1 - Location 1 FP Template Reference Only.xlsx

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Fire Protection Facility Assessment Reports, Risk Management Surveys, and Safety & Health Risk Management Surveys at Multiple GSA Region 5 Locations
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47PF0023Q0019
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RAC Summary

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Fire Protection Survey RAC Summary

RAC Summary
8518EDITABLEN
Means of Egress System6
Fire Alarm & Emerg. Comm Sys6
Automatic Sprinkler Systems6
Non-Water-Based Fire Ext. Sys.6
Smoke Management Systems6
Interior Finish6
Passive Fire Protection Systems6
Vertical Transportation Systems6
Preventative Maint. Records6
Emergency Preparedness Records6
Special Systems or Areas6
Significant Fuel Loads & HazMat6
Other Categories6
6
Overall RAC6

IRIS Building Profile

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GSARisk Management Survey

IRIS Building Profile

Questions Response Findings/Observations (Location Description: Floor, Room #, Stair #, etc.)

IRIS Building Profile
Region51328652326721551
GSA Building NumberIL2252ZZ1328652426721561
GSA Building NameFAIRVIEW HEIGHTS IL CORPORATE CENTRE1328652526721571
Building Street Address9 Executive Dr1328652626721581
Date of Building Construction1328651726721491
Building CityFAIRVIEW HEIGHTS1328652126721531
Building StateIL1328652226721541
Building Size (RSF)132865161
Building Size (GSF)434981328651826721501
Total Number of Floors Above Grade01328651926721511
Total Number of Floors Below Grade01328652026721521
8518N1328

Building Information

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GSARisk Management Survey

Building Information

Questions Response Findings/Observations (Location Description: Floor, Room #, Stair #, etc.)

