parents awareness of their childrens environment, enabling them to take steps to protect childrens health if they chose.

Notification Requirements

Follow these guidelines when notifying parents, guardians and staff of plans to apply pesticides:

Notify parents and staff in writing before pesticide application. Notification may appear in newsletters, calendars, bulletins or other correspondence currently published by the center. A separate letter for notification is also acceptable.

Send notification at least two business days before pesticide application, and no more than thirty days before pesticide application.

Include the date of pesticide application and the name and contact informationfor center personnel responsible for facility management. Consider including the name of the pesticide used and the target pest.

EITHER notify all parents OR maintain a registry of parents who responded to a written invitation to be included on the registry. Parents must be made aware of the registry every year.

Exempt Materials

Applications of the following pesticides are not subject to the notification requirement:

Antimicrobial agents (e.g. disinfectants, sanitizers, or deodorizers) Insecticide baits Rodenticide baits

Emergency Pesticide Applications

Prior written notice is not required if there is an imminent threat to health or property. However, written notification must be provided as soon as possible and must include an explanation of the circumstances that gave rise to the emergency.

Regularly Scheduled Applications

Regularly scheduled pesticide applications are not part of an IPM program. Therefore, creating a calendar of pre-scheduled pesticide applications to notify parents and staff is not acceptable for notification.

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There may be circumstances whereby the presence of a specific pest in a specific circumstance poses an unacceptable risk to student or staff health. These circumstances may require prompt attention where action may need to be taken without any delay associated with notification.

The facility should create procedures for identifying emergency circumstances and take the safest, most appropriate action.

The following individuals are authorized to decide if a circumstance rises to the challenge of an emergency:

Name Title Contact Information(phone number)

____________________ __________________ ____________________________________ __________________ ____________________________________ __________________ ____________________________________ __________________ ____________________________________ __________________ ________________

Pest Emergency Steps: 1.) Conference call or brief meeting of authorized decision-makers listed above to

determine if the circumstance rises to an emergency considering the following circumstance:

a. Pest presents an imminent risk to public health.b. The delay associated with notification would lead to significantly greater harm from

the pest.c. Risk from the pest is greater than risk from the pesticide.d. The pesticide can be used in a way to reduce harm to public health.

2.) IPM Coordinator or other authorized individual signs off on a request to use pesticides.3.) After the emergency has been averted, schedule a meeting with the IPM Coordinator,

pest management professional and other relevant staff is called to discuss the problem and how it can be avoided next time.

4.) Parents, guardians and staff receive notification of pesticide use as soon as possible after emergency has been averted.

a. Notification describes what was used and the conditions that gave rise to the emergency.

b. Copy of notification and information about pesticide used are filed in this binder.

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General Description:The IPM Coordinator is an essential part of a successful IPM Program. S/he will facilitate communication and ensure the schools/facilitys pest management decisions and actions adhere to the IPM Plan and to Illinois School or Childcare IPM Laws. S/he should be present during routine service visits.

IPM Coordinator Candidates:In schools, the facility manager or head custodian is often the IPM Coordinator, however, the assistant principal, principal, health teacher or any other person who is interested in assuring a healthy environment for students and staff are also candidates. In child care centers the IPM coordinator is often the centers director. The IPM Coordinator should be capable of influencing policy and practices at the facility. S/he will need the authority to call for locker clean outs; intervene with teachers, custodians or other/lunch room staff whose behavior is contributing to pest problems; and supervise the pest management professional to ensure s/he is providing IPM.

Time Commitment:Acting as IPM Coordinator does not demand much time and will require less as s/he gets accustomed to the role. The IPM Coordinator should be familiar with the contents and organization of the IPM Binder, participate in additional training on pest management and IPM and review the laws associated with school and childcare pest management.

Once procedures and staff adjust to IPM, the IPM Coordinator should expect to spend a smallamount of time on pest management issues except when problems arise or when corrective action is required (i.e. a teacher is using Raid or lack or cleaning/sanitation is leading to roach/ant problems).

Specific Description: Acts as a liaison with the pest control company as the primary contact person with the pest

management professional. Is present during service visits from the pest management professional. Collects any/all pest sightings (on a Pest Sighting Log or other written document) and make

this information available to pest management professional. Implements IPM recommendations from the pest control technician (for cleaning, repairs,

etc) by creating work orders or communicating necessary behavioral changes to teachers or staff.

Authorizes any use of pesticides before they are used. Never uses pesticides him/herself. Participates in meetings to create the IPM Plan. Participates in meetings to evaluate the IPM Program. Participates in meetings to assess if a pest presents an emergency. Keeps pest management records for at least three years. Possess the IPM Binder. Receives training on IPM.

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Pests tend to congregate in areas where they have easy access to food and water. For this reason, it is essential that your facilitys food service staff is aware that their behaviors can seriously influence the overall success of the facilitys IPM program. The following is a list of the food service staffs role in IPM. Many of these points are covered in the Hazard Analysis at Critical Control Points (HACCP) training.

HACCP Section 10: Pest Control

1. Monitoring for rodent/insect infestation

2. Doors and windows pest proofed

3. Cracks and holes sealed

4. Maintain required pest control program!!!!!!!!

5. Eating and drinking in designated areas

6. Protecting food from contamination Protecting food from contamination

7. Checking for & cleaning up pest droppings

8. Storing food in designated areas only, off the floor

9. Cleaning floors to the corners

10. Cleaning inside and under equipment and racks

11. Cleaning drains

12. Pest proofing doors, windows, and vents

13. Garbage Storage and Disposal

14. Checking deliveries for signs of infestation

15. Checking and repairing any holes in floors, walls, ceilings

16. Sealing any openings around pipes

17. Ceilings checked for infestation

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These guidelines are intended to help you incorporate IPM specifications into an existing pest management contract. For a more comprehensive sample IPM contract, contact SPCP at 773/878-7378

1. GeneralA. Description of Program: This specification is part of a comprehensive Integrated Pest Management (IPM)

program for the premises listed herein. IPM is a process for achieving long-term, environmentally sound pest suppression. IPM services include monitoring, physical, cultural, biological and, only as a last resort, least-hazardous chemical controls.

