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RAC Summary GSA Risk Management Survey Fire Protection Survey
| RAC Summary | ||
| 5462 | EDITABLE | N |
| Means of Egress | 6 | |
| Fire Detection and Alarm | 6 | |
| Fire Suppression | 6 | |
| Smoke Control | 6 | |
| Other | 6 | |
| 6 | ||
| Overall RAC | 6 |
IRIS Building Profile GSA Risk Management Survey
Questions Response Findings/Observations
| IRIS Building Profile | |||||||
| Region | 5 | 864 | 4415 | 1692590 | 1 | ||
| GSA Building Number | IN0096ZZ | 864 | 4416 | 1692591 | 1 | ||
| GSA Building Name | ROBERT GRANT FEDERAL BLDG & U.S. CTHSE | 864 | 4417 | 1692592 | 1 | ||
| Building Street Address | 204 S MAIN ST | 864 | 4418 | 1692593 | 1 | ||
| Date of Building Construction | 1933 | 864 | 4409 | 1692584 | 1 | ||
| Building City | SOUTH BEND | 864 | 4413 | 1692588 | 1 | ||
| Building State | IN | 864 | 4414 | 1692589 | 1 | ||
| Building Size (RSF) | 864 | 4408 | 1 | ||||
| Building Size (GSF) | 115608 | 864 | 4410 | 1692585 | 1 | ||
| Total Number of Floors Above Grade | 4 | 864 | 4411 | 1692586 | 1 | ||
| Total Number of Floors Below Grade | 1 | 864 | 4412 | 1692587 | 1 | ||
| 5462 | N | 864 |
Building Information GSA Risk Management Survey
Questions Response Findings/Observations
| Building Profile | ||||||
| Date(s) of Onsite Survey | 866 | 4419 | 1 | |||
| Name of Surveyor | 866 | 4957 | 1 | |||
| Surveyor Company Name and Contact Information | 866 | 4958 | 1 | |||
| Date(s) of Assessment | 866 | 4959 | 1 | |||
| Building occupancy classification per latest edition of IBC | 866 | 4960 | 1 | |||
| Building construction type per latest edition of IBC | 866 | 4961 | 1 | |||
| Approximate gross square footage per floor | 866 | 4962 | 1 | |||
| Specific floors the Government occupies - include the specific Government agency names | 866 | 4963 | 1 | |||
| Identify the different type of occupancies on each floor the Federal government occupies | 866 | 4964 | 1 | |||
| Height from lowest level of fire department vehicle access to the highest Government occupied floor of the building (in feet). | 866 | 4965 | 1 | |||
| Height from the lowest level of fire department vehicle access to the roof of the building (in feet) | 866 | 4966 | 1 | |||
| High-rise Building (Yes/No) | 866 | 4967 | 4 | |||
| Estimated total number of Federal occupants in the building | 866 | 4968 | 1 | |||
| Estimated total number of Federal occupants in the building by floor | 866 | 4969 | 1 | |||
| Identify and describe the location of the nearest fire department and the approximate distance from the building | 866 | 4970 | 1 | |||
| Identify by location and describe hazardous/significant fuel load areas that when ignited would produce significant adverse effects to the building and its occupants | 866 | 4971 | 1 | |||
| Identify by location and describe potential fire ignition sources. The proximity of the fuel source and the ignition source shall be described | 866 | 4972 | 1 | |||
| Describe the fire exposures on the north, south, east and west sides of the building, including the distance from the building | 866 | 4973 | 1 | |||
| Means of Egress System Information | ||||||
| Identify and describe the number of means of egress from each floor. Include for each stair the width, tread length, riser height, and handrail specifics. | 982 | 4974 | 1 | |||
| Identify and describe the arrangement of means of egress from each floor (e.g., exit remoteness) | 982 | 4975 | 1 | |||
| Identify and describe the location of where each exit discharges and terminates. | 982 | 4976 | 1 | |||
| Describe the calculated occupant load and exit capacity by floor | 982 | 4977 | 1 | |||
| Sprinkler System Information | ||||||
| Identify the automatic sprinkler coverage: Full/Total, Partial, None | 983 | 4978 | 3 | |||
| Identify the area of automatic sprinkler coverage (Percentage) | 983 | 4979 | 3 | |||
| Identify the type(s) and describe the location of automatic sprinkler system(s) (e.g., wet, dry, etc.) | 983 | 4980 | 1 | |||
| Identify the type(s) of sprinklers (e.g., manufacturer, model, date of manufacturer for each type of sprinkler) | 983 | 4981 | 1 | |||
| Identify the type(s) of sprinkler piping | 983 | 4982 | 1 | |||
| Standpipe System Information | ||||||
| Identify by location and describe the type(s) of standpipe systems and fire department connections | 984 | 4983 | 1 | |||
| Fire Pump Information | ||||||
| Identify the location of fire pump | 985 | 4984 | 1 | |||
| Identify the size of fire pump (__ gpm at __ psi) | 985 | 4985 | 1 | |||
| Identify the type of power for the fire pump | 985 | 4986 | 1 | |||
| Identify the fire pump rating | 985 | 4987 | 1 | |||
| Portable Fire Extinguisher Information | ||||||
| Identify by location and describe the type of fire extinguishers | 986 | 4988 | 1 | |||
| Fire Alarm System Information | ||||||
| Identify the location of main fire alarm control unit | 987 | 4989 | 1 | |||
| Identify the date the fire alarm system was installed | 987 | 4990 | 1 | |||
| Identify the age of fire alarm system | 987 | 4991 | 1 | |||
| Identify the control unit manufacturer | 987 | 4992 | 1 | |||
| Identify the control unit model number | 987 | 4993 | 1 | |||
| Identify the control unit date manufactured | 987 | 4994 | 1 | |||
| Identify the software/firmware and revision number (if applicable) | 987 | 4995 | 1 | |||
| Smoke Control System Information | ||||||
| Identify and describe the number of pressurized exit stairs | 988 | 4996 | 1 | |||
| Identify and describe the number of pressurized elevator hoistways | 988 | 4997 | 1 | |||
| Identify and describe the location of the fire fighter's smoke control panel | 988 | 4998 | 1 | |||
| Elevator System Information | ||||||
| Identify the number of passenger elevators | 989 | 4999 | 1 | |||
| Identify the number of freight elevators | 989 | 5000 | 1 | |||