Survey Information
Date(s) of Onsite Survey133065271
Name of Surveyor133065281
Surveyor Company Name and Contact Information133065291
Type of Survey133065453
Facility Type133065463
General Building Information
GSA Facility Manager / Lease Administration Manager & Contact Information138067921
Building occupancy classification per latest edition of IBC138067933
Building construction type per latest edition of IBC138067943
Automatic Sprinkler Coverage (None/Partial/Full-Total)138067953
For Federally Owned & Leased surveys, identify the specific floors the Federal Government occupies.138067961
For Federally Owned & Leased surveys, identify the different type of occupancies on each floor the Federal Government occupies.138067971
Height from lowest level of fire department vehicle access to the highest Federally occupied floor of the building (in feet)138067981
Height from the lowest level of fire department vehicle access to the roof of the building (in feet)138067991
High-rise Building138068004
Historic Building138068013
Identify and describe the location of the nearest fire department and the approximate distance (e.g. Blocks, Miles, etc.) from the building.138068021
For Federally Owned & Leased surveys, identify by location and describe significant fuel load areas that when ignited would produce significant adverse effects to the space occupied by the Federal Government.138068031
Identify by location and describe any High Risk Operations, e.g., High Risk Laboratories, Firing Ranges, Shoot Houses, Storage of Explosive Materials.138068041
For Federally Owned & Leased surveys, describe the fire exposures on the north, south, east, and west sides of the building, including the distance from the building.138068051
Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the Findings/Observations Column.138074203
Identify any Unique Space Type #2.138074213
Identify any Unique Space Type #3.138074223
Identify any Unique Space Type #4.138074233
Child Care Center Information
Is there a Child Care Center in this building?138168063
Child Care Center Name138168071
Child Care Center Director Name and Contact Information138168081
Describe location of the Child Care Center and associated Child Care Center spaces (Floor(s)).138168091
Describe approximate GSF of each Child Care Center Space.138168101
Identify the number of children in the Child Care Center by age group (e.g., infants, young toddlers, older toddlers, 3 year olds, 4 year olds, and 5 year olds+).138168111
Identify the number of Child Care Center staff.138168121
Is the Child Care Center protected by an automatic sprinkler system (Yes/No)?138168133
Identify the different type of occupancies on each floor the Child Care Center occupies.138168141
Identify by location and describe significant fuel load areas within the Child Care Center.138168151
Describe the fire exposures on the north, south, east, and west sides of the building, including the distance from the Child Care Center.138168161
Means of Egress System Information
Identify and describe the number of means of egress from each floor of Federal occupancy. (e.g., stair width, tread length, riser height, and handrail specifics, etc.).136867131
Identify and describe the location of where each exit discharges and terminates.136867141
Identify and describe if the building has a fire escape(s).136867151
Identify and describe if the building has a scissor stair(s).136867161
Describe the calculated occupant load and exit capacity for each floor of Federal occupancy.136867171
Describe the Illumination of means of egress system (includes emergency lighting) for Federal occupants.136867191
Describe the marking means of egress (e.g., exit signage, path markings, signage, evacuation route signage) for Federal occupants.136867201
Identify and describe the number of means of egress from the GSA Child Care Center.136867211
Identify and describe the arrangement of means of egress from each floor of the Child Care Center (e.g., travel distance, common path of travel, exit remoteness, etc.).136867221
Identify and describe the location of where each exit discharges and terminates from each floor of the Child Care Center.136867231
Describe the Illumination of means of egress system (includes emergency lighting) for the Child Care Center.136867241
Describe the marking means of egress (e.g., exit signage, path markings, signage, evacuation route signage) for the Child Care Center.136867251
Automatic Sprinkler System(s) Information
If applicable, for Federally Owned surveys, describe the water supply (e.g., public, tanks, etc.) for the facility.136967281
If applicable, for Federally Owned & Leased surveys, identify the type(s) and describe the location of automatic sprinkler system(s) on each floor of Federal occupancy (e.g., wet, dry, pre-action, etc.).136967291
If applicable, for Federally Owned & Leased surveys, identify the type(s) of sprinklers (e.g., manufacturer, model, date of manufacturer for each type of sprinkler) in the sprinkler cabinet.136967301
Identify the type and describe the location of the automatic sprinkler system for the Child Care Center (e.g., wet, dry, etc.).136967311
For a Child Care Center, identify the type(s) of sprinklers (e.g., manufacturer, model, date of manufacturer for each type of sprinkler) in the sprinkler cabinet.136967321
Standpipe System Information
If applicable, for Federally Owned and Leased surveys, identify by location and describe the type(s) of standpipe systems.137067331
Fire Department Connection Information
If applicable, identify by location and describe the fire department connections.138268171
Sprinkler Piping Information
If applicable, for Federally Owned surveys identify if pressure reducing valves are present.138368181
Fire Pump Information
If applicable, for Federally Owned and Leased surveys, identify (e.g., type, manufacturer, model) and the location of fire pump.137167341
If applicable, for Federally Owned and Leased surveys, identify the size of fire pump (__ gpm at __ psi).137167351
If applicable, for Federally Owned and Leased surveys, identify (e.g., manufacturer, model) and the location of jockey pump.137167361
Non-Water Based Fire Extinguishing Systems
If applicable, for Federally Owned and Leased surveys, identify by location and describe the clean agent extinguishing system on the floor(s) of Federal occupancy.137267381
If applicable, for Federally Owned and Leased surveys, identify by location and describe the types of portable fire extinguishers on the floor(s) of Federal occupancy.137267391
If applicable, for Federally Owned and Leased surveys, identify by location the wet chemical system on the floor(s) of Federal occupancy.137267401
If applicable, identify by location and describe the type of portable fire extinguishers within the Child Care Center.137267411
If applicable, identify by location the wet chemical system within the Child Care Center.137267421
Fire Alarm & Emergency Communication System Information
If applicable, for Federally Owned and Leased surveys, describe the fire alarm and emergency communication system for the facility.137367431