B. Contractor Service Requirements: The Contractor shall provide all services of the IPM program as well as recommendations for structural and procedural modifications to aid in pest prevention. The Contractor should have IPM training and experience.

2. Action ThresholdsLevels of pest populations or site environmental conditions that require remedial action by the Contractor shall be established. Action shall only be taken when a pest population is present and posing a problem and/or risk to facility property and/or building inhabitants.

3. Initial Building InspectionsThe Contractor shall complete a thorough, initial inspection of each building or site prior to the starting date of the contract to evaluate the pest management needs of all premises and to identify problem areas and any equipment, structural features, or management practices that are contributing to pest infestations.

4. Pest Control PlanA. Proposed Methods for Monitoring and Surveillance: The Contractor shall describe methods and procedures

to be used for making objective assessments of pest population levels, including monitoring stations in all pest prone areas.

B. Inspection Schedule for Each Building or Site: The Contractor shall provide complete inspection schedules for scheduled Contractor visits.

C. Description of Site-Specific Pest Control Methods: The Contractor shall describe physical, structural, operational, biological, and least-hazardous methods that will be used to respond to pest populations that exceed the established thresholds. The Contractor shall use non-chemical methods wherever possible. The Contractor shall provide the IPM Coordinator with written recommendations for any maintenance or sanitation measures needed to prevent future pest infestations.

D. Approval for Pesticide Use: Pesticide applications shall be by need and not by schedule. The Contractor will not use any pesticide without obtaining approval from the IPM Coordinator. The Contractor shall provide a written request that justifies the need to use a pesticide. If pesticide use is approved, the Contractor shall employ the least-hazardous materials and methods of pesticide application necessary to achieve control.

E. Proposed Materials and Equipment for Service: The Contractor shall provide Material Safety Data Sheets for all products that may be used.

F. Notification: The Contractor shall work with the IPM Coordinator to ensure full compliance with Illinois notification requirements.

5. Record-keepingThe IPM Coordinator shall be responsible for maintaining a pest control logbook or file. The Contractor shall be responsible for documenting each visit to the site and all services provided. This file shall include:

A. A copy of the Contractors approved Pest Control Plan.B. Work Request and Inspection Forms: These forms advise the Contractor of service requests and document

performance of all work.C. Contractors Service Report Forms: These forms document all information on pesticide applications.D. IPM Recommendations: These reports detail suggested modifications to the building or management

practices in order to minimize pest problems.E. Pest Sighting Logs: This form documents any pest sightings between scheduled visits from the pest

management professional. F. Notification/Permission to Use Pesticides: If pesticides are used, the IPM Coordinator will keep the MSDS

and written permission to use pesticides. A copy of letters to parents and staff should also be kept.



Section: II

My Facilitys IPM Program (Site Specific)

This section should include copies of

a. IPM Program Evaluation and Improvement Form(PDF Form to Complete)

b. IPM Program Summary Form (PDF Form to Complete)c. IPM Roles and Responsibilities

i. IPM Coordinator Role and Responsibility (PDF Form to Complete)

ii. Copies of Training Certificates/Documentsd. Pest Specific IPM Plan (PDF Form to Complete)e. Other: Add information here for school Green Teams (sample

included), Green Cleaning activities, etc.i. 5 Simple Steps to Green Cleaning in Schools (Links to actual

law embedded in document)

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nitie

s fo

r im

prov

emen

t an

d pl

an s

teps

toim

prov

eth

e pr

ogra

mto

cre

ate

an I

nteg

rate

d Pe

st M

anag

emen

t pr

ogra

m. W

ork

your

way

thr

ough

the

che

cklis

t w

ith a

ssis

tanc

e fr

om s

taff

and

your

pes

t co

ntro

l pr

ofes

sion

al. R

ecor

d ne

xt s

teps

und

er P

lann

ed F

ollo

w U

p

be s

peci

fic,i

nclu

ding

dat

es a

nd t

he p

arty

res

pons

ible

. M

ark

off

com

plet

ed it

ems

with

a c

heck

m

ark

in t

he r

ight

-han

d co

lum

n.W

hen

com

plet

ed,r

evie

w t

he r

esul

ts w

ith t

he I

PM c

oord

inat

or, s

choo

l prin

cipa

l/dire

ctor

, pes

t m

anag

emen

t pr

ovid

er, a

ndot

her

resp

onsi

ble

staf

f.

Con

tact

Saf

erPe

st C

ontr

ol P

roje

ct (

773-

878-

7378

; w

ww

.spc

pweb

.org

) w

ith q

uest

ions

.

PO

LIC

IES,

PR

OC

EDU

RES

& P

LAN

SR

ESO

UR

CES

/SU

GG

ESTE

D A

CTI

ON

SP

LAN

NED

FO

LLO

W U

P (w

/dat

es)

A

dopt

an

IPM

pol

icy.

Thi

s po

licy

shou

ld s

tate

how

pes

ts w

ill b

e m

anag

ed in

side

you

r fa

cilit

y an

d in

out

door

pla

y ar

eas.

You

r po

licy

shou

ld e

stab

lish

a pr

oced

ure

to n

otify

par

ents

and

sta

ff i

f pe

stic

ides

mus

t be

use

d (u

nles

s th

is e

xist

s in

a s

epar

ate

docu

men

t) a

nd c

reat

e m

inim

um q

ualif

icat

ions

for

a

pest

con

trol

com

pany

.

____

__Po

licy

is a

dopt

ed.