| Identify the number of fire service access elevators | 989 | 5001 | 1 | |||
| Identify the number of occupant evacuation elevators | 989 | 5002 | 1 | |||
| Identify the firefighter's emergency operation provided (Phase I emergency recall operation and/or Phase II emergency in-car operation) | 989 | 5003 | 1 | |||
| Emergency Power System Information | ||||||
| Identify and describe the source(s) of emergency power for the building | 990 | 5004 | 1 | |||
| Identify all systems connected to the emergency power system | 990 | 5005 | 1 | |||
| Preventative Records of the Fire Protection and Life Safety Equipment and Systems | ||||||
| Describe the general conditions of the fire protection and life safety equipment and systems in the building | 991 | 5006 | 1 | |||
| Describe the preventative records of the fire protection and life safety equipment and systems reviewed | 991 | 5007 | 1 | |||
| Fire Safety Evaluation System (FSES) Scoring | ||||||
| FSES Completion Date: | 992 | 5008 | 1 | |||
| Fire Control: | 992 | 5009 | 1 | |||
| Egress Provided: | 992 | 5010 | 1 | |||
| General Fire Safety: | 992 | 5011 | 1 | |||
| Building Fire Risk Index (BFRI) | 992 | 5012 | 1 | |||
| Occupant Emergency Plan | ||||||
| Date of most current OEP | 993 | 5013 | 1 | |||
| Date of last fire drill or training drill | 993 | 5014 | 1 | |||
| Describe the procedures to evacuate persons with mobility disabilities | 993 | 5015 | 1 | |||
| Describe the procedures to evacuate occupants after hours | 993 | 5016 | 1 | |||
| 5462 | EDITABLE | N | 993 |
Means of Egress GSA Risk Management Survey
Means of Egress
| Risk Assessment Code (RAC) | Recommended Corrective Actions | |||||||||
| Questions | Response | Findings/Observations | Regulatory Citation | Probability | Severity | RAC | Is there a recommended corrective action associated with this item? | Responsible Office | Localized or Building Wide | Recommendation |
| Means of Egress Components | |||||||||||
| Are doors in compliance? If no, identify and describe the circumstances in the findings section. | |||||||||||
| : Consider all doors associated with the means of egress. Keep in mind door hardware, fire ratings, and operation. | Not Possible | No Impact | 6 | 883 | 4513 | 4 | |||||
| Are stairs in compliance? If no, identify and describe the circumstances in the findings section. | |||||||||||
| : Consider all stairs involved in an elevation change. Keep in mind tread and risers, and width. | Not Possible | No Impact | 6 | 883 | 4514 | 4 | |||||
| Are handrail/guards in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 883 | 4515 | 4 | |||||
| Are ramps in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 883 | 4516 | 4 | |||||
| Are horizontal exits in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 883 | 4517 | 4 | |||||
| Are exit passageways in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 883 | 4518 | 4 | |||||
| Capacity of Means of Egress | |||||||||||
| Is the means of egress capacity based on occupant load for floor and area adequate? | Not Possible | No Impact | 6 | 885 | 4522 | 4 | |||||
| Means of Egress Minimum Width | |||||||||||
| Is the means of egress minimum width maintained (i.e. 44" or 36" where permitted)? | Not Possible | No Impact | 6 | 879 | 4505 | 4 | |||||
| Number of Exits | |||||||||||
| Are the required number of exits provided for floor or area? | Not Possible | No Impact | 6 | 881 | 4507 | 4 | |||||
| Are there interlocking or scissor stairs present (if yes, counts as 1 exit)? | Not Possible | No Impact | 6 | 881 | 4508 | 4 | |||||
| Arrangement of Means of Egress | |||||||||||
| Are exits readily accessible? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 882 | 4509 | 4 | |||||
| Are common path of travel and dead end arrangements in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 882 | 4510 | 4 | |||||
| Are exits arranged to be remote per code? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 882 | 4511 | 4 | |||||
| Are travel distances in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 882 | 4512 | 4 | |||||
| Discharge of Means of Egress | |||||||||||
| Is the exit discharge in compliance? If no, identify and describe the circumstances in the findings section. | |||||||||||
| : Consider arrangement, lighting, and marking of exit discharge. | Not Possible | No Impact | 6 | 880 | 4506 | 4 | |||||
| Illumination of Means of Egress | |||||||||||
| If emergency lighting is provided, is there adequate coverage? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 884 | 4520 | 4 | |||||
| Marking Means of Egress | |||||||||||
| Are adequate markings of means of egress provided? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 887 | 4528 | 4 | |||||
| Is the illumination of the markings of means of egress in compliance? If no, identify and describe the circumstances in the findings section. | Not Possible | No Impact | 6 | 887 | 4529 | 4 | |||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 878 | 4495 | 1 | |||||
| Other Findings 2 | Not Possible | No Impact | 6 | 878 | 4496 | 1 | |||||
| Other Findings 3 | Not Possible | No Impact | 6 | 878 | 4497 | 1 | |||||
| Other Findings 4 | Not Possible | No Impact | 6 | 878 | 4498 | 1 | |||||
| Other Findings 5 | Not Possible | No Impact | 6 | 878 | 4499 | 1 | |||||
| Other Findings 6 | Not Possible | No Impact | 6 | 878 | 4500 | 1 | |||||
| Other Findings 7 | Not Possible | No Impact | 6 | 878 | 4501 | 1 | |||||
| Other Findings 8 | Not Possible | No Impact | 6 | 878 | 4502 | 1 | |||||
| Other Findings 9 | Not Possible | No Impact | 6 | 878 | 4503 | 1 | |||||
| Other Findings 10 | Not Possible | No Impact | 6 | 878 | 4504 | 1 | |||||
| Overall RAC | |||||||||||
| Overall RAC | 6 | 877 | 4492 | 5 | |||||||
| 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.
: Consider all doors associated with the means of egress. Keep in mind door hardware, fire ratings, and operation.