Identify the location of the main fire alarm control unit (e.g., 1st floor fire command center, etc.).137367441
Identify the date the fire alarm system was installed.137367451
Identify the age of fire alarm system.137367461
Identify the control unit manufacturer.137367471
Identify the control unit model number.137367481
Identify the control unit date manufactured.137367491
If applicable, identify the software/firmware and revision number.137367501
If applicable, identify and describe the emergency responder radio communication system.137367511
Describe the fire alarm and emergency communication system for the Child Care Center; indicate if the Child Care Center is provided with a separate fire alarm control unit and if it is connected to the building’s fire alarm system.137367521
Identify and describe the location of smoke detectors within the Child Care Center.137367531
Smoke Management System Information
If applicable, for Federally Owned and Leased surveys, identify and describe vertical shaft pressurization systems (e.g., exit stairs and elevator hoistways).137467541
If applicable, for Federally Owned and Leased surveys, identify and describe the atrium smoke control system.137467551
If applicable, for Federally Owned and Leased surveys, identify and describe the floor pressurization system (zones).137467571
If applicable, for Federally Owned and Leased surveys, identify and describe the location of the fire fighters' smoke control panel.137467581
If applicable, for Federally Owned surveys, identify and describe if the BAS system is connected to any smoke control system noted.137467591
If applicable, for Federally Owned and Leased surveys, identify and describe the smoke removal systems.137467601
If applicable, for Federally Owned and Leased surveys, identify and describe the smoke purge systems.137467611
Passive Fire Protection Information
If applicable for Federally Owned and Leased surveys, Identify and describe protection of vertical and horizontal openings (include walls, floors, doors, fire dampers, smoke dampers, combination fire/smoke dampers, etc.) for floor(s) of Federal occupancy.137567621
If applicable for Federally Owned and Leased surveys, Identify and describe protection from hazards (e.g., flammable & combustible solids, liquids, corrosives; explosive materials; chemical laboratories; etc.) for floor(s) of Federal occupancy.137567631
Identify and describe the separation requirements for the Child Care Center.137567641
Interior Finishes
For Federally Owned and Leased surveys, identify and describe by location the different types of interior finish on floor(s) of Federal occupancy.137667711
Identify and describe by location the different types of interior finish within the Child Care Center137667721
Vertical Transportation System Information
If applicable, for Federally Owned and Leased surveys, identify and describe the location and number of escalators.137767731
If applicable, for Federally Owned and Leased surveys, identify the number of passenger elevators.137767741
If applicable, for Federally Owned and Leased surveys, identify the number of freight elevators.137767751
If applicable, for Federally Owned and Leased surveys, identify the number of service elevators.137767761
If applicable, for Federally Owned and Leased surveys, identify the number of fire service access elevators.137767771
If applicable, for Federally Owned and Leased surveys, identify the number of occupant evacuation elevators.137767781
If applicable, for Federally Owned and Leased surveys, identify and describe the fire fighters' emergency operation provided (Phase I emergency recall operation) for the elevators.137767791
If applicable, for Federally Owned and Leased surveys, identify and describe the fire fighters' emergency operation provided (Phase II emergency in-car operation) for the elevators.137767801
If applicable, for Federally Owned and Leased surveys, identify and describe the location of each elevator machine room (include if protected by automatic sprinklers, shunt trip, smoke detection, etc.).137767811
If applicable, for Federally Owned and Leased surveys, describe the standby power for each of the types of elevator.137767821
Emergency and Standby Power System Information
Identify and describe the source(s) of emergency and standby power for the building.137967881
Identify all systems connected to the emergency and standby power system.137967891
Identify and describe the source(s) of emergency and standby power for the GSA Child Care Center.137967901
Identify all systems within the GSA Child Care Center connected to the emergency and standby power system.137967911
Preventative Maintenance Record Information (Fire Protection Equipment and Systems)
List the fire protection equipment and systems preventative maintenance records reviewed (e.g., smoke management/control system, sprinklers, fire alarm, fire doors, fire pump, emergency lighting, exit signage, stand-by power, dampers, portable fire extinguishers, etc.).138768331
Emergency Preparedness Record Information
For Federally Owned and Leased surveys, describe the building's occupant emergency plan (OEP) reviewed. Include date of OEP; procedures to evacuate occupants and persons with mobility disabilities; procedures to evacuate occupants after-hours; etc. during an emergency.138868341
For Child Care Center surveys, describe the Child Care Center's occupant emergency plan (OEP) reviewed. Include date of OEP; procedures to evacuate the children during an emergency.138868351
Describe the fire and evacuation drill records reviewed (e.g., annual drill, monthly drill for Child Care Centers).138868361
Identify and describe if the local fire department has been invited into the facility to prepare a pre-fire plan for the facility.138868371
Special Systems/Areas Information
If applicable, for Federally Owned and Leased surveys, identify location and describe the energy storage system.138968381
If applicable, for Federally Owned and Leased surveys, identify location and describe the energy production system (including wind, solar, & geothermal).138968391
If applicable, for Federally Owned and Leased surveys, identify location and describe information technology equipment rooms.138968401
If applicable, for Federally Owned and Leased surveys, identify location and describe places of confinement (holding areas).138968411
If applicable, for Federally Owned surveys, identify location and describe the fire protection for the cooling towers.138968421
If applicable, for Federally Owned and Leased surveys, identify location and describe emergency power (generator, etc.).138968431
If applicable, for Federally Owned and Child Care surveys, identify location and describe the CO detection system.138968441
Fire Safety Evaluation System (FSES) Scoring
If applicable, for Federally Owned surveys - FSES Completion Date:137867831
If applicable, for Federally Owned surveys - Fire Control:137867841
If applicable, for Federally Owned surveys - Egress Provided:137867851
If applicable, for Federally Owned surveys - General Fire Safety:137867861
If applicable, for Federally Owned surveys - Building Fire Risk Index (BFRI)137867871
8518EDITABLEN1378

