2 - Location 1 SH Template Reference Only.xlsx

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Leased Fire Protection Assessment Reports, Risk Management Surveys, and Safety & Health Risk Management Surveys
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47PF0022Q0098
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RAC Summary

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GSARisk Management Survey

Safety Health Survey

RAC Summary
6894EDITABLEN
Asbestos6
Drinking Water6
Electrical6
Emergency Planning6
Equipment Machine Guard6
HazMat HazCom6
Hazardous Energy Control6
High Risk Space Use6
Indoor Air Quality6
Lead6
Non-ionizing Radiation6
Permit-Required Confined Spaces6
Powered Industrial Vehicles6
Radon6
Walking-Work Surfaces6
6
Overall RAC6

IRIS Building Profile

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GSARisk Management Survey

Questions Response Findings/Observations

IRIS Building Profile
Region51099546419723421
GSA Building NumberIL1889ZZ1099546519723431
GSA Building NameO'HARE LAKE 2300-A LLC1099546619723441
Building Street Address2300 E Devon Ave1099546719723451
Building CityDES PLAINES1099546819723461
Date of Building Construction1099547119723481
Building StateIL1099546919723471
Building Size (RSF)109954701
Building Size (GSF)2021851099547219723491
Total Number of Floors Above Grade01099547419723501
Total Number of Floors Below Grade01099547519723511
6894N1099

Building Information

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GSARisk Management Survey

Questions Response Findings/Observations

Building Profile
Date(s) of Onsite Survey110154761
Surveyor110154771
Type of Occupancies110154783
Building Point(s) of Contact for Survey110154791
Lease Number110157771
Lease Expiration Date110157781
Property Type110154823
What is the tenant breakdown?110154833
Primary Tenants110154841
Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section.110154883
6894EDITABLEN1101

Asbestos

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GSARisk Management Survey

Asbestos

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Asbestos
Has the lessor provided a written statement that no asbestos is present in accordance with the lease contract requirements?Not PossibleNo Impact6114656894
If asbestos is present, is there a current asbestos management plan or O&M plan?Not PossibleNo Impact6114656904
Are annual visual inspections of acm inventory conducted?N/ANot applicable for Leased buildingNot PossibleNo Impact61146569119336024
Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations?Not PossibleNo Impact6114656924
Are pre-alteration assessments done in advance of work that could disturb asbestos as verified through the asbestos program manager?N/ANot applicable for Leased buildingNot PossibleNo Impact61146577919336034
Other Findings
Other Findings 1Not PossibleNo Impact6114556791
Other Findings 2Not PossibleNo Impact6114556801
Other Findings 3Not PossibleNo Impact6114556811
Other Findings 4Not PossibleNo Impact6114556821
Other Findings 5Not PossibleNo Impact6114556831
Other Findings 6Not PossibleNo Impact6114556841
Other Findings 7Not PossibleNo Impact6114556851
Other Findings 8Not PossibleNo Impact6114556861
Other Findings 9Not PossibleNo Impact6114556871
Other Findings 10Not PossibleNo Impact6114556881
Overall RAC
Overall RAC6114456765
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.114456776
Explanation of User Adjusted RAC114456781
6894EDITABLEN1144
66N

Drinking Water

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GSARisk Management Survey

Drinking Water

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Drinking Water
Is the water from a public or municipal provider?Not PossibleNo Impact6115857394
If the water is from a well source, is it tested regularly in accordance with State or local requirements?Not PossibleNo Impact6115857404
Have there been complaints about the drinking water within the past year?Not PossibleNo Impact6115857414
If there have been complaints, have they been resolved?Not PossibleNo Impact6115857424
Is there a water management plan in place for microbial control?N/ANot applicable for Leased buildingNot PossibleNo Impact61158578019336044
If a childcare center is present, has testing been performed for lead and copper within the past 3 years?N/ANot applicable for Leased buildingNot PossibleNo Impact61158578119336054
Other Findings
Other Findings 1Not PossibleNo Impact6115757291
Other Findings 2Not PossibleNo Impact6115757301
Other Findings 3Not PossibleNo Impact6115757311
Other Findings 4Not PossibleNo Impact6115757321
Other Findings 5Not PossibleNo Impact6115757331
Other Findings 6Not PossibleNo Impact6115757341
Other Findings 7Not PossibleNo Impact6115757351
Other Findings 8Not PossibleNo Impact6115757361
Other Findings 9Not PossibleNo Impact6115757371
Other Findings 10Not PossibleNo Impact6115757381
Overall RAC
Overall RAC6115657265
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.115657276
Explanation of User Adjusted RAC115657281
6894EDITABLEN1156
66N