: Consider all stairs involved in an elevation change. Keep in mind tread and risers, and width.
| : Consider arrangement, lighting, and marking of exit discharge. | 877 | 4493 | 6 | ||||||
| Explanation of User Adjusted RAC | 877 | 4494 | 1 | ||||||
| 5462 | EDITABLE | N | 877 | ||||||
| 6 | 6 | N |
Fire Detection and Alarm GSA Risk Management Survey
Fire Detection and Alarm
| Risk Assessment Code (RAC) | Recommended Corrective Actions | |||||||||
| Questions | Response | Findings/Observations | Regulatory Citation | Probability | Severity | RAC | Is there a recommended corrective action associated with this item? | Responsible Office | Localized or Building Wide | Recommendation |
| Fire Detection and Alarm | |||||||||||
| If there is a fire alarm system installed, is the system operational and functioning correctly? | Not Possible | No Impact | 6 | 904 | 4594 | 4 | |||||
| Initiating Devices | |||||||||||
| Are there manual pull station issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4582 | 4 | |||||
| Are there smoke detectors issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4583 | 4 | |||||
| Are there duct detectors issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4584 | 4 | |||||
| Are there heat detectors issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4585 | 4 | |||||
| Are there water flow switches issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4586 | 4 | |||||
| Are there valve supervision issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 902 | 4587 | 4 | |||||
| Are there any other initiating devices with issues? If yes, please describe in the findings section. | |||||||||||
| : Consider elevator recall, smoke removal, etc. | Not Possible | No Impact | 6 | 902 | 4588 | 4 | |||||
| Notification Devices | |||||||||||
| Are there any visual device problems? If yes, please describe problems and date of test and maintenance report in the findings section. | |||||||||||
| : Consider strobes and any other forms of visual communication for mass notification. | Not Possible | No Impact | 6 | 901 | 4580 | 4 | |||||
| Are there any audibility problems? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 901 | 4581 | 4 | |||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 900 | 4570 | 1 | |||||
| Other Findings 2 | Not Possible | No Impact | 6 | 900 | 4571 | 1 | |||||
| Other Findings 3 | Not Possible | No Impact | 6 | 900 | 4572 | 1 | |||||
| Other Findings 4 | Not Possible | No Impact | 6 | 900 | 4573 | 1 | |||||
| Other Findings 5 | Not Possible | No Impact | 6 | 900 | 4574 | 1 | |||||
| Other Findings 6 | Not Possible | No Impact | 6 | 900 | 4575 | 1 | |||||
| Other Findings 7 | Not Possible | No Impact | 6 | 900 | 4576 | 1 | |||||
| Other Findings 8 | Not Possible | No Impact | 6 | 900 | 4577 | 1 | |||||
| Other Findings 9 | Not Possible | No Impact | 6 | 900 | 4578 | 1 | |||||
| Other Findings 10 | Not Possible | No Impact | 6 | 900 | 4579 | 1 | |||||
| Overall RAC | |||||||||||
| Overall RAC | 6 | 899 | 4567 | 5 | |||||||
| 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.
| : Consider strobes and any other forms of visual communication for mass notification. | 899 | 4568 | 6 | ||||||
| Explanation of User Adjusted RAC | 899 | 4569 | 1 | ||||||
| 5462 | EDITABLE | N | 899 | ||||||
| 6 | 6 | N |
Fire Suppression GSA Risk Management Survey
Fire Suppression
| Risk Assessment Code (RAC) | Recommended Corrective Actions | |||||||||
| Questions | Response | Findings/Observations | Regulatory Citation | Probability | Severity | RAC | Is there a recommended corrective action associated with this item? | Responsible Office | Localized or Building Wide | Recommendation |
| Automatic Sprinklers | ||||||||||||
| Are there any identified fire sprinkler issues? If yes, please explain in the findings section. | ||||||||||||
| : Verify that the sprinkler design is adequate for the level of protection required for that area. | Not Possible | No Impact | 6 | 908 | 4616 | 4 | ||||||
| Standpipes | ||||||||||||
| Are there any standpipe issues? If yes, please explain in the findings section. | Not Possible | No Impact | 6 | 909 | 4619 | 4 | ||||||
| Fire Pumps | ||||||||||||
| Are there any fire pump issues? If yes, please explain in the findings section. | Not Possible | No Impact | 6 | 910 | 4624 | 4 | ||||||
| Other Suppression Systems | ||||||||||||
| Are there identified issues? If yes, please explain in the findings section. | Not Possible | No Impact | 6 | 912 | 4631 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 907 | 4601 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 907 | 4602 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 907 | 4603 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 907 | 4604 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 907 | 4605 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 907 | 4606 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 907 | 4607 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 907 | 4608 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 907 | 4609 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 907 | 4610 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 906 | 4598 | 5 | ||||||||
| 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. | 906 | 4599 | 6 | |||||||||
| Explanation of User Adjusted RAC | 906 | 4600 | 1 | |||||||||
| 5462 | EDITABLE | N | 906 | |||||||||
| 6 | 6 | N |
Smoke Control GSA Risk Management Survey
Smoke Control
| Risk Assessment Code (RAC) | Recommended Corrective Actions | |||||||||
| Questions | Response | Findings/Observations | Regulatory Citation | Probability | Severity | RAC | Is there a recommended corrective action associated with this item? | Responsible Office | Localized or Building Wide | Recommendation |
| Smoke Control | ||||||||||||
| Are there any smoke control issues? If yes, please explain in the findings section. | Not Possible | No Impact | 6 | 875 | 4491 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 874 | 4478 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 874 | 4479 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 874 | 4480 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 874 | 4481 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 874 | 4482 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 874 | 4483 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 874 | 4484 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 874 | 4485 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 874 | 4486 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 874 | 4487 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 873 | 4475 | 5 | ||||||||