Means of Egress System

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GSARisk Management Survey

Means of Egress System

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Arrangement of Means of Egress
Is the Arrangement of Means of Egress in compliance?Not PossibleNo Impact6134465984
Identified Risk Condition # 1Not PossibleNo Impact6134466043
Identified Risk Condition # 2Not PossibleNo Impact6134466053
Identified Risk Condition # 3Not PossibleNo Impact6134466063
Capacity of Means of Egress
Is the Capacity of Means of Egress in compliance?Not PossibleNo Impact6134666114
Identified Risk Condition # 1Not PossibleNo Impact6134666123
Identified Risk Condition # 2Not PossibleNo Impact6134666133
Identified Risk Condition # 3Not PossibleNo Impact6134666143
Discharge from Exits
Is the Discharge from Exits in compliance?Not PossibleNo Impact6134065784
Identified Risk Condition # 1Not PossibleNo Impact6134065793
Identified Risk Condition # 2Not PossibleNo Impact6134065803
Identified Risk Condition # 3Not PossibleNo Impact6134065813
Doors
Are the Doors in compliance?Not PossibleNo Impact6134265864
Identified Risk Condition # 1Not PossibleNo Impact6134265883
Identified Risk Condition # 2Not PossibleNo Impact6134265893
Identified Risk Condition # 3Not PossibleNo Impact6134265903
Exit Stairs
Are the Exits Stairs in compliance?Not PossibleNo Impact6134365914
Identified Risk Condition # 1Not PossibleNo Impact6134365953
Identified Risk Condition # 2Not PossibleNo Impact6134365963
Identified Risk Condition # 3Not PossibleNo Impact6134365973
Horizontal Exits
Are the Horizontal Exits in compliance?Not PossibleNo Impact6134165824
Identified Risk Condition # 1Not PossibleNo Impact6134165833
Identified Risk Condition # 2Not PossibleNo Impact6134165843
Identified Risk Condition # 3Not PossibleNo Impact6134165853
Fire Escapes
Are the Fire Escapes in compliance?Not PossibleNo Impact6134566074
Identified Risk Condition # 1Not PossibleNo Impact6134566083
Identified Risk Condition # 2Not PossibleNo Impact6134566093
Identified Risk Condition # 3Not PossibleNo Impact6134566103
Illumination of Means of Egress
Is the Illumination of Means of Egress in compliance?Not PossibleNo Impact6134766154
Identified Risk Condition # 1Not PossibleNo Impact6134766173
Identified Risk Condition # 2Not PossibleNo Impact6134766183
Identified Risk Condition # 3Not PossibleNo Impact6134766193
Marking Means of Egress
Is the Marking Means of Egress in compliance?Not PossibleNo Impact6138468204
Identified Risk Condition # 1Not PossibleNo Impact6138468213
Identified Risk Condition # 2Not PossibleNo Impact6138468223
Identified Risk Condition # 3Not PossibleNo Impact6138468233
Means of Egress Reliability
Is the Means of Egress Reliability in compliance?Not PossibleNo Impact6138568254
Identified Risk Condition # 1Not PossibleNo Impact6138568263
Identified Risk Condition # 2Not PossibleNo Impact6138568273
Identified Risk Condition # 3Not PossibleNo Impact6138568283
Number of Means of Egress
Are the Number of Means of Egress in compliance?Not PossibleNo Impact6138668294
Identified Risk Condition # 1Not PossibleNo Impact6138668303
Identified Risk Condition # 2Not PossibleNo Impact6138668313
Identified Risk Condition # 3Not PossibleNo Impact6138668323
Other Findings
Other Findings 1Not PossibleNo Impact6133965681
Other Findings 2Not PossibleNo Impact6133965691
Other Findings 3Not PossibleNo Impact6133965701
Other Findings 4Not PossibleNo Impact6133965711
Other Findings 5Not PossibleNo Impact6133965721
Other Findings 6Not PossibleNo Impact6133965731
Other Findings 7Not PossibleNo Impact6133965741
Other Findings 8Not PossibleNo Impact6133965751
Other Findings 9Not PossibleNo Impact6133965761
Other Findings 10Not PossibleNo Impact6133965771
Overall RAC
Overall RAC6133865655
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.133865666
Explanation of User Adjusted RAC133865671
8518EDITABLEN1338
66N