____

__Co

py o

f po

licy

is f

iled

in f

acili

tys

pest

con

trol

bin

der.

____

__Co

py o

f po

licy

is f

iled

in S

OP/

polic

ies

and

proc

edur

es

file.

Sa

mpl

e po

licie

s ar

e av

aila

ble

in t

heIP

M

Bind

er.

Cre

ate

an I

PM

Pla

n. A

n IP

M P

lan

esta

blis

hes

appr

opria

te r

espo

nses

to

com

mon

pes

t pr

oble

ms

insi

de t

he s

choo

l and

incl

udes

tol

eran

ce t

hres

hold

s th

at t

rigge

r sp

ecifi

c ac

tions

. IPM

Pla

ns h

elp

you

to r

espo

nd t

o pe

st p

robl

ems

in a

saf

er, m

ore

effe

ctiv

e m

anne

r an

d yo

ur c

ompl

ianc

e w

ith t

he la

w t

o co

unty

and

sta

te d

epar

tmen

ts o

f he

alth

.

____

__IP

M P

lan

exis

ts

____

__Th

ere

is a

sep

arat

e pl

an f

or e

ach

maj

or p

est.

____

__ T

he I

PM P

lan

esta

blis

hes

spec

ific

tole

ranc

e th

resh

olds

or

pes

t po

pula

tion

leve

ls t

hat

trig

gers

spe

cific

, pla

nned

re

spon

ses.

Co

mpl

ete

IPM

Pla

nin

the

IPM

Bin

der

incl

udin

g th

e Pe

st S

peci

fic I

PM P

lan.

IPM

RO

LES

& R

ESP

ON

SIB

ILIT

IES

RES

OU

RC

ES/S

UG

GES

TED

AC

TIO

NS

PLA

NN

ED F

OLL

OW

UP

(w

/ da

tes)

D

esig

nate

an

IPM

Coo

rdin

ator

:In

impl

emen

ting

an I

PM p

rogr

am, a

fac

ility

empl

oyee

sho

uld

be d

esig

nate

d to

ass

ume

resp

onsi

bilit

y fo

r th

e ov

ersi

ght

of p

est

man

agem

ent

prac

tices

and

for

rec

ord

keep

ing

requ

irem

ents

(IL

CS23

5/10

.2b)

. Thi

s pe

rson

act

s as

a li

aiso

n w

ith t

he p

est

cont

rol

com

pany

and

sta

ff. R

ecom

men

datio

ns m

ade

by t

he p

est

cont

rol t

echn

icia

n (f

or c

lean

ing,

rep

airs

, etc

) go

to

the

IPM

Coo

rdin

ator

w

ho s

ubm

its w

ork

orde

rs a

nd/o

r in

form

s st

aff o

f ne

cess

ary

beha

vior

al c

hang

es. I

t is

str

ongl

y re

com

men

ded

that

the

IPM

Coo

rdin

ator

be

pres

ent

durin

g ro

utin

e se

rvic

e

Cont

act

Mid

wes

t Pe

stic

ide

Actio

n Ce

nter

(77

3-87

8-73

78; www.midwestpesticideaction.org

) w

ith q

uest

ions

.

visi

ts f

rom

the

pes

t co

ntro

l con

trac

tor.

____

__ I

PM C

oord

inat

or h

as b

een

iden

tifie

d.

____

__ N

ame/

cont

act

info

of

IPM

Coo

rdin

ator

is in

the

IPM

Plan

.

____

__ S

/he

is a

war

e of

his

/her

rol

e.

____

__IP

M C

oord

inat

or h

as in

itial

ed R

oles

& R

espo

nsib

ilitie

s of

IPM

Coo

rdin

ator

.

A

desi

gnat

ed p

erso

n to

ove

rsee

the

IPM

pr

ogra

m is

req

uire

d by

law

.

Use

Rol

es &

Res

pons

ibili

ties

of I

PM

Coor

dina

tor

in b

inde

rto

dis

cuss

the

re

spon

sibi

litie

s an

d en

sure

s/h

e un

ders

tand

s th

e ro

le.

Ei

ther

the

hea

d of

the

faci

lity/

assi

stan

t pr

inci

pal,

build

ing

engi

neer

, cus

todi

al s

taff

, or

foo

d se

rvic

e/lu

nch

room

man

ager

cou

ld

be a

n IP

M C

oord

inat

or

it sh

ould

nt

take

m

uch

time.

____

__IP

M

Coor

dina

tor

is

pres

ent

durin

g ro

utin

e se

rvic

e vi

sits

.

____

__Co

ordi

nato

r ha

s cr

eate

d/m

aint

ains

a c

ompl

eted

(an

d si

gned

)IP

M P

lan

Sp

eak

with

IPM

Coo

rdin

ator

abo

ut

atte

ndan

ce d

urin

g se

rvic

e vi

sits

.

If s

ervi

ce is

sch

edul

ed e

arly

/late

or

on

wee

kend

s to

red

uce

expo

sure

-co

nsid

er

resc

hedu

ling

rout

ine

visi

ts d

urin

g ho

urs

whe

n th

e co

ordi

nato

r is

pres

ent.

The

IPM

co

ordi

nato

r fa

cilit

ates

com

mun

icat

ion.

If

spra

ying

nee

ds t

o ta

ke p

lace

, it

can

be

sche

dule

d fo

r a

spec

ial v

isit,

aft

er

notif

icat

ion

has

take

n pl

ace.

.

Wor

k w

ith

a Q

ualif

ied

Pes

t M

anag

emen

t P

rofe

ssio

nal:

Con

trac

t w

ith a

pes

t m

anag

emen

t pr

ofes

sion

al (

PMP)

who

hol

ds r

elev

ant

licen

ses.

Thi

s pe

rson

sho

uld

be e

xper

ienc

ed a

nd k

now

ledg

e of

the

IPM

in S

choo

ls L

aws.