| 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. | 873 | 4476 | 6 | |||||||||
| Explanation of User Adjusted RAC | 873 | 4477 | 1 | |||||||||
| 5462 | EDITABLE | N | 873 | |||||||||
| 6 | 6 | N |
Other GSA Risk Management Survey
Other
| Risk Assessment Code (RAC) | Recommended Corrective Actions | |||||||||
| Questions | Response | Findings/Observations | Regulatory Citation | Probability | Severity | RAC | Is there a recommended corrective action associated with this item? | Responsible Office | Localized or Building Wide | Recommendation |
| Fire and Smoke Barriers | ||||||||||||
| Are penetrations properly maintained? If no, please describe in the comments section. | Not Possible | No Impact | 6 | 895 | 4558 | 4 | ||||||
| Are opening protective's properly maintained? If no, please describe in the comments section. | Not Possible | No Impact | 6 | 895 | 4559 | 4 | ||||||
| Are all other fire barriers properly maintained? If no, please describe in the comments section. | Not Possible | No Impact | 6 | 895 | 4560 | 4 | ||||||
| Emergency Power | ||||||||||||
| Are there any identified issues? If yes, please explain in the findings section. | Not Possible | No Impact | 6 | 896 | 4565 | 4 | ||||||
| Interior Finishes | ||||||||||||
| Are interior finishes compliant with the occupancy use? If no, please describe in the findings section. | Not Possible | No Impact | 6 | 897 | 4566 | 4 | ||||||
| Fire Planning and Prevention | ||||||||||||
| Are there any other overall fire prevention issues? If yes, please describe in the findings section. | Not Possible | No Impact | 6 | 894 | 4554 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 890 | 4533 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 890 | 4534 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 890 | 4535 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 890 | 4536 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 890 | 4537 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 890 | 4538 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 890 | 4539 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 890 | 4540 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 890 | 4541 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 890 | 4542 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 889 | 4530 | 5 | ||||||||
| 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. | 889 | 4531 | 6 | |||||||||
| Explanation of User Adjusted RAC | 889 | 4532 | 1 | |||||||||
| 5462 | EDITABLE | N | 889 | |||||||||
| 6 | 6 | N |
RAC Guidance Risk Management Survey Severity and Probability Assessment Guidance
| SEVERITY ASSESSMENT GUIDANCE | |||
| SCOPE and APPLICABILITY | |||
| Environmental Risk | Fire Protection Risk | Safety & Health Risk | |
| Contamination of air, water soil, and biota or non-compliance with environmental regulations | Effects to occupants or facility as a result of a condition or potential event. | Adverse health effects or injury to facility occupants, contractors or visitors in response to a condition or event |
| SEVERITY LEVEL DEFINITIONS | |||
| CATASTROPHIC | Irreversible long-term impacts. | (1) Death, permanent disability or irreversible health effect to occupants or (2) a loss of an entire facility. | Permanent disability, irreversible health effect or death. |
SEVERE Reversible long-term damage (5+ years to remediate). (1) Severe injury, potential long-term health effect or (2) major loss or impact to a facility. Potential long-term health effect or severe injury.
SIGNIFICANT Reversible medium-term damage (1-5 years to remediate). (1) Minor injury or reversible health effect or (2) damage to a portion of a facility requiring an extended period of time to repair. Reversible health effect or minor injury.
MODERATE Reversible short-term impact (<1 year to remediate). (1) First aid, no lost time or (2) damage to a facility requiring a minimal amount of time to repair. First aid or no lost time.
MINOR De minimis regulatory violation. De minimis code violation. De minimis code violation.
| NO IMPACT | No risk of impact. | No risk of impact to the occupants or facility. | No risk of impact. |
| PROBABILITY ASSESSMENT GUIDANCE | |||
| PROBABILITY LEVEL DEFINITIONS | |||
| Likely | Imminent |
or
| 1 in 10 | |
| Probable | Probable |
or
| 1 in 100 | |
| Possible | Possible |
or
| 1 in 1000 | |
| Remote | Remote |
or
| 1 in 10,000 | |
| Unlikely | Unlikely |
or
| 1 in 100,000 | |
| Not Possible | Non-existent |
Help Text
| RAC Summary | |
| RAC Summary | |
| IRIS Building Profile | |
| IRIS Building Profile | |
| Region | |
| GSA Building Number | |
| GSA Building Name | |
| Building Street Address | |
| Date of Building Construction | |
| Building City | |
| Building State | |
| Building Size (RSF) | |
| Building Size (GSF) | |
| Total Number of Floors Above Grade | |
| Total Number of Floors Below Grade | |
| Building Information | |
| Building Profile | |
| Date(s) of Onsite Survey | |
| Name of Surveyor | |
| Surveyor Company Name and Contact Information | |
| Date(s) of Assessment | |
| Building occupancy classification per latest edition of IBC | |
| Building construction type per latest edition of IBC | |
| Approximate gross square footage per floor | |
| Specific floors the Government occupies - include the specific Government agency names | |
| Identify the different type of occupancies on each floor the Federal government occupies | |
| Height from lowest level of fire department vehicle access to the highest Government occupied floor of the building (in feet). | |
| Height from the lowest level of fire department vehicle access to the roof of the building (in feet) | |
| High-rise Building (Yes/No) | |
| Estimated total number of Federal occupants in the building | |
| Estimated total number of Federal occupants in the building by floor | |
| Identify and describe the location of the nearest fire department and the approximate distance from the building | |
| Identify by location and describe hazardous/significant fuel load areas that when ignited would produce significant adverse effects to the building and its occupants | |
| Identify by location and describe potential fire ignition sources. The proximity of the fuel source and the ignition source shall be described | |
| Describe the fire exposures on the north, south, east and west sides of the building, including the distance from the building | |
| Means of Egress System Information | |
| Identify and describe the number of means of egress from each floor. Include for each stair the width, tread length, riser height, and handrail specifics. | |
| Identify and describe the arrangement of means of egress from each floor (e.g., exit remoteness) | |