Fire Alarm & Emerg. Comm Sys

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GSARisk Management Survey

Fire Alarm & Emerg. Comm Sys

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Annunciator(s)
Is the Annunciator in compliance?Not PossibleNo Impact6136066804
Identified Risk Condition # 1Not PossibleNo Impact6136066813
Identified Risk Condition # 2Not PossibleNo Impact6136066823
Identified Risk Condition # 3Not PossibleNo Impact6136066833
Fire Alarm Control Unit(s)
Is the Fire Control Unit in compliance?Not PossibleNo Impact6135966704
Identified Risk Condition # 1Not PossibleNo Impact6135966773
Identified Risk Condition # 2Not PossibleNo Impact6135966783
Identified Risk Condition # 3Not PossibleNo Impact6135966793
Fire Command Center
Is the Fire Command Center in compliance?Not PossibleNo Impact6135866654
Identified Risk Condition # 1Not PossibleNo Impact6135866673
Identified Risk Condition # 2Not PossibleNo Impact6135866683
Identified Risk Condition # 3Not PossibleNo Impact6135866693
Initiating Devices
Are the Initiating Devices in compliance?Not PossibleNo Impact6139168494
Identified Risk Condition # 1Not PossibleNo Impact6139168503
Identified Risk Condition # 2Not PossibleNo Impact6139168513
Identified Risk Condition # 3Not PossibleNo Impact6139168523
Notification Appliances
Are the Notification Appliances in compliance?Not PossibleNo Impact6139068454
Identified Risk Condition # 1Not PossibleNo Impact6139068463
Identified Risk Condition # 2Not PossibleNo Impact6139068473
Identified Risk Condition # 3Not PossibleNo Impact6139068483
Supervisory Station Monitoring Service
Is the Supervisory Station Monitoring Service in compliance?Not PossibleNo Impact6139268534
Identified Risk Condition # 1Not PossibleNo Impact6139268543
Identified Risk Condition # 2Not PossibleNo Impact6139268553
Identified Risk Condition # 3Not PossibleNo Impact6139268563
Other Findings
Other Findings 1Not PossibleNo Impact6135766551
Other Findings 2Not PossibleNo Impact6135766561
Other Findings 3Not PossibleNo Impact6135766571
Other Findings 4Not PossibleNo Impact6135766581
Other Findings 5Not PossibleNo Impact6135766591
Other Findings 6Not PossibleNo Impact6135766601
Other Findings 7Not PossibleNo Impact6135766611
Other Findings 8Not PossibleNo Impact6135766621
Other Findings 9Not PossibleNo Impact6135766631
Other Findings 10Not PossibleNo Impact6135766641
Overall RAC
Overall RAC6135666525
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.135666536
Explanation of User Adjusted RAC135666541
8518EDITABLEN1356
66N