Alte

rnat

ely,

if p

est

cont

rol i

s ha

ndle

d in

hou

se,

ensu

re s

taff

has

suf

ficie

nttr

aini

ng t

o pr

ovid

e IP

M.

IND

OO

R P

EST

CO

NTR

OL:

We

Use

a C

ontr

acto

r If

sta

ff

hand

le t

his

writ

e n

/a a

nd s

kip

ahea

d.

____

__Th

e co

mpa

ny n

ame

and

all c

onta

ct in

fo fo

r th

e co

mpa

ny a

ppea

r in

the

IPM

Pla

n.

____

__ G

ener

alU

se P

estic

ide

appl

icat

or li

cens

e (f

rom

ID

PH)

is

curr

ent

and

on f

ile in

IPM

Bin

der.

____

__ P

est

Cont

rol

busi

ness

lic

ense

(fr

om I

DPH

) is

cur

rent

an

d on

file

in I

PM B

inde

r.

____

__Pe

st

Man

agem

ent

Prof

essi

onal

s

nam

e an

d co

ntac

t in

fo a

ppea

rs in

IPM

Bin

der.

____

__ C

ontr

acto

ris

aw

are

of t

he I

PM i

n Sc

hool

s La

w a

nd

know

ledg

eabl

e ab

out

IPM

.

Co

mpl

ete

IPM

Pla

n

Pl

ace

a co

py o

f ID

PH li

cens

e in

dica

ting

Cer

tifie

d Te

chni

cian

For

: G

ener

al U

se

Pest

icid

es i

n IP

M B

inde

r.

Pl

ace

a co

py o

f bu

sine

ss li

cens

e fo

r pe

st

cont

rol i

n Co

ntra

ctor

Inf

orm

atio

n in

bin

der

Co

mpl

ete

the

IPM

Pla

n Co

ver

Page

in t

he

fron

t of

you

r pe

st m

anag

emen

t bi

nder

. U

pdat

e th

is in

form

atio

n an

nual

ly.

____

__Th

e pe

st c

ontr

ol c

ontr

act

calls

for

IPM

ser

vice

s N

OT

mon

thly

/rou

tine

spra

ying

.

____

__ T

here

are

no

cale

ndar

-bas

ed o

r pr

e-sc

hedu

led

pest

icid

e ap

plic

atio

ns a

t th

e sc

hool

.

____

__Th

e pe

st c

ontr

ol c

ompa

ny p

rovi

des

Serv

ice

Repo

rts

(s

umm

ariz

ing

thei

r w

ork

durin

g ea

ch v

isit)

.

____

__Th

e pe

st c

ontr

ol c

ompa

ny p

rovi

des

IPM

Re

com

men

datio

ns (

sugg

estio

ns f

or e

limin

atin

g pe

st-

cond

uciv

e co

nditi

ons

that

are

lead

ing

to p

robl

ems)

.

____

__A

faci

lity

staf

f mem

ber

is p

rese

nt d

urin

g se

rvic

e vi

sits

.

____

__

A cl

early

writ

ten

proc

edur

e is

est

ablis

hed,

whi

ch t

he

cont

ract

or w

ill f

ollo

w if

s/h

e ne

eds

to a

pply

pes

ticid

es.

Ch

ange

con

trac

t to

IPM

-bas

ed c

ontr

act

or

amen

d cu

rren

t co

ntra

ct fo

r IP

M. G

uide

lines

av

aila

ble

in I

PM b

inde

r.

En

sure

con

trac

t re

quire

s (a

nd f

ollo

w u

p to

be

sur

e th

ey a

re r

ecei

ved)

:o

Serv

ice

repo

rts

with

eve

ry v

isit

oIP

M r

ecom

men

datio

nso

Cons

ulta

tion

and

notic

e (a

t le

ast

4-5

days

) be

fore

app

lyin

g pe

stic

ides

.

Se

e ab

ove

Des

igna

te a

n IP

M C

oord

inat

or.

Re

view

and

(if

nece

ssar

y) m

odify

SO

P fo

r Pe

stic

ide

Appl

icat

ion

& R

eque

st t

o Ap

ply

Pest

icid

es F

orm

. (sa

mpl

es in

bin

der)

IND

OO

R P

EST

CO

NTR

OL:

We

Do

It O

urse

lves

If

you

use

a c

ontr

acto

r sk

ip a

head

.

____

__Pe

st C

ontr

ol S

taff

rec

eive

tra

inin

g in

gen

eral

pes

t m

anag

emen

t an

d pe

stic

ide

safe

ty.

____

__ P

est

Cont

rol S

taff

hav

e re

ceiv

ed t

rain

ing

in I

PM.

____

__ P

est

Cont

rol S

taff

is I

DPH

Cer

tifie

d Te

chni

cian

for

: G

ener

al U

se P

estic

ides

.

____

__ C

opie

s of

tra

inin

g ce

rtifi

cate

s ap

pear

in R

oles

&

Resp

onsi

bilit

ies

sect

. of

IPM

Bin

der.

G

ener

al t

rain

ing

may

be

avai

labl

e th

roug

h th

e Ill

inoi

s Pe

st C

ontr

ol A

ssoc

iatio

n (w

eb:

http

://w

ww

.ipca

onlin

e.or

g).

IP

M T

rain

ing

is a

vaila

ble

thro

ugh

the

Regi

onal

Off

ice

of E

duca

tion

and

Safe

r Pe

st C

ontr

ol P

roje

ct (

ww

w.s

pcpw

eb.o

rg).

Cont

act

IDPH

at

(217

) 78

2-58

30 f

or

info

rmat

ion

abou

t th

e G

ener

al U

se

Pest

icid

e Ce

rtifi

catio

n:

http

://w

ww

.idph

.sta

te.il

.us/

envh

ealth

/toc

.htm

OU

TDO

OR

PES

T C

ON

TRO

L: I

f ha

ndle

d by

sta

ff, w

rite

n/a.