| Identify and describe the location of where each exit discharges and terminates. | |
| Describe the calculated occupant load and exit capacity by floor | |
| Sprinkler System Information | |
| Identify the automatic sprinkler coverage: Full/Total, Partial, None | |
| Identify the area of automatic sprinkler coverage (Percentage) | |
| Identify the type(s) and describe the location of automatic sprinkler system(s) (e.g., wet, dry, etc.) | |
| Identify the type(s) of sprinklers (e.g., manufacturer, model, date of manufacturer for each type of sprinkler) | |
| Identify the type(s) of sprinkler piping | |
| Standpipe System Information | |
| Identify by location and describe the type(s) of standpipe systems and fire department connections | |
| Fire Pump Information | |
| Identify the location of fire pump | |
| Identify the size of fire pump (__ gpm at __ psi) | |
| Identify the type of power for the fire pump | |
| Identify the fire pump rating | |
| Portable Fire Extinguisher Information | |
| Identify by location and describe the type of fire extinguishers | |
| Fire Alarm System Information | |
| Identify the location of main fire alarm control unit | |
| Identify the date the fire alarm system was installed | |
| Identify the age of fire alarm system | |
| Identify the control unit manufacturer | |
| Identify the control unit model number | |
| Identify the control unit date manufactured | |
| Identify the software/firmware and revision number (if applicable) | |
| Smoke Control System Information | |
| Identify and describe the number of pressurized exit stairs | |
| Identify and describe the number of pressurized elevator hoistways | |
| Identify and describe the location of the fire fighter's smoke control panel | |
| Elevator System Information | |
| Identify the number of passenger elevators | |
| Identify the number of freight elevators | |
| Identify the number of fire service access elevators | |
| Identify the number of occupant evacuation elevators | |
| Identify the firefighter's emergency operation provided (Phase I emergency recall operation and/or Phase II emergency in-car operation) | |
| Emergency Power System Information | |
| Identify and describe the source(s) of emergency power for the building | |
| Identify all systems connected to the emergency power system | |
| Preventative Records of the Fire Protection and Life Safety Equipment and Systems | |
| Describe the general conditions of the fire protection and life safety equipment and systems in the building | |
| Describe the preventative records of the fire protection and life safety equipment and systems reviewed | |
| Fire Safety Evaluation System (FSES) Scoring | |
| FSES Completion Date: | |
| Fire Control: | |
| Egress Provided: | |
| General Fire Safety: | |
| Building Fire Risk Index (BFRI) | |
| Occupant Emergency Plan | |
| Date of most current OEP | |
| Date of last fire drill or training drill | |
| Describe the procedures to evacuate persons with mobility disabilities | |
| Describe the procedures to evacuate occupants after hours | |
| Means of Egress | |
| Means of Egress Components | |
| Are doors in compliance? If no, identify and describe the circumstances in the findings section. | Consider all doors associated with the means of egress. Keep in mind door hardware, fire ratings, and operation. |
| Are stairs in compliance? If no, identify and describe the circumstances in the findings section. | Consider all stairs involved in an elevation change. Keep in mind tread and risers, and width. |
| Are handrail/guards in compliance? If no, identify and describe the circumstances in the findings section. | |
| Are ramps in compliance? If no, identify and describe the circumstances in the findings section. | |
| Are horizontal exits in compliance? If no, identify and describe the circumstances in the findings section. | |
| Are exit passageways in compliance? If no, identify and describe the circumstances in the findings section. | |
| Capacity of Means of Egress | |
| Is the means of egress capacity based on occupant load for floor and area adequate? | |
| Means of Egress Minimum Width | |
| Is the means of egress minimum width maintained (i.e. 44" or 36" where permitted)? | |
| Number of Exits | |
| Are the required number of exits provided for floor or area? | |
| Are there interlocking or scissor stairs present (if yes, counts as 1 exit)? | |
| Arrangement of Means of Egress | |
| Are exits readily accessible? If no, identify and describe the circumstances in the findings section. | |
| Are common path of travel and dead end arrangements in compliance? If no, identify and describe the circumstances in the findings section. | |
| Are exits arranged to be remote per code? If no, identify and describe the circumstances in the findings section. | |
| Are travel distances in compliance? If no, identify and describe the circumstances in the findings section. | |
| Discharge of Means of Egress | |
| Is the exit discharge in compliance? If no, identify and describe the circumstances in the findings section. | Consider arrangement, lighting, and marking of exit discharge. |
| Illumination of Means of Egress | |
| If emergency lighting is provided, is there adequate coverage? If no, identify and describe the circumstances in the findings section. | |
| Marking Means of Egress | |
| Are adequate markings of means of egress provided? If no, identify and describe the circumstances in the findings section. | |
| Is the illumination of the markings of means of egress in compliance? If no, identify and describe the circumstances in the findings section. | |
| Other Findings | |
| Other Findings 1 | |
| Other Findings 2 | |
| Other Findings 3 | |
| Other Findings 4 | |
| Other Findings 5 | |
| Other Findings 6 | |
| Other Findings 7 | |
| Other Findings 8 | |
| Other Findings 9 | |
| Other Findings 10 | |
| Overall RAC | |
| Overall RAC | |
| 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. |
| Explanation of User Adjusted RAC | |
| Fire Detection and Alarm | |
| Fire Detection and Alarm | |
| If there is a fire alarm system installed, is the system operational and functioning correctly? | |
| Initiating Devices | |
| Are there manual pull station issues? If yes, please describe in the findings section. | |
| Are there smoke detectors issues? If yes, please describe in the findings section. | |
| Are there duct detectors issues? If yes, please describe in the findings section. | |
| Are there heat detectors issues? If yes, please describe in the findings section. | |
| Are there water flow switches issues? If yes, please describe in the findings section. | |
