2 - Location 1 SH Template Reference Only.xlsx
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- 47PF0022Q0098
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| File | Type | Posted |
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| 47PF0022Q0098 - RFIs.pdf | ||
| 5 - Risk Assessment Codes.pdf | ||
| 3 - FLS Contractor Quote Sheet.xlsx | XLSX spreadsheet | |
| 4 - Fire Protection Program Policy Document.pdf | ||
| RFQ_Fire Protection Facility Assessment Reports and Risk Management Surveys.pdf | ||
| Combined Synopsis-Solicitation.pdf | ||
| 1 - Location 1 FP Template Reference Only.xlsx | XLSX spreadsheet | |
| SF18.pdf |
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RAC Summary
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| GSA | Risk Management Survey |
Safety Health Survey
| RAC Summary | ||
| 6894 | EDITABLE | N |
| Asbestos | 6 | |
| Drinking Water | 6 | |
| Electrical | 6 | |
| Emergency Planning | 6 | |
| Equipment Machine Guard | 6 | |
| HazMat HazCom | 6 | |
| Hazardous Energy Control | 6 | |
| High Risk Space Use | 6 | |
| Indoor Air Quality | 6 | |
| Lead | 6 | |
| Non-ionizing Radiation | 6 | |
| Permit-Required Confined Spaces | 6 | |
| Powered Industrial Vehicles | 6 | |
| Radon | 6 | |
| Walking-Work Surfaces | 6 | |
| 6 | ||
| Overall RAC | 6 |
IRIS Building Profile
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| GSA | Risk Management Survey |
Questions Response Findings/Observations
| IRIS Building Profile | |||||||
| Region | 5 | 1099 | 5464 | 1972342 | 1 | ||
| GSA Building Number | IL1889ZZ | 1099 | 5465 | 1972343 | 1 | ||
| GSA Building Name | O'HARE LAKE 2300-A LLC | 1099 | 5466 | 1972344 | 1 | ||
| Building Street Address | 2300 E Devon Ave | 1099 | 5467 | 1972345 | 1 | ||
| Building City | DES PLAINES | 1099 | 5468 | 1972346 | 1 | ||
| Date of Building Construction | 1099 | 5471 | 1972348 | 1 | |||
| Building State | IL | 1099 | 5469 | 1972347 | 1 | ||
| Building Size (RSF) | 1099 | 5470 | 1 | ||||
| Building Size (GSF) | 202185 | 1099 | 5472 | 1972349 | 1 | ||
| Total Number of Floors Above Grade | 0 | 1099 | 5474 | 1972350 | 1 | ||
| Total Number of Floors Below Grade | 0 | 1099 | 5475 | 1972351 | 1 | ||
| 6894 | N | 1099 |
Building Information
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| GSA | Risk Management Survey |
Questions Response Findings/Observations
| Building Profile | ||||||
| Date(s) of Onsite Survey | 1101 | 5476 | 1 | |||
| Surveyor | 1101 | 5477 | 1 | |||
| Type of Occupancies | 1101 | 5478 | 3 | |||
| Building Point(s) of Contact for Survey | 1101 | 5479 | 1 | |||
| Lease Number | 1101 | 5777 | 1 | |||
| Lease Expiration Date | 1101 | 5778 | 1 | |||
| Property Type | 1101 | 5482 | 3 | |||
| What is the tenant breakdown? | 1101 | 5483 | 3 | |||
| Primary Tenants | 1101 | 5484 | 1 | |||
| Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section. | 1101 | 5488 | 3 | |||
| 6894 | EDITABLE | N | 1101 |
Asbestos
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| GSA | Risk Management Survey |
Asbestos
| 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 |
| Asbestos | ||||||||||||
| Has the lessor provided a written statement that no asbestos is present in accordance with the lease contract requirements? | Not Possible | No Impact | 6 | 1146 | 5689 | 4 | ||||||
| If asbestos is present, is there a current asbestos management plan or O&M plan? | Not Possible | No Impact | 6 | 1146 | 5690 | 4 | ||||||
| Are annual visual inspections of acm inventory conducted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1146 | 5691 | 1933602 | 4 | |||
| Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations? | Not Possible | No Impact | 6 | 1146 | 5692 | 4 | ||||||
| Are pre-alteration assessments done in advance of work that could disturb asbestos as verified through the asbestos program manager? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1146 | 5779 | 1933603 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1145 | 5679 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1145 | 5680 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1145 | 5681 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1145 | 5682 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1145 | 5683 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1145 | 5684 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1145 | 5685 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1145 | 5686 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1145 | 5687 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1145 | 5688 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1144 | 5676 | 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. | 1144 | 5677 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1144 | 5678 | 1 | |||||||||
| 6894 | EDITABLE | N | 1144 | |||||||||
| 6 | 6 | N |
Drinking Water
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| GSA | Risk Management Survey |
Drinking Water
| 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 |
| Drinking Water | ||||||||||||
| Is the water from a public or municipal provider? | Not Possible | No Impact | 6 | 1158 | 5739 | 4 | ||||||
| If the water is from a well source, is it tested regularly in accordance with State or local requirements? | Not Possible | No Impact | 6 | 1158 | 5740 | 4 | ||||||
| Have there been complaints about the drinking water within the past year? | Not Possible | No Impact | 6 | 1158 | 5741 | 4 | ||||||
| If there have been complaints, have they been resolved? | Not Possible | No Impact | 6 | 1158 | 5742 | 4 | ||||||
| Is there a water management plan in place for microbial control? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1158 | 5780 | 1933604 | 4 | |||
| If a childcare center is present, has testing been performed for lead and copper within the past 3 years? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1158 | 5781 | 1933605 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1157 | 5729 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1157 | 5730 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1157 | 5731 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1157 | 5732 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1157 | 5733 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1157 | 5734 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1157 | 5735 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1157 | 5736 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1157 | 5737 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1157 | 5738 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1156 | 5726 | 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. | 1156 | 5727 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1156 | 5728 | 1 | |||||||||
| 6894 | EDITABLE | N | 1156 | |||||||||
| 6 | 6 | N |
Electrical
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| GSA | Risk Management Survey |
Electrical
| 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 |
| Electrical | ||||||||||||