____

__Th

e co

mpa

ny n

ame

and

all c

onta

ct in

fo fo

r th

e co

mpa

ny a

ppea

r in

the

IPM

Pla

n.

____

__Co

ntra

ctor

/ st

aff

rece

ives

cop

yof

the

pol

icy/

law

s re

gard

ing

notif

icat

ion

for

outd

oor

use

of p

estic

ides

.

____

__ M

SDS

for

all c

hem

ical

s us

ed o

n gr

ound

s is

sto

red

in

IPM

Bin

der.

____

__ T

he fa

cilit

yw

orks

to

min

imiz

e ou

tdoo

r us

e of

pe

stic

ides

.

Co

mpl

ete

IPM

Pla

n

IL la

w r

equi

res

notif

icat

ion

at le

ast

2 da

ys

befo

re p

estic

ides

are

app

lied

outd

oors

. Pr

ovid

e yo

ur c

ontr

acto

r w

ith in

form

atio

n ab

out

notif

icat

ion

requ

irem

ents

. Go

to

http

://w

ww

.pes

ticid

esaf

ety.

uiuc

.edu

/tra

inin

g/su

mm

ary.

htm

lto

find

out m

ore

abou

t lic

ensi

ng a

nd tr

aini

ng o

r cal

l the

Dep

t. of

Ag

ricul

ture

at 2

17-7

85-2

427

Pl

ace

copi

es o

f M

SDS

IPM

Bin

der.

Co

nsid

er a

skin

g yo

ur c

ontr

acto

r to

use

fe

wer

or

no c

hem

ical

s.

IPM

Tra

inin

g is

ava

ilabl

e th

roug

h th

e Reg

iona

l O

ffic

e of

Edu

catio

n an

d M

idw

est

Pest

icid

e Ac

tion

Cent

er (

ww

w.m

idw

estp

estic

idea

ctio

n.or

g).

Esta

blis

h N

otif

icat

ion

Pro

cedu

res:

Illi

nois

law

req

uire

s al

l par

ents

, gua

rdia

ns a

nd s

taff

be

notif

ied

at le

ast

two

busi

ness

day

s be

fore

pes

ticid

e ap

plic

atio

n (g

el b

ait,

con

tain

eriz

ed b

ait

and

anti-

mic

robi

als

are

exem

pt f

rom

not

ifica

tion)

.

____

__Sc

hool

has

a pr

oced

ure

for

notif

ying

par

ents

.

____

__Sc

hool

has

sel

ecte

d no

tific

atio

nsy

stem

:

Th

ere

is a

reg

istr

y of

nam

es t

o no

tify

as w

ell

as t

he a

nnua

l let

ter

info

rmin

g pa

rent

s ab

out

the

regi

stry

OR

Al

l par

ents

, gua

rdia

ns a

nd s

taff

are

not

ified

.

____

__ C

opie

s of

old

not

ifica

tion

lett

ers

are

kept

in t

he I

PM

Bind

er.

Re

view

and

impl

emen

tN

otifi

catio

n G

uide

lines

in t

he I

PM B

inde

r.

Re

quire

you

r co

ntra

ctor

/sta

ff a

pply

ing

pest

icid

es t

o re

ceiv

e pe

rmis

sion

to

appl

y *s

ever

al d

ays

befo

re t

he s

ched

uled

ap

plic

atio

n* t

o le

ave

suff

icie

nt t

ime

to

notif

y.

Co

nsid

er e

stab

lishi

ng a

pro

cedu

re f

or

gran

ting

perm

issi

on t

o us

e pe

stic

ides

:

who

giv

es t

he c

ontr

acto

r/st

aff

perm

issi

on

to u

se p

estic

ides

; w

hat

form

doe

s th

is

perm

issi

on t

ake;

how

will

the

lett

ers

be

sent

to

pare

nts/

staf

f; e

tc. S

ee S

OP

for

Pest

icid

e Ap

plic

atio

ns (

IPM

Bin

der)

.

Esta

blis

h P

roce

dure

s fo

r a

Pes

t Em

erge

ncy:

The

re a

re c

ircum

stan

ces

whe

re a

pes

t pr

oble

m p

rese

nts

an im

min

ent

risk

to t

he h

ealth

of s

taff

or

child

ren.

The

se c

ircum

stan

ces

can

be o

utlin

ed a

nd p

roce

dure

s pr

epar

ed I

N A

DVA

NCE

.

____

__ W

e ha

ve a

sep

arat

e pr

oced

ure

for

usin

g pe

stic

ides

in a

pe

st e

mer

genc

y, in

clud

ing

a se

para

te s

tate

men

t an

d no

tific

atio

n le

tter

sen

t to

par

ents

, gua

rdia

ns a

nd s

taff

w

ithin

tw

o da

ys o

f ap

plic

atio

n.

____

__ W

e ha

ve a

pro

cess

for

rev

iew

ing

wha

t ga

ve r

ise

to t

he

emer

genc

y (f

ailu

re t

o m

onito

r, t

ake

timel

y ac

tion)

and

en

sure

it d

oesn

t ha

ppen

in t

he f

utur

e.

P

est

Emer

genc

y p

roce

dure

exi

sts.

See

IPM

Bin

der.

Sp

ecia

l em

erge

ncy

notif

icat

ion

lett

er

exis

ts

STA

FF T

RA

ININ

GSU

GG

ESTE

D A

CTI

ON

SP

LAN

NED

FO

LLO

W U

P(w

/ da

tes)

Educ

ate

staf

f, f

acul

ty,

stud

ents

and

pare

nts

abou

t IP

M p

rogr

am.