| Are there valve supervision issues? If yes, please describe in the findings section. | |
| Are there any other initiating devices with issues? If yes, please describe in the findings section. | Consider elevator recall, smoke removal, etc. |
| Notification Devices | |
| Are there any visual device problems? If yes, please describe problems and date of test and maintenance report in the findings section. | Consider strobes and any other forms of visual communication for mass notification. |
| Are there any audibility problems? If yes, please describe in the findings section. | |
| Other Findings | |
| Other Findings 1 | |
| Other Findings 2 | |
| Other Findings 3 | |
| Other Findings 4 | |
| Other Findings 5 | |
| Other Findings 6 | |
| Other Findings 7 | |
| Other Findings 8 | |
| Other Findings 9 | |
| Other Findings 10 | |
| Overall RAC | |
| Overall RAC | |
| 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. |
| Explanation of User Adjusted RAC | |
| Fire Suppression | |
| Automatic Sprinklers | |
| Are there any identified fire sprinkler issues? If yes, please explain in the findings section. | Verify that the sprinkler design is adequate for the level of protection required for that area. |
| Standpipes | |
| Are there any standpipe issues? If yes, please explain in the findings section. | |
| Fire Pumps | |
| Are there any fire pump issues? If yes, please explain in the findings section. | |
| Other Suppression Systems | |
| Are there identified issues? If yes, please explain in the findings section. | |
| Other Findings | |
| Other Findings 1 | |
| Other Findings 2 | |
| Other Findings 3 | |
| Other Findings 4 | |
| Other Findings 5 | |
| Other Findings 6 | |
| Other Findings 7 | |
| Other Findings 8 | |
| Other Findings 9 | |
| Other Findings 10 | |
| Overall RAC | |
| Overall RAC | |
| 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. |
| Explanation of User Adjusted RAC | |
| Smoke Control | |
| Smoke Control | |
| Are there any smoke control issues? If yes, please explain in the findings section. | |
| Other Findings | |
| Other Findings 1 | |
| Other Findings 2 | |
| Other Findings 3 | |
| Other Findings 4 | |
| Other Findings 5 | |
| Other Findings 6 | |
| Other Findings 7 | |
| Other Findings 8 | |
| Other Findings 9 | |
| Other Findings 10 | |
| Overall RAC | |
| Overall RAC | |
| 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. |
| Explanation of User Adjusted RAC | |
| Other | |
| Fire and Smoke Barriers | |
| Are penetrations properly maintained? If no, please describe in the comments section. | |
| Are opening protective's properly maintained? If no, please describe in the comments section. | |
| Are all other fire barriers properly maintained? If no, please describe in the comments section. | |
| Emergency Power | |
| Are there any identified issues? If yes, please explain in the findings section. | |
| Interior Finishes | |
| Are interior finishes compliant with the occupancy use? If no, please describe in the findings section. | |
| Fire Planning and Prevention | |
| Are there any other overall fire prevention issues? If yes, please describe in the findings section. | |
| Other Findings | |
| Other Findings 1 | |
| Other Findings 2 | |
| Other Findings 3 | |
| Other Findings 4 | |
| Other Findings 5 | |
| Other Findings 6 | |
| Other Findings 7 | |
| Other Findings 8 | |
| Other Findings 9 | |
| Other Findings 10 | |
| Overall RAC | |
| Overall RAC | |
| 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. |
| Explanation of User Adjusted RAC |
RAC_VALUE_HELPER
| PossibleMinor | 4 |
| ProbableCatastrophic | 1 |
| ImminentModerate | 3 |
| Not PossibleSignificant | 6 |
| UnlikelyModerate | 5 |
| RemoteModerate | 4 |
| PossibleNo Impact | 6 |
| PossibleSevere | 3 |
| ImminentMinor | 3 |
| Not PossibleModerate | 6 |
| Not PossibleNo Impact | 6 |
| RemoteCatastrophic | 3 |
| ProbableSevere | 2 |
| ProbableModerate | 3 |
| ImminentNo Impact | 6 |
| PossibleCatastrophic | 2 |
| RemoteNo Impact | 6 |
| RemoteSevere | 3 |
| UnlikelySignificant | 4 |
| Not PossibleSevere | 6 |
| ImminentSignificant | 2 |
| PossibleModerate | 4 |
| UnlikelyCatastrophic | 3 |
| UnlikelySevere | 4 |
| ImminentCatastrophic | 1 |
| ProbableNo Impact | 6 |
| RemoteSignificant | 4 |
| Not PossibleMinor | 6 |
| UnlikelyMinor | 5 |
| RemoteMinor | 5 |
| ImminentSevere | 1 |
| ProbableSignificant | 3 |
| ProbableMinor | 4 |
| Not PossibleCatastrophic | 6 |
| UnlikelyNo Impact | 6 |
| PossibleSignificant | 3 |
Microsoft_Excel_Worksheet.xlsx
GSA National Consolidated Risk Management Survey Environmental Survey
RAC Summary
448 EDITABLE N
Documentation 1
Air Programs 1
Fuel Storage Tanks 1
Hazardous Materials 1
Hazardous Waste 1
PCBs 1
Solid Waste 1
Water Pollution 1
Overall RAC 1
GSA National Consolidated Risk Management Survey
Questions Response Finding & Observation
IRIS Building Profile
Region 11 63 342 834236 1
GSA Building Number DC0010ZZ 63 343 834237 1
GSA Building Name LYNDON B. JOHNSON FEDERAL BLDG 63 344 834238 1
Building Street Address 400 MARYLAND AVE SW 63 345 834239 1
Building City WASHINGTON 63 346 834240 1
Building State DC 63 347 834241 1
Date of Building Construction 1959 63 348 834242 1
Building Size (GSF) 640332 63 349 834243 1
Building Size (RSF) 63 350 834244 1
Total Number of Floors Above Grade 7 63 351 834245 1
Total Number of Floors Below Grade 1 63 352 834246 1
448 N 63
GSA National Consolidated Risk Management Survey
Questions Response Finding & Observation
Building Profile
Date(s) of Onsite Survey 65 366 834260 1
Surveyor 65 367 834261 1
Type of Occupancies Business 65 368 834262 3
Building Point(s) of Contact for Surveys 65 369 834263 1
Date of Building Construction 1959 65 370 834264 1
Date of Last Major Building Renovation 65 371 834265 1
Has any work been done since the last survey (e.g., any tenant fit-outs, changes in occupancy, etc.)? If yes, please describe in the findings section. Yes 65 372 834266 4
Property Type Border Station 65 373 834267 3
What is the tenant breakdown? Multiple 65 374 834268 3
Primary Tenants 65 375 834269 1
Is there a law enforcement tenant in this facility? Yes 65 376 834270 4
Name of O&M or Facilities Management Services Contractor 65 377 834271 1
Name of Custodial Services Contractor 65 378 834272 1
Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section. Cafeteria 65 379 834273 3
Building Size (GSF) 640332 65 380 834274 1
Building Size (RSF) 65 381 834275 1
Total Number of Floors Above Grade 7 65 382 834276 1
Total Number of Floors Below Grade 1 65 383 834277 1
Is the building a highrise according to Rexus? Yes 65 384 834278 4
Is the building a highrise according to FPE? Yes 65 385 834279 4