Electrical

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GSARisk Management Survey

Electrical

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Electrical
Has an Arc Flash analysis for the building been conducted?N/ANot applicable for Leased buildingNot PossibleNo Impact61150570619336064
Are there any visible electrical safety hazards in the leased space areas?Not PossibleNo Impact6115057074
Are proper Arc Flash warning labels posted on the appropriate electrical equipment?N/ANot applicable for Leased buildingNot PossibleNo Impact61150570819336074
Have electrical spaces been limited to qualified personnel only per OSHA requirements?N/ANot applicable for Leased buildingNot PossibleNo Impact61150570919336084
Is there a plan to replace electrical equipment that has reached the end of its life?N/ANot applicable for Leased buildingNot PossibleNo Impact61150578219336094
Other Findings
Other Findings 1Not PossibleNo Impact6114956961
Other Findings 2Not PossibleNo Impact6114956971
Other Findings 3Not PossibleNo Impact6114956981
Other Findings 4Not PossibleNo Impact6114956991
Other Findings 5Not PossibleNo Impact6114957001
Other Findings 6Not PossibleNo Impact6114957011
Other Findings 7Not PossibleNo Impact6114957021
Other Findings 8Not PossibleNo Impact6114957031
Other Findings 9Not PossibleNo Impact6114957041
Other Findings 10Not PossibleNo Impact6114957051
Overall RAC
Overall RAC6114856935
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.114856946
Explanation of User Adjusted RAC114856951
6894EDITABLEN1148
66N

Emergency Planning

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GSARisk Management Survey

Emergency Planning

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Emergency Planning
Is there a current occupant emergency plan (OEP) in place?N/ANot applicable for Leased buildingNot PossibleNo Impact61110554419336104
Are emergency drills performed (e.g., fire, tornado, etc)?N/ANot applicable for Leased buildingNot PossibleNo Impact61110554519336114
Other Findings
Other Findings 1Not PossibleNo Impact6110955341
Other Findings 2Not PossibleNo Impact6110955351
Other Findings 3Not PossibleNo Impact6110955361
Other Findings 4Not PossibleNo Impact6110955371
Other Findings 5Not PossibleNo Impact6110955381
Other Findings 6Not PossibleNo Impact6110955391
Other Findings 7Not PossibleNo Impact6110955401
Other Findings 8Not PossibleNo Impact6110955411
Other Findings 9Not PossibleNo Impact6110955421
Other Findings 10Not PossibleNo Impact6110955431
Overall RAC
Overall RAC6110855315
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.110855326
Explanation of User Adjusted RAC110855331
6894EDITABLEN1108
66N

Equipment Machine Guard

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GSARisk Management Survey

Equipment Machine Guard

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Equipment Machine Guard
Is the facility machinery properly guarded and/or interlocked?N/ANot applicable for Leased buildingNot PossibleNo Impact61166577519336124
Other Findings
Other Findings 1Not PossibleNo Impact6116557651
Other Findings 2Not PossibleNo Impact6116557661
Other Findings 3Not PossibleNo Impact6116557671
Other Findings 4Not PossibleNo Impact6116557681
Other Findings 5Not PossibleNo Impact6116557691
Other Findings 6Not PossibleNo Impact6116557701
Other Findings 7Not PossibleNo Impact6116557711
Other Findings 8Not PossibleNo Impact6116557721
Other Findings 9Not PossibleNo Impact6116557731
Other Findings 10Not PossibleNo Impact6116557741
Overall RAC
Overall RAC6116457625
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.116457636
Explanation of User Adjusted RAC116457641
6894EDITABLEN1164
66N

