2 - Location 1 SH Template Reference Only.xlsx

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

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GSARisk Management Survey

Safety Health Survey

RAC Summary
8599EDITABLEN
Asbestos6
Drinking Water6
Electrical6
Emergency Planning6
Equipment Machine Guard6
HazMat HazCom6
Hazardous Energy Control6
High Risk Operations6
Indoor Air Quality6
Lead6
Non-ionizing Radiation6
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
Region51451709326721691
GSA Building NumberIL2252ZZ1451709426721701
GSA Building NameFAIRVIEW HEIGHTS IL CORPORATE CENTRE1451709526721711
Building Street Address9 Executive Dr1451709626721721
Building CityFAIRVIEW HEIGHTS1451709726721731
Date of Building Construction1451710026721751
Building StateIL1451709826721741
Building Size (RSF)145170991
Building Size (GSF)434981451710126721761
Total Number of Floors Above Grade01451710326721771
Total Number of Floors Below Grade01451710426721781
8599N1451

Building Information

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GSARisk Management Survey

Questions Response Findings/Observations

Building Profile
Date(s) of Onsite Survey145371051
Surveyor145371061
Type of Occupancies145371073
Building Point(s) of Contact for Survey145371081
Lease Number145371361
Lease Expiration Date145371371
Property Type145371113
What is the tenant breakdown?145371123
Primary Tenants145371131
Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section.145371173
Identify any Unique Space Type #2.145374243
Identify any Unique Space Type #3.145374253
Identify any Unique Space Type #4.145374263
8599EDITABLEN1453