| Has an Arc Flash analysis for the building been conducted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1150 | 5706 | 1933606 | 4 | |||
| Are there any visible electrical safety hazards in the leased space areas? | Not Possible | No Impact | 6 | 1150 | 5707 | 4 | ||||||
| Are proper Arc Flash warning labels posted on the appropriate electrical equipment? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1150 | 5708 | 1933607 | 4 | |||
| Have electrical spaces been limited to qualified personnel only per OSHA requirements? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1150 | 5709 | 1933608 | 4 | |||
| Is there a plan to replace electrical equipment that has reached the end of its life? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1150 | 5782 | 1933609 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1149 | 5696 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1149 | 5697 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1149 | 5698 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1149 | 5699 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1149 | 5700 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1149 | 5701 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1149 | 5702 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1149 | 5703 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1149 | 5704 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1149 | 5705 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1148 | 5693 | 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. | 1148 | 5694 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1148 | 5695 | 1 | |||||||||
| 6894 | EDITABLE | N | 1148 | |||||||||
| 6 | 6 | N |
Emergency Planning
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| GSA | Risk Management Survey |
Emergency Planning
| 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 |
| Emergency Planning | ||||||||||||
| Is there a current occupant emergency plan (OEP) in place? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1110 | 5544 | 1933610 | 4 | |||
| Are emergency drills performed (e.g., fire, tornado, etc)? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1110 | 5545 | 1933611 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1109 | 5534 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1109 | 5535 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1109 | 5536 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1109 | 5537 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1109 | 5538 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1109 | 5539 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1109 | 5540 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1109 | 5541 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1109 | 5542 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1109 | 5543 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1108 | 5531 | 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. | 1108 | 5532 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1108 | 5533 | 1 | |||||||||
| 6894 | EDITABLE | N | 1108 | |||||||||
| 6 | 6 | N |
Equipment Machine Guard
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| GSA | Risk Management Survey |
Equipment Machine Guard
| 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 |
| Equipment Machine Guard | ||||||||||||
| Is the facility machinery properly guarded and/or interlocked? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1166 | 5775 | 1933612 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1165 | 5765 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1165 | 5766 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1165 | 5767 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1165 | 5768 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1165 | 5769 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1165 | 5770 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1165 | 5771 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1165 | 5772 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1165 | 5773 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1165 | 5774 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1164 | 5762 | 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. | 1164 | 5763 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1164 | 5764 | 1 | |||||||||
| 6894 | EDITABLE | N | 1164 | |||||||||
| 6 | 6 | N |
HazMat HazCom
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| GSA | Risk Management Survey |
HazMat HazCom
| 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 |
| HazMat HazCom | ||||||||||||
| Is the facility free of chemicals? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1130 | 5627 | 1933613 | 4 | |||
| Does O&M and Custodial have a Hazcom Program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1130 | 5628 | 1933614 | 4 | |||
| Is their a chemical inventory and are SDS available for each chemical on the inventory? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1130 | 5629 | 1933615 | 4 | |||
| If applicable, is an emergency eye wash/shower available for caustic chemical splashes? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1130 | 5630 | 1933616 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1129 | 5617 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1129 | 5618 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1129 | 5619 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1129 | 5620 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1129 | 5621 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1129 | 5622 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1129 | 5623 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1129 | 5624 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1129 | 5625 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1129 | 5626 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1128 | 5614 | 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. | 1128 | 5615 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1128 | 5616 | 1 | |||||||||
| 6894 | EDITABLE | N | 1128 | |||||||||
| 6 | 6 | N |
Hazardous Energy Control
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| GSA | Risk Management Survey |
Hazardous Energy 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 |
| Hazardous Energy Control | ||||||||||||
| Does the Operations and Maintenance Contractor have a written hazardous energy control program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1134 | 5644 | 1933617 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1133 | 5634 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1133 | 5635 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1133 | 5636 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1133 | 5637 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1133 | 5638 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1133 | 5639 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1133 | 5640 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1133 | 5641 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1133 | 5642 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1133 | 5643 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1132 | 5631 | 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. | 1132 | 5632 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1132 | 5633 | 1 | |||||||||