HazMat HazCom

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GSARisk Management Survey

HazMat HazCom

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
HazMat HazCom
Is the facility free of chemicals?N/ANot applicable for Leased buildingNot PossibleNo Impact61130562719336134
Does O&M and Custodial have a Hazcom Program?N/ANot applicable for Leased buildingNot PossibleNo Impact61130562819336144
Is their a chemical inventory and are SDS available for each chemical on the inventory?N/ANot applicable for Leased buildingNot PossibleNo Impact61130562919336154
If applicable, is an emergency eye wash/shower available for caustic chemical splashes?N/ANot applicable for Leased buildingNot PossibleNo Impact61130563019336164
Other Findings
Other Findings 1Not PossibleNo Impact6112956171
Other Findings 2Not PossibleNo Impact6112956181
Other Findings 3Not PossibleNo Impact6112956191
Other Findings 4Not PossibleNo Impact6112956201
Other Findings 5Not PossibleNo Impact6112956211
Other Findings 6Not PossibleNo Impact6112956221
Other Findings 7Not PossibleNo Impact6112956231
Other Findings 8Not PossibleNo Impact6112956241
Other Findings 9Not PossibleNo Impact6112956251
Other Findings 10Not PossibleNo Impact6112956261
Overall RAC
Overall RAC6112856145
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.112856156
Explanation of User Adjusted RAC112856161
6894EDITABLEN1128
66N

Hazardous Energy Control

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GSARisk Management Survey

Hazardous Energy Control

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Hazardous Energy Control
Does the Operations and Maintenance Contractor have a written hazardous energy control program?N/ANot applicable for Leased buildingNot PossibleNo Impact61134564419336174
Other Findings
Other Findings 1Not PossibleNo Impact6113356341
Other Findings 2Not PossibleNo Impact6113356351
Other Findings 3Not PossibleNo Impact6113356361
Other Findings 4Not PossibleNo Impact6113356371
Other Findings 5Not PossibleNo Impact6113356381
Other Findings 6Not PossibleNo Impact6113356391
Other Findings 7Not PossibleNo Impact6113356401
Other Findings 8Not PossibleNo Impact6113356411
Other Findings 9Not PossibleNo Impact6113356421
Other Findings 10Not PossibleNo Impact6113356431
Overall RAC
Overall RAC6113256315
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.113256326
Explanation of User Adjusted RAC113256331
6894EDITABLEN1132
66N

High Risk Space Use

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GSARisk Management Survey

High Risk Space Use

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
High Risk Space Use
Is the building free of high risk space uses?Not PossibleNo Impact6116257564
If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a))Not PossibleNo Impact6116257574
If Firing Range or Shoot House is present, is it compatible with other occupancies?Not PossibleNo Impact6116257584
If Explosive materials storage is present, is it compatible with other occupancies?Not PossibleNo Impact6116257594
Other Findings
Other Findings 1Not PossibleNo Impact6116157461
Other Findings 2Not PossibleNo Impact6116157471
Other Findings 3Not PossibleNo Impact6116157481
Other Findings 4Not PossibleNo Impact6116157491
Other Findings 5Not PossibleNo Impact6116157501
Other Findings 6Not PossibleNo Impact6116157511
Other Findings 7Not PossibleNo Impact6116157521
Other Findings 8Not PossibleNo Impact6116157531
Other Findings 9Not PossibleNo Impact6116157541
Other Findings 10Not PossibleNo Impact6116157551
Overall RAC
Overall RAC6116057435
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.116057446
Explanation of User Adjusted RAC116057451
6894EDITABLEN1160
66N