IPM

is

a te

am e

ffor

t an

d re

quire

s co

mm

unic

atio

n an

d co

oper

atio

n be

twee

n te

ache

rs, d

irect

ors,

cus

todi

al s

taff

, mai

nten

ance

sta

ff, c

hild

ren

and

pare

nts.

____

__IP

M C

oord

inat

or r

ecei

ves

trai

ning

.

____

__An

y on

e of

the

fol

low

ing

indi

vidu

als

rece

ives

trai

ning

: Pr

inci

pal/d

irect

or, g

roun

ds k

eepe

r; h

ealth

tea

cher

; lu

nch

room

man

ager

; he

ad c

usto

dian

;m

aint

enan

ce

staf

f.

____

__IP

M is

incl

uded

in c

ore

staf

f tra

inin

g fo

r ne

w c

usto

dial

or

mai

nten

ance

sta

ff.

Co

ntac

t RO

E/R&

R,IE

PA o

r Sa

fer

Pest

Co

ntro

l Pro

ject

for

tra

inin

g.

Po

wer

Poin

t sl

ides

with

scr

ipts

are

ava

ilabl

e to

hel

p yo

u/IP

M C

oord

inat

or t

rain

oth

er

staf

f du

ring

in-s

ervi

ceat

w

ww

.spc

pweb

.org

/sch

ools

.

Co

py a

nd d

istr

ibut

e th

e re

sour

ces

in t

he

IPM

bin

der

to e

duca

te s

taff

.

Pow

erPo

int

slid

es w

ith s

crip

ts a

re

avai

labl

e to

hel

p yo

u/IP

M C

oord

inat

or

trai

n ot

her

staf

f du

ring

in-s

ervi

ce a

t w

ww

.mid

wes

tpes

ticid

eact

ion.

org.

Cont

act

RO

E/R&

R, I

EPA

or M

idw

est

Pest

icid

e Ac

tion

Cent

er f

or t

rain

ing.

____

__ I

PM is

incl

uded

in t

each

er/s

taff

in-s

ervi

ce

____

__ T

each

ers

are

proh

ibite

d fr

om b

ringi

ng p

estic

ides

to

scho

ol (

and

are

awar

e of

the

pol

icy)

.

REC

OR

D K

EEP

ING

SUG

GES

TED

AC

TIO

NS

PLA

NN

ED F

OLL

OW

UP

(w/

date

s)

Rec

ord

Kee

ping

: Re

cord

s sh

ould

be

kept

in y

our

IPM

/Pes

t Co

ntro

l bin

der,

loca

ted

in t

he m

ain

offic

eor

fac

ility

man

ager

or

lunc

h ro

om m

anag

ers

of

fice.

Use

the

IPM

Bin

der

to h

elp

you

orga

nize

.

We

keep

the

follo

win

g re

cord

sin

an

IPM

Man

ual;

(che

ck o

nly

if th

ey a

re c

urre

ntan

d co

mpl

ete)

:

____

__IP

M P

lan

____

__IP

M P

olic

y

____

_Pe

st s

ight

ing

logs

(se

ct _

_ m

onito

ring)

;

____

_M

onito

r tr

aps

logs

(se

ct__

mon

itorin

g);

____

_ Se

rvic

e re

port

OR

pest

icid

es a

pplie

d w

ith lo

catio

ns a

nd

amou

nts

(sec

t__

Serv

ice

Repo

rts)

;

____

_IP

M R

ecom

men

datio

ns (

if us

ing

a pe

st m

anag

emen

t pr

ofes

sion

al)

(sec

t__

IPM

Rec

omm

enda

tions

);

____

_ C

opie

s of

wor

k or

ders

to

addr

ess

IPM

pro

blem

s (s

ect_

_ IP

M R

ecom

men

datio

ns);

____

__M

ater

ial S

afet

y D

ata

Shee

ts (

MSD

S) (

sect

__ M

SDS)

;

____

__Ce

rtifi

cate

s of

tra

inin

g in

IPM

(se

ct _

_ Ro

les/

Resp

onsi

bilit

ies)

.

If

any

of

the

follo

win

g re

cord

s ar

e no

t cu

rren

t, t

alk

with

IPM

Coo

rdin

ator

abo

ut

crea

ting

a re

cord

kee

ping

sys

tem

.

Cons

ider

util

izin

g th

e IP

M B

inde

r pr

ovid

ed

durin

g w

orks

hop.

Te

xt o

f th

e la

ws

can

be f

ound

at

ww

w.id

ph.s

tate

.il.u

s/ru

lesr

egs/

rule

s-in

dexb

ytop

ic.h

tm#

STRU

CTU

RAL%

20PE

ST%

20CO

NTR

OL

PR

OG

RA

M E

VA

LUA

TIO

NSU

GG

ESTE

D A

CTI

ON

SP

LAN

NED

FO

LLO

W U

P(w

/ da

tes)

Eval

uate

the

pro

gram

on

a re

gula

r ba

sis:

Wor

k w

ith y

our

pest

con

trol

com

pany

and

inco

rpor

ate

feed

back

fro

m s

taff

to

impr

ove

the

prog

ram

.

____

_ IP

M P

olic

y st

ates

how

fre

quen

tly I

PM p

rogr

am w

ill b

e re

eval

uate

d.

____

_The

Pro

gram

has

bee

n re

eval

uate

d as

k in

dica

ted

in t

he

plan

Po

licy

coul

d al

so s

tate

how

the

pro

gram

w

ill b

e ev

alua

ted

(i.e.

ann

ual m

eetin

g of

all

inte

rest

ed p

artie

s; e

tc.)