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 Impact6149873254
If asbestos is present, is there a current asbestos management plan or O&M plan?Not PossibleNo Impact6149873264
Are visual inspections of the asbestos inventory conducted annually?N/ANot applicable for Leased buildingNot PossibleNo Impact61498732726433324
Are asbestos notifications documented (e.g., annual, the start of a contract, and before an abatement project)?N/ANot applicable for Leased buildingNot PossibleNo Impact61498732826433354
Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations?Not PossibleNo Impact6149873294
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 Impact61498742726433374
Other Findings
Other Findings 1Not PossibleNo Impact6149773151
Other Findings 2Not PossibleNo Impact6149773161
Other Findings 3Not PossibleNo Impact6149773171
Other Findings 4Not PossibleNo Impact6149773181
Other Findings 5Not PossibleNo Impact6149773191
Other Findings 6Not PossibleNo Impact6149773201
Other Findings 7Not PossibleNo Impact6149773211
Other Findings 8Not PossibleNo Impact6149773221
Other Findings 9Not PossibleNo Impact6149773231
Other Findings 10Not PossibleNo Impact6149773241
Overall RAC
Overall RAC6149673125
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.149673136
Explanation of User Adjusted RAC149673141
8599EDITABLEN1496
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 Impact6151073774
If the water is from a well source, is it tested regularly in accordance with State or local requirements?Not PossibleNo Impact6151073784
Have there been complaints about the drinking water within the past year?Not PossibleNo Impact6151073794
If there have been complaints, have they been resolved?Not PossibleNo Impact6151073804
Is there a water management plan in place for microbial control?N/ANot applicable for Leased buildingNot PossibleNo Impact61510738126433604
If a childcare center is present, has testing been performed for lead and copper within the past three years or more recently if required by the state license or NAEYC accreditation?Not PossibleNo Impact6151073824
Other Findings
Other Findings 1Not PossibleNo Impact6150973671
Other Findings 2Not PossibleNo Impact6150973681
Other Findings 3Not PossibleNo Impact6150973691
Other Findings 4Not PossibleNo Impact6150973701
Other Findings 5Not PossibleNo Impact6150973711
Other Findings 6Not PossibleNo Impact6150973721
Other Findings 7Not PossibleNo Impact6150973731
Other Findings 8Not PossibleNo Impact6150973741
Other Findings 9Not PossibleNo Impact6150973751
Other Findings 10Not PossibleNo Impact6150973761
Overall RAC
Overall RAC6150873645
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.150873656
Explanation of User Adjusted RAC150873661
8599EDITABLEN1508
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
Are there any visible electrical safety hazards?Not PossibleNo Impact6150273444
Has an Arc Flash analysis for the building been conducted?N/ANot applicable for Leased buildingNot PossibleNo Impact61502734326433384
Are proper Arc Flash warning labels posted on the appropriate electrical equipment?N/ANot applicable for Leased buildingNot PossibleNo Impact61502734526433394
Have electrical spaces been limited to qualified personnel only per OSHA requirements?N/ANot applicable for Leased buildingNot PossibleNo Impact61502734626433404
Is there a plan to replace electrical equipment that has reached the end of its life?N/ANot applicable for Leased buildingNot PossibleNo Impact61502734726433614
Other Findings
Other Findings 1Not PossibleNo Impact6150173331
Other Findings 2Not PossibleNo Impact6150173341
Other Findings 3Not PossibleNo Impact6150173351
Other Findings 4Not PossibleNo Impact6150173361
Other Findings 5Not PossibleNo Impact6150173371
Other Findings 6Not PossibleNo Impact6150173381
Other Findings 7Not PossibleNo Impact6150173391
Other Findings 8Not PossibleNo Impact6150173401
Other Findings 9Not PossibleNo Impact6150173411
Other Findings 10Not PossibleNo Impact6150173421