| 6894 | EDITABLE | N | 1132 | |||||||||
| 6 | 6 | N |
High Risk Space Use
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| GSA | Risk Management Survey |
High Risk Space Use
| 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 |
| High Risk Space Use | ||||||||||||
| Is the building free of high risk space uses? | Not Possible | No Impact | 6 | 1162 | 5756 | 4 | ||||||
| If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a)) | Not Possible | No Impact | 6 | 1162 | 5757 | 4 | ||||||
| If Firing Range or Shoot House is present, is it compatible with other occupancies? | Not Possible | No Impact | 6 | 1162 | 5758 | 4 | ||||||
| If Explosive materials storage is present, is it compatible with other occupancies? | Not Possible | No Impact | 6 | 1162 | 5759 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1161 | 5746 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1161 | 5747 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1161 | 5748 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1161 | 5749 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1161 | 5750 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1161 | 5751 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1161 | 5752 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1161 | 5753 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1161 | 5754 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1161 | 5755 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1160 | 5743 | 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. | 1160 | 5744 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1160 | 5745 | 1 | |||||||||
| 6894 | EDITABLE | N | 1160 | |||||||||
| 6 | 6 | N |
Indoor Air Quality
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| GSA | Risk Management Survey |
Indoor Air Quality
| 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 |
| Indoor Air Quality | ||||||||||||
| Does the building management office maintain a log of IAQ issues or complaints in NCMMS? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1138 | 5658 | 1933618 | 4 | |||
| Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract? | Not Possible | No Impact | 6 | 1138 | 5659 | 4 | ||||||
| Are there visible signs of water damage or mold? | Not Possible | No Impact | 6 | 1138 | 5660 | 4 | ||||||
| If present, is the lessor dealing with the water or mold? | Not Possible | No Impact | 6 | 1138 | 5783 | 4 | ||||||
| Have there been IAQ complaints since the last survey? | Not Possible | No Impact | 6 | 1138 | 5784 | 4 | ||||||
| If yes, have the complaints been resolved? | Not Possible | No Impact | 6 | 1138 | 5785 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1137 | 5648 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1137 | 5649 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1137 | 5650 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1137 | 5651 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1137 | 5652 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1137 | 5653 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1137 | 5654 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1137 | 5655 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1137 | 5656 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1137 | 5657 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1136 | 5645 | 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. | 1136 | 5646 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1136 | 5647 | 1 | |||||||||
| 6894 | EDITABLE | N | 1136 | |||||||||
| 6 | 6 | N |
Lead
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| GSA | Risk Management Survey |
Lead
| 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 |
| Lead | ||||||||||||
| Is the building clear of all lead paint and lead materials? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1114 | 5559 | 1933619 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1113 | 5549 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1113 | 5550 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1113 | 5551 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1113 | 5552 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1113 | 5553 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1113 | 5554 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1113 | 5555 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1113 | 5556 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1113 | 5557 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1113 | 5558 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1112 | 5546 | 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. | 1112 | 5547 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1112 | 5548 | 1 | |||||||||
| 6894 | EDITABLE | N | 1112 | |||||||||
| 6 | 6 | N |
Non-ionizing Radiation
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| GSA | Risk Management Survey |
Non-ionizing Radiation
| 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 |
| Non-ionizing Radiation | ||||||||||||
| Is the building roof free of all antennas? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1122 | 5589 | 1933620 | 4 | |||
| Are transmitting antennas identified on the building roof? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1122 | 5590 | 1933621 | 4 | |||
| Are safety zones established and proper danger signage posted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1122 | 5591 | 1933622 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1121 | 5579 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1121 | 5580 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1121 | 5581 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1121 | 5582 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1121 | 5583 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1121 | 5584 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1121 | 5585 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1121 | 5586 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1121 | 5587 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1121 | 5588 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1120 | 5576 | 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. | 1120 | 5577 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1120 | 5578 | 1 | |||||||||
| 6894 | EDITABLE | N | 1120 | |||||||||
| 6 | 6 | N |
Permit-Required Confined Spaces
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| GSA | Risk Management Survey |
Permit-Required Confined Spaces
| 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 |
| Permit-Required Confined Spaces | ||||||||||||
| Is the building free of all confined spaces requiring permits? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1154 | 5723 | 1933623 | 4 | |||
| Are the PRCS marked with required danger signage? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1154 | 5724 | 1933624 | 4 | |||