FFAACCIILLIITTYY IIPPMM PPRROOGGRRAAMM SSUUMMMMAARRYY FFOORRMM

GENERAL INFORMATION

Facility Name: _________________________________________________Address: _________________________________________________

_________________________________________________Principal/Director: ___________________________________Facility Manager: _______________________________

ROLES & RESPONSIBILITIES: SUMMARY

IPM Coordinator: _________________________ Signature: ____________________Title: _________________________ Date: ____________________Phone Number: _________________________

Received Training (dates):____________________

This section used to document responsibility for performing actual pest control activities. This could be someone from an outside company or in house personnel. Fill in the appropriate information for the facility.

Structural Pest Control Contractor (Company Name): _______________________________ Company Phone: _________________________ Owner/Managers Name: _________________________ Technician Name: _________________________

OR In House Employee responsible for pest control: ______________________ Technician/Employee Phone: _________________________

Type of Service: Contracted ____ As Needed ____IPM is specified in the contract? YES ___ NO ___Technician Received IPM Policy & IPM Plan? YES ___ NO ___ Date Recd _______Obtain and include in IPM Manual copies of: Contract ____ Business License ____ General Use Pesticide Application Certificate ____

Outdoor Pest Control Contractor (Company Name): _______________________________ Company Phone: _________________________ Owner/Managers Name: _________________________ Technician Name: _________________________

OR In House Employee responsible for pest control: ______________________ Technician/Employee Phone: _________________________

Type of Service: Contracted ____ As Needed ____IPM is specified in the contract? YES ___ NO ___Technician Received IPM Policy & IPM Plan? YES ___ NO ___ Date Recd _______Obtain and include in IPM Manual copies of: Contract ____ Business License ____ General Use Pesticide Application Certificate ____

POLICIES, PROCEDURES & PLANS: SUMMARY

Date IPM Policy was adopted: _________________Date IPM Plan was created: _______________Plan was Evaluated/Readopted: __________ __________ __________(Dated and initialed) __________ __________ __________

__________ __________ __________

STAFF TRAINING: SUMMARY

Staff Trained on IPM: Name Title Date_________________________ _________________ _______________________________________ _________________ _______________________________________ _________________ _______________________________________ _________________ ______________

ADMINISTRATIVE ISSUES

The IPM Plan will be evaluated and reviewed on the following schedule: ____________________. The dates for evaluation and review are to be placed on ______________ (school calendar or other schedule reminder) by the IPM coordinator.

INDOOR Pests:List all pests that currently are or have been a problem in the past (youre recommended to at least plan for cockroaches, mice and ants) in order of priority:

_________________________________________________________________________________

_________________________________________________________________________________

OUTDOOR Pests:List all pests that currently are or have been a problem in the past:

_________________________________________________________________________________

_________________________________________________________________________________

The IPM Plan was created by the following individuals:

__________________________ (name) ______________________ (title)_____ (initials)__________________________ (name) ______________________ (title)_____ (initials)__________________________ (name) ______________________ (title)_____ (initials)

on ___________ (date).

IIPPMM CCoooorrddiinnaattoorr RRoollee && RReessppoonnssiibbiilliittiieess

General Description:The IPM Coordinator is an essential part of a successful IPM Program. S/he will facilitate communication and ensure the schools/facilitys pest management decisions and actions adhere to the IPM Plan and to Illinois School or Childcare IPM Laws. S/he should be present during routine service visits.

IPM Coordinator Candidates:In schools, the facility manager or head custodian is often the IPM Coordinator, however, the assistant principal, principal, health teacher or any other person who is interested in assuring a healthy environment for students and staff are also candidates. In child care centers the IPM coordinator is often the centers director. The IPM Coordinator should be capable of influencing policy and practices at the facility. S/he will need the authority to call for locker clean outs; intervene with teachers, custodians or other/lunch room staff whose behavior is contributing to pest problems; and supervise the pest management professional to ensure s/he is providing IPM.

Time Commitment:Acting as IPM Coordinator does not demand much time and will require less as s/he gets accustomed to the role. The IPM Coordinator should be familiar with the contents and organization of the IPM Binder, participate in additional training on pest management and IPM and review the laws associated with school and childcare pest management.

Once procedures and staff adjust to IPM, the IPM Coordinator should expect to spend a smallamount of time on pest management issues except when problems arise or when corrective action is required (i.e. a teacher is using Raid or lack or cleaning/sanitation is leading to roach/ant problems).

Specific Description: Acts as a liaison with the pest control company as the primary contact person with the pest

management professional. Is present during service visits from the pest management professional. Collects any/all pest sightings (on a Pest Sighting Log or other written document) and make

this information available to pest management professional. Implements IPM recommendations from the pest control technician (for cleaning, repairs,

etc) by creating work orders or communicating necessary behavioral changes to teachers or staff.

Authorizes any use of pesticides before they are used. Never uses pesticides him/herself. Participates in meetings to create the IPM Plan. Participates in meetings to evaluate the IPM Program. Participates in meetings to assess if a pest presents an emergency. Keeps pest management records for at least three years. Possess the IPM Binder. Receives training on IPM.

Copies of Training Certificates

PEST SPECIFIC IPM PLAN

Directions: Planning for potential pest problems before they take place is an important part of IPM and helps administrators and staff feel confident in their ability to control pests without resorting to use ofdangerous spray pesticides.

This document should be completed in collaboration with your pest control professional (or employee responsible for pest management) and IPM Coordinator. For more information reference the Illinois Department of Public Healths A Practical Guide to Common Pests in Schools at http://www.idph.state.il.us/envhealth/pdf/schoolpests.pdf.

Identification:In many cases, it is necessary to correctly identify a pest before effectively controlling it. Who will you contact to confirm a pest ID or to identify a mystery pest?

Name: ___________________________________ Phone: ______________________________

Pest location details:Detail typical or historical pest activities in each separate room or functionally different part of the building. Include out-buildings such as field houses, storage units, green houses, etc. Provide as many details as you can about the location of the pest problem inside the school buildings including seasonal flux, severity, etc.