Indoor Air Quality

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GSARisk Management Survey

Indoor Air Quality

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Indoor Air Quality
Does the building management office maintain a log of IAQ issues or complaints in NCMMS?N/ANot applicable for Leased buildingNot PossibleNo Impact61138565819336184
Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract?Not PossibleNo Impact6113856594
Are there visible signs of water damage or mold?Not PossibleNo Impact6113856604
If present, is the lessor dealing with the water or mold?Not PossibleNo Impact6113857834
Have there been IAQ complaints since the last survey?Not PossibleNo Impact6113857844
If yes, have the complaints been resolved?Not PossibleNo Impact6113857854
Other Findings
Other Findings 1Not PossibleNo Impact6113756481
Other Findings 2Not PossibleNo Impact6113756491
Other Findings 3Not PossibleNo Impact6113756501
Other Findings 4Not PossibleNo Impact6113756511
Other Findings 5Not PossibleNo Impact6113756521
Other Findings 6Not PossibleNo Impact6113756531
Other Findings 7Not PossibleNo Impact6113756541
Other Findings 8Not PossibleNo Impact6113756551
Other Findings 9Not PossibleNo Impact6113756561
Other Findings 10Not PossibleNo Impact6113756571
Overall RAC
Overall RAC6113656455
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.113656466
Explanation of User Adjusted RAC113656471
6894EDITABLEN1136
66N

Lead

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GSARisk Management Survey

Lead

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Lead
Is the building clear of all lead paint and lead materials?N/ANot applicable for Leased buildingNot PossibleNo Impact61114555919336194
Other Findings
Other Findings 1Not PossibleNo Impact6111355491
Other Findings 2Not PossibleNo Impact6111355501
Other Findings 3Not PossibleNo Impact6111355511
Other Findings 4Not PossibleNo Impact6111355521
Other Findings 5Not PossibleNo Impact6111355531
Other Findings 6Not PossibleNo Impact6111355541
Other Findings 7Not PossibleNo Impact6111355551
Other Findings 8Not PossibleNo Impact6111355561
Other Findings 9Not PossibleNo Impact6111355571
Other Findings 10Not PossibleNo Impact6111355581
Overall RAC
Overall RAC6111255465
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.111255476
Explanation of User Adjusted RAC111255481
6894EDITABLEN1112
66N

Non-ionizing Radiation

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GSARisk Management Survey

Non-ionizing Radiation

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Non-ionizing Radiation
Is the building roof free of all antennas?N/ANot applicable for Leased buildingNot PossibleNo Impact61122558919336204
Are transmitting antennas identified on the building roof?N/ANot applicable for Leased buildingNot PossibleNo Impact61122559019336214
Are safety zones established and proper danger signage posted?N/ANot applicable for Leased buildingNot PossibleNo Impact61122559119336224
Other Findings
Other Findings 1Not PossibleNo Impact6112155791
Other Findings 2Not PossibleNo Impact6112155801
Other Findings 3Not PossibleNo Impact6112155811
Other Findings 4Not PossibleNo Impact6112155821
Other Findings 5Not PossibleNo Impact6112155831
Other Findings 6Not PossibleNo Impact6112155841
Other Findings 7Not PossibleNo Impact6112155851
Other Findings 8Not PossibleNo Impact6112155861
Other Findings 9Not PossibleNo Impact6112155871
Other Findings 10Not PossibleNo Impact6112155881
Overall RAC
Overall RAC6112055765
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.112055776
Explanation of User Adjusted RAC112055781
6894EDITABLEN1120
66N

Permit-Required Confined Spaces

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GSARisk Management Survey

Permit-Required Confined Spaces

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Permit-Required Confined Spaces
Is the building free of all confined spaces requiring permits?N/ANot applicable for Leased buildingNot PossibleNo Impact61154572319336234
Are the PRCS marked with required danger signage?N/ANot applicable for Leased buildingNot PossibleNo Impact61154572419336244
Are GSA employees prohibited from entering PRCS?N/ANot applicable for Leased buildingNot PossibleNo Impact61154572519336254
Other Findings
Other Findings 1Not PossibleNo Impact6115357131
Other Findings 2Not PossibleNo Impact6115357141
Other Findings 3Not PossibleNo Impact6115357151
Other Findings 4Not PossibleNo Impact6115357161
Other Findings 5Not PossibleNo Impact6115357171
Other Findings 6Not PossibleNo Impact6115357181
Other Findings 7Not PossibleNo Impact6115357191
Other Findings 8Not PossibleNo Impact6115357201
Other Findings 9Not PossibleNo Impact6115357211
Other Findings 10Not PossibleNo Impact6115357221
Overall RAC
Overall RAC6115257105
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.115257116
Explanation of User Adjusted RAC115257121
6894EDITABLEN1152
66N