Overall RAC
Overall RAC6150073305
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.150073316
Explanation of User Adjusted RAC150073321
8599EDITABLEN1500
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 Impact61462717526433414
Are emergency drills performed (e.g., fire, tornado, etc)?N/ANot applicable for Leased buildingNot PossibleNo Impact61462717626433424
Other Findings
Other Findings 1Not PossibleNo Impact6146171651
Other Findings 2Not PossibleNo Impact6146171661
Other Findings 3Not PossibleNo Impact6146171671
Other Findings 4Not PossibleNo Impact6146171681
Other Findings 5Not PossibleNo Impact6146171691
Other Findings 6Not PossibleNo Impact6146171701
Other Findings 7Not PossibleNo Impact6146171711
Other Findings 8Not PossibleNo Impact6146171721
Other Findings 9Not PossibleNo Impact6146171731
Other Findings 10Not PossibleNo Impact6146171741
Overall RAC
Overall RAC6146071625
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.146071636
Explanation of User Adjusted RAC146071641
8599EDITABLEN1460
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 Impact61518741526433434
Other Findings
Other Findings 1Not PossibleNo Impact6151774051
Other Findings 2Not PossibleNo Impact6151774061
Other Findings 3Not PossibleNo Impact6151774071
Other Findings 4Not PossibleNo Impact6151774081
Other Findings 5Not PossibleNo Impact6151774091
Other Findings 6Not PossibleNo Impact6151774101
Other Findings 7Not PossibleNo Impact6151774111
Other Findings 8Not PossibleNo Impact6151774121
Other Findings 9Not PossibleNo Impact6151774131
Other Findings 10Not PossibleNo Impact6151774141
Overall RAC
Overall RAC6151674025
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.151674036
Explanation of User Adjusted RAC151674041
8599EDITABLEN1516
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
Are chemicals properly labeled and stored in the facility?Not PossibleNo Impact6148272604
Does O&M and Custodial have a Hazcom Program?N/ANot applicable for Leased buildingNot PossibleNo Impact61482726126433624
Is there a chemical inventory, and are SDS available for each chemical on the inventoryNot PossibleNo Impact6148272624
If applicable, is an emergency eye wash/shower available for caustic chemical splashes?N/ANot applicable for Leased buildingNot PossibleNo Impact61482726326433634
If applicable, are emergency eye wash/showers routinely inspected?N/ANot applicable for Leased buildingNot PossibleNo Impact61482742826433444
Other Findings
Other Findings 1Not PossibleNo Impact6148172501
Other Findings 2Not PossibleNo Impact6148172511
Other Findings 3Not PossibleNo Impact6148172521
Other Findings 4Not PossibleNo Impact6148172531
Other Findings 5Not PossibleNo Impact6148172541
Other Findings 6Not PossibleNo Impact6148172551
Other Findings 7Not PossibleNo Impact6148172561
Other Findings 8Not PossibleNo Impact6148172571
Other Findings 9Not PossibleNo Impact6148172581
Other Findings 10Not PossibleNo Impact6148172591
Overall RAC
Overall RAC6148072475
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.148072486
Explanation of User Adjusted RAC148072491
8599EDITABLEN1480
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 Impact61486727726433454
If observed, are proper lockout/tagout practices and procedures followed?N/ANot applicable for Leased buildingNot PossibleNo Impact61486742926433464
Other Findings
Other Findings 1Not PossibleNo Impact6148572671
Other Findings 2Not PossibleNo Impact6148572681
Other Findings 3Not PossibleNo Impact6148572691
Other Findings 4Not PossibleNo Impact6148572701
Other Findings 5Not PossibleNo Impact6148572711
Other Findings 6Not PossibleNo Impact6148572721
Other Findings 7Not PossibleNo Impact6148572731
Other Findings 8Not PossibleNo Impact6148572741
Other Findings 9Not PossibleNo Impact6148572751
Other Findings 10Not PossibleNo Impact6148572761
Overall RAC
Overall RAC6148472645
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.148472656
Explanation of User Adjusted RAC148472661
8599EDITABLEN1484
66N