Automatic Sprinkler Systems

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GSARisk Management Survey

Automatic Sprinkler Systems

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Fire Department Connections
Are the Fire Department Connections in compliance?Not PossibleNo Impact6136466974
Identified Risk Condition # 1Not PossibleNo Impact6136466983
Identified Risk Condition # 2Not PossibleNo Impact6136466993
Identified Risk Condition # 3Not PossibleNo Impact6136467003
Fire Pumps
Are the Fire Pumps in compliance?Not PossibleNo Impact6136567014
Identified Risk Condition # 1Not PossibleNo Impact6136567023
Identified Risk Condition # 2Not PossibleNo Impact6136567033
Identified Risk Condition # 3Not PossibleNo Impact6136567043
Sprinkler Piping
Is the Sprinkler Piping in compliance?Not PossibleNo Impact6136667054
Identified Risk Condition # 1Not PossibleNo Impact6136667063
Identified Risk Condition # 2Not PossibleNo Impact6136667073
Identified Risk Condition # 3Not PossibleNo Impact6136667083
Sprinklers
Are the Sprinklers in compliance?Not PossibleNo Impact6136767094
Identified Risk Condition # 1Not PossibleNo Impact6136767103
Identified Risk Condition # 2Not PossibleNo Impact6136767113
Identified Risk Condition # 3Not PossibleNo Impact6136767123
Standpipes
Are the Standpipes in compliance?Not PossibleNo Impact6139468614
Identified Risk Condition # 1Not PossibleNo Impact6139468623
Identified Risk Condition # 2Not PossibleNo Impact6139468633
Identified Risk Condition # 3Not PossibleNo Impact6139468643
Water Supply
Is the Water Supply in compliance?Not PossibleNo Impact6139368574
Identified Risk Condition # 1Not PossibleNo Impact6139368583
Identified Risk Condition # 2Not PossibleNo Impact6139368593
Identified Risk Condition # 3Not PossibleNo Impact6139368603
Other Findings
Other Findings 1Not PossibleNo Impact6136366871
Other Findings 2Not PossibleNo Impact6136366881
Other Findings 3Not PossibleNo Impact6136366891
Other Findings 4Not PossibleNo Impact6136366901
Other Findings 5Not PossibleNo Impact6136366911
Other Findings 6Not PossibleNo Impact6136366921
Other Findings 7Not PossibleNo Impact6136366931
Other Findings 8Not PossibleNo Impact6136366941
Other Findings 9Not PossibleNo Impact6136366951
Other Findings 10Not PossibleNo Impact6136366961
Overall RAC
Overall RAC6136266845
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.136266856
Explanation of User Adjusted RAC136266861
8518EDITABLEN1362
66N

Non-Water-Based Fire Ext. Sys.

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GSARisk Management Survey

Non-Water-Based Fire Ext. Sys.

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Clean Agent Extinguishing System
Is the Clean Agent Extinguishing System in compliance?Not PossibleNo Impact6133665614
Identified Risk Condition # 1Not PossibleNo Impact6133665623
Identified Risk Condition # 2Not PossibleNo Impact6133665633
Identified Risk Condition # 3Not PossibleNo Impact6133665643
Portable Fire Extinguishers
Are the Portable Fire Extinguishers in compliance?Not PossibleNo Impact6139668694
Identified Risk Condition # 1Not PossibleNo Impact6139668703
Identified Risk Condition # 2Not PossibleNo Impact6139668713
Identified Risk Condition # 3Not PossibleNo Impact6139668723
Wet Chemical System
Is the Wet Chemical System in compliance?Not PossibleNo Impact6139568654
Identified Risk Condition # 1Not PossibleNo Impact6139568663
Identified Risk Condition # 2Not PossibleNo Impact6139568673
Identified Risk Condition # 3Not PossibleNo Impact6139568683
Other Findings
Other Findings 1Not PossibleNo Impact6133565511
Other Findings 2Not PossibleNo Impact6133565521
Other Findings 3Not PossibleNo Impact6133565531
Other Findings 4Not PossibleNo Impact6133565541
Other Findings 5Not PossibleNo Impact6133565551
Other Findings 6Not PossibleNo Impact6133565561
Other Findings 7Not PossibleNo Impact6133565571
Other Findings 8Not PossibleNo Impact6133565581
Other Findings 9Not PossibleNo Impact6133565591
Other Findings 10Not PossibleNo Impact6133565601
Overall RAC
Overall RAC6133465485
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.133465496
Explanation of User Adjusted RAC133465501
8518EDITABLEN1334
66N

Smoke Management Systems

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Smoke Management Systems

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Atrium
Is the Atrium in compliance?Not PossibleNo Impact6135266374
Identified Risk Condition # 1Not PossibleNo Impact6135266403
Identified Risk Condition # 2Not PossibleNo Impact6135266413
Identified Risk Condition # 3Not PossibleNo Impact6135266423
Floor Pressurization Zones
Are the Floor Pressurization Zones in compliance?Not PossibleNo Impact6135366434
Identified Risk Condition # 1Not PossibleNo Impact6135366453
Identified Risk Condition # 2Not PossibleNo Impact6135366463
Identified Risk Condition # 3Not PossibleNo Impact6135366473
Smoke Purge System
Is the Smoke Purge System in compliance?Not PossibleNo Impact6135466484
Identified Risk Condition # 1Not PossibleNo Impact6135466493
Identified Risk Condition # 2Not PossibleNo Impact6135466503
Identified Risk Condition # 3Not PossibleNo Impact6135466513
Smoke Removal System
Is the Smoke Removal System in compliance?Not PossibleNo Impact6135166334
Identified Risk Condition # 1Not PossibleNo Impact6135166343
Identified Risk Condition # 2Not PossibleNo Impact6135166353
Identified Risk Condition # 3Not PossibleNo Impact6135166363
Vertical Shaft Pressurization
Is the Vertical Shaft Pressurization in compliance?Not PossibleNo Impact6139768734
Identified Risk Condition # 1Not PossibleNo Impact6139768743
Identified Risk Condition # 2Not PossibleNo Impact6139768753
Identified Risk Condition # 3Not PossibleNo Impact6139768763
Other Findings
Other Findings 1Not PossibleNo Impact6135066231
Other Findings 2Not PossibleNo Impact6135066241
Other Findings 3Not PossibleNo Impact6135066251
Other Findings 4Not PossibleNo Impact6135066261
Other Findings 5Not PossibleNo Impact6135066271
Other Findings 6Not PossibleNo Impact6135066281
Other Findings 7Not PossibleNo Impact6135066291
Other Findings 8Not PossibleNo Impact6135066301
Other Findings 9Not PossibleNo Impact6135066311
Other Findings 10Not PossibleNo Impact6135066321
Overall RAC
Overall RAC6134966205
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.134966216
Explanation of User Adjusted RAC134966221
8518EDITABLEN1349
66N