Pest Type:

Pest identification details:

Creating Action Threshold:An action threshold is a level of pest infestation that dictates when and what type of pest control action takes place. Action thresholds are different depending on the numbers of pests found and sensitivity of the area infested. Identifying what the appropriate action thresholds are in a facility is an important part of developing a workable IPM plan.

Identify in this section areas of the facility that are considered sensitive environments where tolerance is low for the pest specified (examples: kitchen, cafeteria, teachers lounge, and special needs classrooms).

Sensitive location Room Number Room Function/Concerns

Fill in the table below by indicating how many of the specified pest needs to be present to constitute each degree of infestation. This table will be useful in creating the remainder of the IPM Plan.

Tolerance Levels

Number of pests found that trigger action based on the tolerance threshold indicated.

(Pests per Time Period)

Sensitive AreaNon-Sensitive Area

Below Tolerance Threshold: although pests may be present, they do not trigger action.

Mild Problem: population does not show signs of increasing; problem is not in a sensitive area; or prevention/elimination is working.

Moderate problem: a small population of pests in a sensitive area (kitchen, food storage) or a pest problem that appears to be growing; or a pest problem in a somewhat sensitive area.

Severe problem: pest population is out of control; any citation from a inspecting agency; moderate pest problem in sensitive area.

Emergency: pests threaten health of students/staff; citations from health department or threat of closure of lunch room.

Monitoring procedures:Your pest control professional should place pest monitoring traps in all pest prone areas. Staff should be instructed not to move the traps. Pest sightings are to be reported to the IPM Coordinator. Your plan for monitoring should include information about frequency, methods and results (i.e. approximate number of traps in each room and frequency for checking traps).

Describe monitoring procedures for this pest when pests are absent:

Describe monitoring procedures for this pest when pests are present (will you add more monitors; check them more frequently; place them around potential pest hot spots; etc):

IPM

Res

pons

e Pl

an:

The

final

ste

p in

cre

atin

g yo

ur I

PM

Pla

n is

to

dete

rmin

e w

hat

actio

ns y

ou w

ill t

ake

at w

hat

pest

thr

esho

lds.

Thi

s ca

n be

a c

ompl

ex t

ask

and

requ

ires

colla

bora

tion

betw

een

adm

inis

trato

rs, t

he ,

IPM

Coo

rdin

ator

and

pes

t con

trol p

rofe

ssio

nal.

Ref

er to

IDP

H IP

M G

uide

lines

for e

xam

ples

of a

ctio

ns th

at c

an b

e ta

ken

(http

://w

ww

.idph

.sta

te.il

.us/

envh

ealth

/stru

ctur

alpe

st.h

tm) f

or p

est

prev

entio

n, m

anag

emen

t and

trea

tmen

t (th

ough

this

is n

ot a

n ex

haus

tive

list).

You

r res

pons

e at

eac

h le

vel o

f inf

esta

tion

is y

our c

hoic

e. If

get

ting

rid o

f car

dboa

rd in

you

r ent

ire s

choo

l/chi

ldca

re fa

cilit

yor

repa

iring

a le

akin

g pi

pe w

ould

be

extre

mel

y bu

rden

som

e, th

en d

ont

mak

e it

the

first

ste

p w

hen

a m

ild p

robl

em a

ppea

rs. C

onsi

der c

hang

ing

stra

tegi

esw

hen

othe

r (e

asie

r to

empl

oyee

s) s

trate

gies

, lik

e lo

cker

cle

an o

ut o

r tho

roug

h cl

eani

ng/b

ette

r gar

bage

man

agem

ent,

have

faile

d.

Res

pons

e Ti

me

Con

ditio

n Pe

st

Act

ions

Ed

it or

repl

ace

sam

ple

actio

ns

Pes

t Em

erge

ncy

-Im

med

iate

act

ion

nece

ssar

y.

Imm

inen

t dan

ger o

f ph

ysic

al h

arm

to

stud

ents

or s

taff

Was

ps, h

orne

ts o

roth

er

stin

ging

inse

cts

whe

re

stud

ents

or s

taff

are

extre

mel

y lik

ely

to c

onta

ct th

em.

Not

ove

r fou

r hou

rs

Pot

entia

l phy

sica

l ha

rm to

stu

dent

s or

st

aff

Rod

ents

whe

re s

tude

nts

or

staf

f are

like

ly to

con

tact

them

;

Wild

life

(rac

coon

s, o

poss

ums,

fe

ral c

ats,

bat

s, e

tc.)

whe

re

stud

ents

or s

taff

are

likel

y to

co

ntac

t the

m

Res

pons

e Ti

me

Con

ditio

n Pe

st

Act

ions

Ed

it or

repl

ace

sam

ple

actio

ns

Stin

ging

or b

iting

inse

cts

whe

re s

tude

nts

or s

taff

are

likel

y to

con

tact

them

One

wor

king

day

P

oten

tial m

edic

al

harm

to s

tude

nts

or

staf

f

Flea

s, L

ice,

Bed

/Bat

bug

s an

d P

oiso

nous

spi

ders

One

wor

king

day

Pot

entia

l for

food

co

ntam

inat

ion

Cer

eal p

ests

, Roa

ches

, R

oden

ts, A

nts

in k

itche

n or

fo

od s

tora

ge a

reas

and

Flie

s ar

ound

food

.

One

totw

o w

orki

ng d

ays

Sig

htin

g of

larg

e nu

mbe

rs o

f no

nthr

eate

ning

bug

s

Ant

or T

erm

ite c

olon

ies

in th

e bu

ildin

g; m

ovem

ent i

nto

the

build

ing

of M

illip

edes

, C

ricke

ts, B

oxel

derb

ugs,

etc

.

Two

to 7

day

sS

ight

ing

of s

mal

l nu

mbe

rs o

f no

nthr

eate

ning

bug

s

Ant

or T

erm

ite c

olon

ies

in th

e bu

ildin