High Risk Operations

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GSARisk Management Survey

High Risk Operations

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 Operations
Does the building contain high risk operations (e.g., high risk laboratory, firing range, shoot house, or explosive materials storage) as defined in PBS 1000.4A?Not PossibleNo Impact6151473964
If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a))Not PossibleNo Impact6151473974
If Firing Range or Shoot House is present, is it compatible with other occupancies?Not PossibleNo Impact6151473984
If Explosive materials storage is present, is it compatible with other occupancies?Not PossibleNo Impact6151473994
Other Findings
Other Findings 1Not PossibleNo Impact6151373861
Other Findings 2Not PossibleNo Impact6151373871
Other Findings 3Not PossibleNo Impact6151373881
Other Findings 4Not PossibleNo Impact6151373891
Other Findings 5Not PossibleNo Impact6151373901
Other Findings 6Not PossibleNo Impact6151373911
Other Findings 7Not PossibleNo Impact6151373921
Other Findings 8Not PossibleNo Impact6151373931
Other Findings 9Not PossibleNo Impact6151373941
Other Findings 10Not PossibleNo Impact6151373951
Overall RAC
Overall RAC6151273835
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.151273846
Explanation of User Adjusted RAC151273851
8599EDITABLEN1512
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
Have there been IAQ complaints since the last survey?Not PossibleNo Impact6149072914
If yes, have the complaints been resolved?Not PossibleNo Impact6149072924
Does the building management office maintain a log of IAQ issues or complaints in NCMMS?N/ANot applicable for Leased buildingNot PossibleNo Impact61490729326433474
Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract?Not PossibleNo Impact6149072944
Are there visible signs of water damage or mold?Not PossibleNo Impact6149072954
If present, is the building dealing with water intrusion or visible mold growth per industry standards (e.g., ANSI / IICRC S500 & S520)?Not PossibleNo Impact6149072964
Other Findings
Other Findings 1Not PossibleNo Impact6148972811
Other Findings 2Not PossibleNo Impact6148972821
Other Findings 3Not PossibleNo Impact6148972831
Other Findings 4Not PossibleNo Impact6148972841
Other Findings 5Not PossibleNo Impact6148972851
Other Findings 6Not PossibleNo Impact6148972861
Other Findings 7Not PossibleNo Impact6148972871
Other Findings 8Not PossibleNo Impact6148972881
Other Findings 9Not PossibleNo Impact6148972891
Other Findings 10Not PossibleNo Impact6148972901
Overall RAC
Overall RAC6148872785
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.148872796
Explanation of User Adjusted RAC148872801
8599EDITABLEN1488
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
Does the building contain paint, similar surface coatings, or accumulated dust that contains lead?Not PossibleNo Impact6146671904
Are pre-alteration assessments done in advance of work that disturb paint, similar surface coatings, or accumulated dust that could contain lead?Not PossibleNo Impact6146674304
Other Findings
Other Findings 1Not PossibleNo Impact6146571801
Other Findings 2Not PossibleNo Impact6146571811
Other Findings 3Not PossibleNo Impact6146571821
Other Findings 4Not PossibleNo Impact6146571831
Other Findings 5Not PossibleNo Impact6146571841
Other Findings 6Not PossibleNo Impact6146571851
Other Findings 7Not PossibleNo Impact6146571861
Other Findings 8Not PossibleNo Impact6146571871
Other Findings 9Not PossibleNo Impact6146571881
Other Findings 10Not PossibleNo Impact6146571891
Overall RAC
Overall RAC6146471775
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.146471786
Explanation of User Adjusted RAC146471791
8599EDITABLEN1464
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
Are radio frequency (RF) transmitting devices on the building roof?N/ANot applicable for Leased buildingNot PossibleNo Impact61474722226433484
Are safety zones established and proper danger signage posted?N/ANot applicable for Leased buildingNot PossibleNo Impact61474722326433494
If applicable, is the FCC license and RF emissions analysis report from the device owner documented?N/ANot applicable for Leased buildingNot PossibleNo Impact61474722426433504
Other Findings
Other Findings 1Not PossibleNo Impact6147372121
Other Findings 2Not PossibleNo Impact6147372131
Other Findings 3Not PossibleNo Impact6147372141
Other Findings 4Not PossibleNo Impact6147372151
Other Findings 5Not PossibleNo Impact6147372161
Other Findings 6Not PossibleNo Impact6147372171
Other Findings 7Not PossibleNo Impact6147372181
Other Findings 8Not PossibleNo Impact6147372191
Other Findings 9Not PossibleNo Impact6147372201
Other Findings 10Not PossibleNo Impact6147372211
Overall RAC
Overall RAC6147272095
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.147272106
Explanation of User Adjusted RAC147272111
8599EDITABLEN1472
66N