Interior Finish

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Interior Finish

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Interior Finish
Is the Interior Finish in compliance?Not PossibleNo Impact6140168904
Identified Risk Condition # 1Not PossibleNo Impact6140168913
Identified Risk Condition # 2Not PossibleNo Impact6140168923
Identified Risk Condition # 3Not PossibleNo Impact6140168933
Other Findings
Other Findings 1Not PossibleNo Impact6140068801
Other Findings 2Not PossibleNo Impact6140068811
Other Findings 3Not PossibleNo Impact6140068821
Other Findings 4Not PossibleNo Impact6140068831
Other Findings 5Not PossibleNo Impact6140068841
Other Findings 6Not PossibleNo Impact6140068851
Other Findings 7Not PossibleNo Impact6140068861
Other Findings 8Not PossibleNo Impact6140068871
Other Findings 9Not PossibleNo Impact6140068881
Other Findings 10Not PossibleNo Impact6140068891
Overall RAC
Overall RAC6139968775
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.139968786
Explanation of User Adjusted RAC139968791
8518EDITABLEN1399
66N

Passive Fire Protection Systems

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Passive Fire Protection Systems

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Passive Protection for High Hazardous Contents
Is the Passive Protection for High Hazardous Contents in compliance?Not PossibleNo Impact6140669114
Identified Risk Condition # 1Not PossibleNo Impact6140669123
Identified Risk Condition # 2Not PossibleNo Impact6140669133
Identified Risk Condition # 3Not PossibleNo Impact6140669143
Passive Protection of Vertical and Horizontal Openings
Is the Passive Protection of Vertical and Horizontal Openings in compliance?Not PossibleNo Impact6140569074
Identified Risk Condition # 1Not PossibleNo Impact6140569083
Identified Risk Condition # 2Not PossibleNo Impact6140569093
Identified Risk Condition # 3Not PossibleNo Impact6140569103
Other Findings
Other Findings 1Not PossibleNo Impact6140468971
Other Findings 2Not PossibleNo Impact6140468981
Other Findings 3Not PossibleNo Impact6140468991
Other Findings 4Not PossibleNo Impact6140469001
Other Findings 5Not PossibleNo Impact6140469011
Other Findings 6Not PossibleNo Impact6140469021
Other Findings 7Not PossibleNo Impact6140469031
Other Findings 8Not PossibleNo Impact6140469041
Other Findings 9Not PossibleNo Impact6140469051
Other Findings 10Not PossibleNo Impact6140469061
Overall RAC
Overall RAC6140368945
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.140368956
Explanation of User Adjusted RAC140368961
8518EDITABLEN1403
66N

Vertical Transportation Systems

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Vertical Transportation Systems