Powered Industrial Vehicles

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GSARisk Management Survey

Powered Industrial Vehicles

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Powered Industrial Vehicles
Are there no powered industrial vehicles used on-site?N/ANot applicable for Leased buildingNot PossibleNo Impact61142567419336264
Does the facility have a facility specific written Powered Industrial Vehicle program, applicable to the vehicles used?N/ANot applicable for Leased buildingNot PossibleNo Impact61142567519336274
Other Findings
Other Findings 1Not PossibleNo Impact6114156641
Other Findings 2Not PossibleNo Impact6114156651
Other Findings 3Not PossibleNo Impact6114156661
Other Findings 4Not PossibleNo Impact6114156671
Other Findings 5Not PossibleNo Impact6114156681
Other Findings 6Not PossibleNo Impact6114156691
Other Findings 7Not PossibleNo Impact6114156701
Other Findings 8Not PossibleNo Impact6114156711
Other Findings 9Not PossibleNo Impact6114156721
Other Findings 10Not PossibleNo Impact6114156731
Overall RAC
Overall RAC6114056615
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.114056626
Explanation of User Adjusted RAC114056631
6894EDITABLEN1140
66N

Radon

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GSARisk Management Survey

Radon

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Radon
Is there a record of radon testing per lease contract requirements?Not PossibleNo Impact6111855734
If yes, are the radon levels within acceptable levels as identified in the contract?Not PossibleNo Impact6111855744
Has radon testing (initial baseline) been done for the building?N/ANot applicable for Leased buildingNot PossibleNo Impact61118557519336284
If a childcare center is present, has testing been performed in the past 3 years, as applicable?
(note: some state licensing agencies require testing every 3 yrs)"N/ANot applicable for Leased buildingNot PossibleNo Impact61118578619336294
Has the building been retested for radon following any major construction work that affected the building foundation or involved penetrations from the building into the soil?N/ANot applicable for Leased buildingNot PossibleNo Impact61118578719336304
Other Findings
Other Findings 1Not PossibleNo Impact6111755631
Other Findings 2Not PossibleNo Impact6111755641
Other Findings 3Not PossibleNo Impact6111755651
Other Findings 4Not PossibleNo Impact6111755661
Other Findings 5Not PossibleNo Impact6111755671
Other Findings 6Not PossibleNo Impact6111755681
Other Findings 7Not PossibleNo Impact6111755691
Other Findings 8Not PossibleNo Impact6111755701
Other Findings 9Not PossibleNo Impact6111755711
Other Findings 10Not PossibleNo Impact6111755721
Overall RAC
Overall RAC6111655605
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.111655616
Explanation of User Adjusted RAC111655621
6894EDITABLEN1116
66N