What is the building construction classification (IBC Code)? IA 65 386 834280 3
What is the pitch of roof? 65 387 834281 1
Are there photovoltaic (PV) cells on the roof? Yes 65 364 834258 4
Type of Roof Anchoring System Davit 65 365 834259 3
Are there antennas? Yes 65 388 834282 4
How many elevators are there? 65 353 834247 1
Identify Fuel Fired Equipment 65 354 834248 1
What are the fuel types? 65 355 834249 1
How many confined spaces are there? 65 356 834250 1
What type of confined spaces are there? Manholes 65 357 834251 3
How many permit-required confined spaces are there? 65 358 834252 1
What is the potable water source? Municipal 65 359 834253 3
Is there asbestos containing material(s)? Yes 65 360 834254 4
Is there lead paint or other lead material(s)? Yes 65 361 834255 4
Is there PCB containing material(s)? Yes 65 362 834256 4
What energy sources are used onsite? (select all that apply) Fossil Fuels 65 363 834257 3
Above-Ground Storage Tanks (ASTs)
Are there any ASTs? Yes 66 389 834283 4
If yes, how many are there? 66 390 834284 1
What is their total value? 66 391 834285 1
Tank Size (gallons) 66 392 834286 1
Type 66 393 834287 1
Tank Location 66 394 834288 1
Fuel Type 66 395 834289 1
Installation Date 66 396 834290 1
Underground Storage Tanks (USTs)
Are there any USTs? Yes 67 397 834291 4
If yes, how many are there? 67 398 834292 1
What is their total value? 67 399 834293 1
Tank Size (gallons) 67 400 834294 1
Type 67 401 834295 1
Tank Location 67 402 834296 1
Fuel Type 67 403 834297 1
Installation Date 67 404 834298 1
Occupant Emergency Plan (OEP)
Is there an OEP? Yes 68 405 834299 4
Date of plan 68 406 834300 1
Are persons in plan current? Yes 68 407 834301 4
Is there OEP training for designated persons? Yes 68 408 834302 4
Are there procedures for evacuation of disabled persons? Yes 68 409 834303 4
Are there procedures for after-hours emergencies? Yes 68 410 834304 4
Is there a fire department pre-fire plan? Yes 68 411 834305 4
448 EDITABLE N 68
Documentation
GSA National Consolidated Risk Management Survey
Documentation
Questions Response Finding & Observation Regulatory Citation Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action
Water
Does the facility have a welI that requires a permit? Yes Test Test Imminent Catastrophic 1 No Test 164 690 834368 4
If the well requires a permit, is the permit onsite? Yes Test1 Test1 Imminent Catastrophic 1 No Test1 164 691 834369 4
Is a NPDES/SPDES issued to the facility? Yes Finding Citation Imminent Catastrophic 1 No Location 164 692 834370 4
Is a waste water pretreatment permit/registration issued to the facility? If yes, provide key requirements description in findings section. Yes Imminent Catastrophic 1 No 164 693 834371 4
Hazardous Materials
Is documentation available that shows the facility has coordinated with state and/or local emergency planning commitees? If yes, describe in the findings section. Yes Imminent Catastrophic 1 No 163 694 834363 4
If required to do so, has the facility filed a Tier II Report? Yes Imminent Catastrophic 1 No 163 695 834364 4
Is there a complete (e.g. all occupants) facility chemical inventory available? Please identify the sources of the inventory in the findings section. Sources can include O&M contractors, custodial contractors, and tenants.
: The building inventory should reflect all chemicals stored on-site regardless of ownership (e.g., tenant, GSA, contractor, etc.) Yes Imminent Catastrophic 1 No 163 696 834365 4
Are Safety Data Sheets (SDS) maintained for materials stored at the building? Compare materials/chemicals observed during site visit to inventory. Specify discrepancies in the findings section.
: SDS is the updated terminology for MSDS. Yes Imminent Catastrophic 1 Yes Test Action834366 163 697 834366 4
Are there any findings of non-compliance with PCBs recordkeeping? If yes, describe in the findings section. Yes Imminent Catastrophic 1 No 163 698 834367 4
Solid Waste
Does the facility maintain records of solid waste disposed and recycled? Yes Imminent Catastrophic 1 No 160 699 834353 4
Does the facility have an EPA or State ID number assigned to GSA? Yes Imminent Catastrophic 1 Yes Test Action834354 160 700 834354 4
Fuel Storage Tanks
If FSTs (ASTs or USTs) are on-site, are they on GSA's National Tanks Inventory? Yes Imminent Catastrophic 1 No 166 701 834379 4
Are required tank permits and/or registration on file? Describe non-compliance with permit/registration requirements in the findings section. Please include the expiration dates in findings section as well. Yes Imminent Catastrophic 1 No 166 702 834380 4
Are UST(s) automatic leak detection system maintenance records properly maintained? Yes Imminent Catastrophic 1 No 166 703 834381 4
Are UST manual inventory controls records maintained (fill/consumption, dipstick, etc.)? Yes Imminent Catastrophic 1 No 166 704 834382 4
Are three any lack of records or other issues regarding any leak detection system? If yes, please describe in the findings section. Yes Imminent Catastrophic 1 No 166 705 834383 4
If underground tanks were closed in place, is there a closure report or No Further Action (NFA) letter on file? If no, provide additional details in the findings section. Yes Imminent Catastrophic 1 Yes Test Action834384 166 706 834384 4
Does staff have the appropriate level of UST Owner/Operator Training (levels A/B/C) as required by the Energy Policy Act of 2005 and are certifications/training records available for review? Yes Imminent Catastrophic 1 No 166 707 834385 4
Does the facility have written or verbal procedures for product or waste transfers? If yes, please describe in the findings section. Yes Imminent Catastrophic 1 No 166 708 834386 4
Spill Response and Prevention
If required, does the facility have a Spill Prevention, Control and Countermeasures (SPCC) Plan? If yes, provide the title for the plan, the date the plan was written, and note when the last annual SPCC training was conducted. Yes Imminent Catastrophic 1 No 162 709 834359 4
Does the SPCC Plan reflect the actual situation at the facility (number of ASTs, number of 55 gallon drums, location of spill control equipment)? Yes Imminent Catastrophic 1 Yes Test Action834360 162 710 834360 4
Does the SPCC Plan meet all regulatory requirements? Yes Imminent Catastrophic 1 No 162 711 834361 4
Do personnel comply with all sections of the SPCC Plan? Descibe any non-compliance or violations with the SPCC requirements in the findings section. Yes Imminent Catastrophic 1 No 162 712 834362 4
Air
Are air permits issued to the facility? Yes Imminent Catastrophic 1 Yes Test Action834372 165 713 834372 4