| Are GSA employees prohibited from entering PRCS? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1154 | 5725 | 1933625 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1153 | 5713 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1153 | 5714 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1153 | 5715 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1153 | 5716 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1153 | 5717 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1153 | 5718 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1153 | 5719 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1153 | 5720 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1153 | 5721 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1153 | 5722 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1152 | 5710 | 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. | 1152 | 5711 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1152 | 5712 | 1 | |||||||||
| 6894 | EDITABLE | N | 1152 | |||||||||
| 6 | 6 | N |
Powered Industrial Vehicles
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| GSA | Risk Management Survey |
Powered Industrial Vehicles
| 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 |
| Powered Industrial Vehicles | ||||||||||||
| Are there no powered industrial vehicles used on-site? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1142 | 5674 | 1933626 | 4 | |||
| Does the facility have a facility specific written Powered Industrial Vehicle program, applicable to the vehicles used? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1142 | 5675 | 1933627 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1141 | 5664 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1141 | 5665 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1141 | 5666 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1141 | 5667 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1141 | 5668 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1141 | 5669 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1141 | 5670 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1141 | 5671 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1141 | 5672 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1141 | 5673 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1140 | 5661 | 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. | 1140 | 5662 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1140 | 5663 | 1 | |||||||||
| 6894 | EDITABLE | N | 1140 | |||||||||
| 6 | 6 | N |
Radon
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| GSA | Risk Management Survey |
Radon
| 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 |
| Radon | ||||||||||||
| Is there a record of radon testing per lease contract requirements? | Not Possible | No Impact | 6 | 1118 | 5573 | 4 | ||||||
| If yes, are the radon levels within acceptable levels as identified in the contract? | Not Possible | No Impact | 6 | 1118 | 5574 | 4 | ||||||
| Has radon testing (initial baseline) been done for the building? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1118 | 5575 | 1933628 | 4 | |||
| 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/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1118 | 5786 | 1933629 | 4 | |||
| 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/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1118 | 5787 | 1933630 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1117 | 5563 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1117 | 5564 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1117 | 5565 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1117 | 5566 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1117 | 5567 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1117 | 5568 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1117 | 5569 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1117 | 5570 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1117 | 5571 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1117 | 5572 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1116 | 5560 | 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. | 1116 | 5561 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1116 | 5562 | 1 | |||||||||
| 6894 | EDITABLE | N | 1116 | |||||||||
| 6 | 6 | N |
Walking-Work Surfaces
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| GSA | Risk Management Survey |
Walking-Work Surfaces
| 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 |
| 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/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1126 | 5605 | 1933631 | 4 | |||
| Are there any tripping or fall hazards within the leased space, common areas, ramps, sidewalks, or entrance areas to the building? | Not Possible | No Impact | 6 | 1126 | 5606 | 4 | ||||||
| Are floor loads known and available? (example: mezzanines) | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1126 | 5607 | 1933632 | 4 | |||
| Is the roof properly guarded from falls through anchors, guardrails, fall protection plans? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1126 | 5608 | 1933633 | 4 | |||
| If present, have roof anchors been tested and certified? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1126 | 5609 | 1933634 | 1 | |||
| For buildings in high-risk seismic zones | ||||||||||||
| Does the building exterior appear free of visible damage or deterioration? | Not Possible | No Impact | 6 | 1169 | 5788 | 4 | ||||||
| Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling? | Not Possible | No Impact | 6 | 1169 | 5789 | 4 | ||||||
| Are wall-mounted objects (e.g. shelves, cabinets, monitors, etc) in occupied areas secured to the wall? | Not Possible | No Impact | 6 | 1169 | 5790 | 4 | ||||||
| Are free-standing objects (e.g. file cabinets, bookcases, machines, etc) secured to the floor or a wall? | Not Possible | No Impact | 6 | 1169 | 5791 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1125 | 5595 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1125 | 5596 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1125 | 5597 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1125 | 5598 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1125 | 5599 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1125 | 5600 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1125 | 5601 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1125 | 5602 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1125 | 5603 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1125 | 5604 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1124 | 5592 | 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. | 1124 | 5593 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1124 | 5594 | 1 | |||||||||
| 6894 | EDITABLE | N | 1124 | |||||||||
| 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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…
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