Walking-Work Surfaces

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GSARisk Management Survey

Walking-Work Surfaces

Risk Assessment Code (RAC)Recommended Corrective Actions
QuestionsResponseFindings/ObservationsRegulatory CitationProbabilitySeverityRACIs there a recommended corrective action associated with this item?Responsible OfficeLocalized or Building WideRecommendation
Walking-Work Surfaces
Are all observed open-sided floor or platforms at least 4 feet above the adjacent floor or ground level properly guarded by guardrail system or equivalent?N/ANot applicable for Leased buildingNot PossibleNo Impact61126560519336314
Are there any tripping or fall hazards within the leased space, common areas, ramps, sidewalks, or entrance areas to the building?Not PossibleNo Impact6112656064
Are floor loads known and available? (example: mezzanines)N/ANot applicable for Leased buildingNot PossibleNo Impact61126560719336324
Is the roof properly guarded from falls through anchors, guardrails, fall protection plans?N/ANot applicable for Leased buildingNot PossibleNo Impact61126560819336334
If present, have roof anchors been tested and certified?N/ANot applicable for Leased buildingNot PossibleNo Impact61126560919336341
For buildings in high-risk seismic zones
Does the building exterior appear free of visible damage or deterioration?Not PossibleNo Impact6116957884
Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling?Not PossibleNo Impact6116957894
Are wall-mounted objects (e.g. shelves, cabinets, monitors, etc) in occupied areas secured to the wall?Not PossibleNo Impact6116957904
Are free-standing objects (e.g. file cabinets, bookcases, machines, etc) secured to the floor or a wall?Not PossibleNo Impact6116957914
Other Findings
Other Findings 1Not PossibleNo Impact6112555951
Other Findings 2Not PossibleNo Impact6112555961
Other Findings 3Not PossibleNo Impact6112555971
Other Findings 4Not PossibleNo Impact6112555981
Other Findings 5Not PossibleNo Impact6112555991
Other Findings 6Not PossibleNo Impact6112556001
Other Findings 7Not PossibleNo Impact6112556011
Other Findings 8Not PossibleNo Impact6112556021
Other Findings 9Not PossibleNo Impact6112556031
Other Findings 10Not PossibleNo Impact6112556041
Overall RAC
Overall RAC6112455925
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.112455936
Explanation of User Adjusted RAC112455941
6894EDITABLEN1124
66N

RAC Guidance Risk Management Survey Severity and Probability Assessment Guidance

SEVERITY ASSESSMENT GUIDANCE
SCOPE and APPLICABILITY
Environmental RiskFire Protection RiskSafety & Health Risk
Contamination of air, water soil, and biota or non-compliance with environmental regulationsEffects 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
CATASTROPHICIrreversible 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 IMPACTNo risk of impact.No risk of impact to the occupants or facility.No risk of impact.
PROBABILITY ASSESSMENT GUIDANCE
PROBABILITY LEVEL DEFINITIONS
LikelyImminent