Are permits/registration documents on file for individually permitted/registered emissions generating equipment? Review the air permits. Give brief description of permit conditions in the findings section. Describe emission sources/equipment listed in the permit, allowable throughout in gallons for ASTs, recordkeeping requirements discrepancies, etc. in the findings section. Yes Imminent Catastrophic 1 No 165 714 834373 4
Are there other sources/equipment requiring air permits? This may include laboratory vents, generators, fuel storage tanks, maintenance activities and operations such as welding, and firing ranges. If yes, please describe in the findings section. Yes Imminent Catastrophic 1 No 165 715 834374 4
If there is an Emergency Generator, does the Generator require a permit or plan for the state/country/local air district? Yes Imminent Catastrophic 1 No 165 716 834375 4
If required, does the boiler have a permit? Where applicable, review permit and results of any boiler emissions test. Provide a brief descritpion of permit conditions in the findings section. Descriptions should include allowable NOX, SOX, PM, and other restrictions, etc. Yes Imminent Catastrophic 1 No 165 717 834376 4
Are chiller maintenance records, including replacement refrigerants, registration of recovery units, etc. up to date? Yes Imminent Catastrophic 1 No 165 718 834377 4
Are training certificates for GSA staff and contractors performing maintenance on chillers, replacement refrigerants, registration of recovery units up-to-date? Yes Imminent Catastrophic 1 Yes Test Action834378 165 719 834378 4
Shipping Documents
Does the facility maintain hazardous waste manifests or bills of lading? Yes Imminent Catastrophic 1 No 161 720 834355 4
Are there incomplete or illegible waste manifests or evidence of exceeding hazardous waste generator status? If yes, describe in the findings section. Yes Imminent Catastrophic 1 No 161 721 834356 4
Does the facility maintain required shipping documents for asbestos waste, lead-contaminated, or lead based paint wastes? Yes Imminent Catastrophic 1 No 161 722 834357 4
Does facility maintain shipping documents for recycled materials? Yes Imminent Catastrophic 1 No 161 723 834358 4
Overall RAC
Overall RAC 1 159 615 834350 5
User Adjusted RAC 159 616 834351 6
Explanation of User Adjusted RAC 159 617 834352 1
448 EDITABLE N 159
1 1 N
Air Programs
GSA National Consolidated Risk Management Survey
Air Programs
Questions Response Finding & Observation Regulatory Citation Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action
Permit Compliance
If an air permit exists, do the facility operations comply with the air permit?
: Review the permit for compliance with the sulfur content for diesel fuel, run time, etc. and other aspects of the operation. Yes Imminent Catastrophic 1 No 148 724 834320 4
If an air permit exists, is the emergency generation operation compliant with the sulfur content for diesel fuel, run time, etc. and other aspects of the permit? If not, describe in the findings section. Yes Imminent Catastrophic 1 No 148 725 834321 4
Emergency Generator
Is there an Emergency Generator for the site? If yes, please provide the Total Output Rated Capacity (KW) in the findings section. Yes Imminent Catastrophic 1 No 145 726 834309 4
What type of fuel does the Emergency Generator use? Diesel Imminent Catastrophic 1 No 145 727 834310 3
Are there any outstanding deficiencies associated with the Emergency Generator? If yes, please describe in the findings section. Yes Imminent Catastrophic 1 No 145 728 834311 4
Boilers
Are there any boilers in this facility? If yes, please list the BTU capacity in the findings section. Yes Imminent Catastrophic 1 Yes Test Action834312 146 729 834312 4
What is the fuel used? Gasoline Imminent Catastrophic 1 No 146 730 834313 3
If required to have a permit, are facility boiler operations compliant with the permit? Including allowable NOX, SOX, PM, and other restrictions, etc. Yes Imminent Catastrophic 1 No 146 731 834314 4
Cooling Systems
Are there operating cooling systems at this facility? If yes, please provide the size of the cooling system in the findings section. Yes Imminent Catastrophic 1 No 147 732 834315 4
If there is a cooling system at the facility, please list the refrigerants that are in use or stored onsite in the findings section. Refrigerants listed in findings section Imminent Catastrophic 1 No 147 733 834316 3
Is there evidence of leaks and/or lack of system re-certification? Review chiller records (invoices, work orders, logs). If yes, please describe in the findings section. Yes Imminent Catastrophic 1 No 147 734 834317 4
Is used chiller oil taken off-site for disposal/recycling by the maintenance service contractor? If not, describe in the findings section. Yes Imminent Catastrophic 1 Yes Test Action834318 147 735 834318 4
Were any findings during this assessment a repeat from a previous assessment? If yes, provide details in the findings section. Yes Imminent Catastrophic 1 No 147 736 834319 4
Overall RAC
Overall RAC 1 144 603 834306 5
User Adjusted RAC 144 604 834307 6
Explanation of User Adjusted RAC 144 605 834308 1
448 EDITABLE N 144
1 1 N
Fuel Storage Tanks
GSA National Consolidated Risk Management Survey
Fuel Storage Tanks
Questions Response Finding & Observation Regulatory Citation Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action
Underground Storage Tanks
Does the facility have any underground storage tanks (USTs)? Yes Imminent Catastrophic 1 No 170 737 834393 4
Is the UST(s) corrosion protection system properly maintained? Check records. If no, describe in the findings section. Yes Imminent Catastrophic 1 No 170 738 834394 4
Are tank and piping tightness tests conducted? If yes, describe frequency of testing, the date of the last test(s) and the results in the findings section. Yes Imminent Catastrophic 1 No 170 739 834395 4
Does the facility use methods of leak detection other than automatic leak detection? Yes Imminent Catastrophic 1 Yes Test Action834396 170 740 834396 4
Are the spill buckets for the UST dry and intact (not cracked)? Describe any issues with spill buckets and loading/unloading procedures and operations in the findings section. Yes Imminent Catastrophic 1 No 170 741 834397 4
Is any UST more than 15 years old? If yes, please list the age of each in the findings section. Yes Imminent Catastrophic 1 No 170 742 834398 4
Does the facility/staff monitor loading/unloading operations? If yes, describe in the findings section.
: Loading refers to re-fueling. Yes Imminent Catastrophic 1 No 170 743 834399 4
Have any underground tanks been closed at the facility? If yes, verify records.
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