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Elevator Machine Room(s)
Are the Elevator Machine Room(s) in compliance?Not PossibleNo Impact6144970894
Identified Risk Condition # 1Not PossibleNo Impact6144970903
Identified Risk Condition # 2Not PossibleNo Impact6144970913
Identified Risk Condition # 3Not PossibleNo Impact6144970923
Emergency Signage
Is the Emergency Signage in compliance?Not PossibleNo Impact6144870854
Identified Risk Condition # 1Not PossibleNo Impact6144870863
Identified Risk Condition # 2Not PossibleNo Impact6144870873
Identified Risk Condition # 3Not PossibleNo Impact6144870883
Escalator(s)
Are the Escalator(s) in compliance?Not PossibleNo Impact6144770814
Identified Risk Condition # 1Not PossibleNo Impact6144770823
Identified Risk Condition # 2Not PossibleNo Impact6144770833
Identified Risk Condition # 3Not PossibleNo Impact6144770843
Fire Service Access Elevator(s)
Are the Fire Service Access Elevator(s) in compliance?Not PossibleNo Impact6144670774
Identified Risk Condition # 1Not PossibleNo Impact6144670783
Identified Risk Condition # 2Not PossibleNo Impact6144670793
Identified Risk Condition # 3Not PossibleNo Impact6144670803
Firefighters Emergency Operation
Is the Firefighters Emergency Operation in compliance?Not PossibleNo Impact6144570734
Identified Risk Condition # 1Not PossibleNo Impact6144570743
Identified Risk Condition # 2Not PossibleNo Impact6144570753
Identified Risk Condition # 3Not PossibleNo Impact6144570763
Hoistway Enclosure(s)
Are the Hoistway Enclosure(s) in compliance?Not PossibleNo Impact6144470694
Identified Risk Condition # 1Not PossibleNo Impact6144470703
Identified Risk Condition # 2Not PossibleNo Impact6144470713
Identified Risk Condition # 3Not PossibleNo Impact6144470723
Occupant Evacuation Elevator(s)
Are the Occupant Evacuation Elevator(s) in compliance?Not PossibleNo Impact6144370654
Identified Risk Condition # 1Not PossibleNo Impact6144370663
Identified Risk Condition # 2Not PossibleNo Impact6144370673
Identified Risk Condition # 3Not PossibleNo Impact6144370683
Standby Power
Is the Standby Power in compliance?Not PossibleNo Impact6144270614
Identified Risk Condition # 1Not PossibleNo Impact6144270623
Identified Risk Condition # 2Not PossibleNo Impact6144270633
Identified Risk Condition # 3Not PossibleNo Impact6144270643
Other Findings
Other Findings 1Not PossibleNo Impact6144170511
Other Findings 2Not PossibleNo Impact6144170521
Other Findings 3Not PossibleNo Impact6144170531
Other Findings 4Not PossibleNo Impact6144170541
Other Findings 5Not PossibleNo Impact6144170551
Other Findings 6Not PossibleNo Impact6144170561
Other Findings 7Not PossibleNo Impact6144170571
Other Findings 8Not PossibleNo Impact6144170581
Other Findings 9Not PossibleNo Impact6144170591
Other Findings 10Not PossibleNo Impact6144170601
Overall RAC
Overall RAC6144070485
User Adjusted RAC
: Once the surveyor has reviewed the findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.144070496
Explanation of User Adjusted RAC144070501
8518EDITABLEN1440
66N

Preventative Maint. Records

Downloaded on: 10/20/2022 16:08:52
GSARisk Management Survey

Preventative Maint. Records

Compliance refers to adherence to applicable reference documents such as Federal laws (e.g., 41 CFR part 102-80), GSA Policies (e.g., PBS-P100), and national recognized codes and standards (e.g., ICC codes, NFPA codes & standards).
If the Response to the compliance question is "Yes," "N/A", or "Unknown," select "N/A" for the Response to each Identified Risk Condition. If the Response to a compliance question is "No," move to the Identified Risk Condition lines and for every one used select "Yes" for the Response & complete all other cells. For any unused Identified Risk Conditions lines, select "N/A" for the Response.
Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/Observations (Location Description: Floor, Room #, Stair #, etc.)Applicable Reference Documents, Edition, & Section/ParagraphProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Preventative Maintenance Records Review
Are the Preventative Maintenance Records in compliance?Not PossibleNo Impact6141069284
Identified Risk Condition # 1Not PossibleNo Impact6141069293
Identified Risk Condition # 2Not PossibleNo Impact6141069303
Identified Risk Condition # 3Not PossibleNo Impact6141069313
Other Findings
Other Findings 1Not PossibleNo Impact6140969181
Other Findings 2Not PossibleNo Impact6140969191
Other Findings 3Not PossibleNo Impact6140969201
Other Findings 4Not PossibleNo Impact6140969211
Other Findings 5Not PossibleNo Impact6140969221
Other Findings 6Not PossibleNo Impact6140969231
Other Findings 7Not PossibleNo Impact6140969241

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