or

1 in 10
ProbableProbable

or

1 in 100
PossiblePossible

or

1 in 1000
RemoteRemote

or

1 in 10,000
UnlikelyUnlikely

or

1 in 100,000
Not PossibleNon-existent

Help Text

RAC Summary
RAC Summary
IRIS Building Profile
IRIS Building Profile
Region
GSA Building Number
GSA Building Name
Building Street Address
Building City
Date of Building Construction
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
Surveyor
Type of Occupancies
Building Point(s) of Contact for Survey
Lease Number
Lease Expiration Date
Property Type
What is the tenant breakdown?
Primary Tenants
Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section.
Asbestos
Asbestos
Has the lessor provided a written statement that no asbestos is present in accordance with the lease contract requirements?
If asbestos is present, is there a current asbestos management plan or O&M plan?
Are annual visual inspections of acm inventory conducted?
Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations?
Are pre-alteration assessments done in advance of work that could disturb asbestos as verified through the asbestos program manager?
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 RACOnce 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
Drinking Water
Drinking Water
Is the water from a public or municipal provider?
If the water is from a well source, is it tested regularly in accordance with State or local requirements?
Have there been complaints about the drinking water within the past year?
If there have been complaints, have they been resolved?
Is there a water management plan in place for microbial control?
If a childcare center is present, has testing been performed for lead and copper within the past 3 years?
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 RACOnce 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
Electrical
Electrical
Has an Arc Flash analysis for the building been conducted?
Are there any visible electrical safety hazards in the leased space areas?
Are proper Arc Flash warning labels posted on the appropriate electrical equipment?
Have electrical spaces been limited to qualified personnel only per OSHA requirements?
Is there a plan to replace electrical equipment that has reached the end of its life?
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 RACOnce 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
Emergency Planning
Emergency Planning
Is there a current occupant emergency plan (OEP) in place?
Are emergency drills performed (e.g., fire, tornado, etc)?
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 RACOnce 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
Equipment Machine Guard
Equipment Machine Guard
Is the facility machinery properly guarded and/or interlocked?
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 RACOnce 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
HazMat HazCom
HazMat HazCom
Is the facility free of chemicals?
Does O&M and Custodial have a Hazcom Program?
Is their a chemical inventory and are SDS available for each chemical on the inventory?
If applicable, is an emergency eye wash/shower available for caustic chemical splashes?
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 RACOnce 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
Hazardous Energy Control
Hazardous Energy Control
Does the Operations and Maintenance Contractor have a written hazardous energy control program?
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 RACOnce 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
High Risk Space Use
High Risk Space Use
Is the building free of high risk space uses?
If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a))
If Firing Range or Shoot House is present, is it compatible with other occupancies?
If Explosive materials storage is present, is it compatible with other occupancies?
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 RACOnce 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
Indoor Air Quality
Indoor Air Quality
Does the building management office maintain a log of IAQ issues or complaints in NCMMS?
Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract?
Are there visible signs of water damage or mold?
If present, is the lessor dealing with the water or mold?
Have there been IAQ complaints since the last survey?
If yes, have the complaints been resolved?
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 RACOnce 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
Lead
Lead
Is the building clear of all lead paint and lead materials?
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 RACOnce 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
Non-ionizing Radiation
Non-ionizing Radiation
Is the building roof free of all antennas?
Are transmitting antennas identified on the building roof?
Are safety zones established and proper danger signage posted?
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 RACOnce 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
Permit-Required Confined Spaces
Permit-Required Confined Spaces
Is the building free of all confined spaces requiring permits?
Are the PRCS marked with required danger signage?
Are GSA employees prohibited from entering PRCS?
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 RACOnce 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
Powered Industrial Vehicles
Powered Industrial Vehicles
Are there no powered industrial vehicles used on-site?
Does the facility have a facility specific written Powered Industrial Vehicle program, applicable to the vehicles used?
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 RACOnce 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
Radon
Radon
Is there a record of radon testing per lease contract requirements?
If yes, are the radon levels within acceptable levels as identified in the contract?
Has radon testing (initial baseline) been done for the building?
If a childcare center is present, has testing been performed in the past 3 years, as applicable?

(note: some state licensing agencies require testing every 3 yrs)"

Has the building been retested for radon following any major construction work that affected the building foundation or involved penetrations from the building into the soil?
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 RACOnce 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
Walking-Work Surfaces
Walking-Work Surfaces
Are all observed open-sided floor or platforms at least 4 feet above the adjacent floor or ground level properly guarded by guardrail system or equivalent?
Are there any tripping or fall hazards within the leased space, common areas, ramps, sidewalks, or entrance areas to the building?
Are floor loads known and available? (example: mezzanines)
Is the roof properly guarded from falls through anchors, guardrails, fall protection plans?
If present, have roof anchors been tested and certified?
For buildings in high-risk seismic zones
Does the building exterior appear free of visible damage or deterioration?
Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling?
Are wall-mounted objects (e.g. shelves, cabinets, monitors, etc) in occupied areas secured to the wall?
Are free-standing objects (e.g. file cabinets, bookcases, machines, etc) secured to the floor or a wall?
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 RACOnce 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

PossibleMinor4
ProbableCatastrophic1
ImminentModerate3
Not PossibleSignificant6
UnlikelyModerate5
RemoteModerate4
PossibleNo Impact6
PossibleSevere3
ImminentMinor3
Not PossibleModerate6
Not PossibleNo Impact6
RemoteCatastrophic3
ProbableSevere2
ProbableModerate3
ImminentNo Impact6
PossibleCatastrophic2
RemoteNo Impact6
RemoteSevere3
UnlikelySignificant4
Not PossibleSevere6
ImminentSignificant2
PossibleModerate4
UnlikelyCatastrophic3
UnlikelySevere4
ImminentCatastrophic1
ProbableNo Impact6
RemoteSignificant4
Not PossibleMinor6
UnlikelyMinor5
RemoteMinor5
ImminentSevere1
ProbableSignificant3
ProbableMinor4
Not PossibleCatastrophic6
UnlikelyNo Impact6
PossibleSignificant3

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…

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