Confined Spaces

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GSARisk Management Survey

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
Confined Spaces
Are confined spaces in the building documented, including permit-required confined spaces (PRCS)?N/ANot applicable for Leased buildingNot PossibleNo Impact61506736126433514
Are PRCS in the building properly labeled?N/ANot applicable for Leased buildingNot PossibleNo Impact61506736226433524
Are GSA employees prohibited from entering PRCS?N/ANot applicable for Leased buildingNot PossibleNo Impact61506736326433534
Does operations and maintenance contractor have a written confined space entry program?N/ANot applicable for Leased buildingNot PossibleNo Impact61506743126433544
Other Findings
Other Findings 1Not PossibleNo Impact6150573511
Other Findings 2Not PossibleNo Impact6150573521
Other Findings 3Not PossibleNo Impact6150573531
Other Findings 4Not PossibleNo Impact6150573541
Other Findings 5Not PossibleNo Impact6150573551
Other Findings 6Not PossibleNo Impact6150573561
Other Findings 7Not PossibleNo Impact6150573571
Other Findings 8Not PossibleNo Impact6150573581
Other Findings 9Not PossibleNo Impact6150573591
Other Findings 10Not PossibleNo Impact6150573601
Overall RAC
Overall RAC6150473485
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.150473496
Explanation of User Adjusted RAC150473501
8599EDITABLEN1504
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 powered industrial trucks (e.g., fork trucks, tractors, platform lift trucks, motorized hand trucks, and other specialized industrial trucks) used on-site?N/ANot applicable for Leased buildingNot PossibleNo Impact61494731026433554
Does the facility have a facility specific written Powered Industrial Vehicle program, applicable to the vehicles used?N/ANot applicable for Leased buildingNot PossibleNo Impact61494731126433564
Is an evaluation of each powered industrial truck operator's performance within the last three years documented?N/ANot applicable for Leased buildingNot PossibleNo Impact61494743226433574
Other Findings
Other Findings 1Not PossibleNo Impact6149373001
Other Findings 2Not PossibleNo Impact6149373011
Other Findings 3Not PossibleNo Impact6149373021
Other Findings 4Not PossibleNo Impact6149373031
Other Findings 5Not PossibleNo Impact6149373041
Other Findings 6Not PossibleNo Impact6149373051
Other Findings 7Not PossibleNo Impact6149373061
Other Findings 8Not PossibleNo Impact6149373071
Other Findings 9Not PossibleNo Impact6149373081
Other Findings 10Not PossibleNo Impact6149373091
Overall RAC
Overall RAC6149272975
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.149272986
Explanation of User Adjusted RAC149272991
8599EDITABLEN1492
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 Impact6147072044
If yes, are the radon levels within acceptable levels as identified in the contract?Not PossibleNo Impact6147072054
Has radon testing (initial baseline) been done for the building?N/ANot applicable for Leased buildingNot PossibleNo Impact61470720626433584
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 Impact61470720726433594
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?Not PossibleNo Impact6147072084
Other Findings
Other Findings 1Not PossibleNo Impact6146971941
Other Findings 2Not PossibleNo Impact6146971951
Other Findings 3Not PossibleNo Impact6146971961
Other Findings 4Not PossibleNo Impact6146971971
Other Findings 5Not PossibleNo Impact6146971981
Other Findings 6Not PossibleNo Impact6146971991
Other Findings 7Not PossibleNo Impact6146972001
Other Findings 8Not PossibleNo Impact6146972011
Other Findings 9Not PossibleNo Impact6146972021
Other Findings 10Not PossibleNo Impact6146972031
Overall RAC
Overall RAC6146871915
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.146871926
Explanation of User Adjusted RAC146871931
8599EDITABLEN1468
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 Impact61478723826433644
Are there any tripping or fall hazards within the occupied space, common areas, ramps, sidewalks, or entrance areas to the building?Not PossibleNo Impact6147872394
Are floor loads known and available? (example: mezzanines)N/ANot applicable for Leased buildingNot PossibleNo Impact61478724026433334
Is the roof properly guarded from falls through anchors, guardrails, fall protection plans?N/ANot applicable for Leased buildingNot PossibleNo Impact61478724126433344
If present, have roof anchors been tested and certified?N/ANot applicable for Leased buildingNot PossibleNo Impact61478724226433361
For buildings in high-risk seismic zones
Does the building exterior appear free of visible damage or deterioration?Not PossibleNo Impact6151974164
Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling?Not PossibleNo Impact6151974174
Are wall-mounted objects (e.g., shelves, cabinets, monitors, etc.) in occupied areas greater than 6 feet or otherwise noted in FEMA E-74 secured to the wall?Not PossibleNo Impact6151974184
Are free-standing objects (e.g., file cabinets, bookcases, machines, etc.) greater than 6 feet or otherwise noted in FEMA E-74 secured to the floor or wall?Not PossibleNo Impact6151974194
Other Findings
Other Findings 1Not PossibleNo Impact6147772281
Other Findings 2Not PossibleNo Impact6147772291
Other Findings 3Not PossibleNo Impact6147772301
Other Findings 4Not PossibleNo Impact6147772311
Other Findings 5Not PossibleNo Impact6147772321
Other Findings 6Not PossibleNo Impact6147772331
Other Findings 7Not PossibleNo Impact6147772341
Other Findings 8Not PossibleNo Impact6147772351
Other Findings 9Not PossibleNo Impact6147772361
Other Findings 10Not PossibleNo Impact6147772371
Overall RAC
Overall RAC6147672255
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.147672266
Explanation of User Adjusted RAC147672271
8599EDITABLEN1476
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.
Identify any Unique Space Type #2.
Identify any Unique Space Type #3.
Identify any Unique Space Type #4.
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 visual inspections of the asbestos inventory conducted annually?
Are asbestos notifications documented (e.g., annual, the start of a contract, and before an abatement project)?
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 three years or more recently if required by the state license or NAEYC accreditation?
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
Are there any visible electrical safety hazards?
Has an Arc Flash analysis for the building been conducted?
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
Are chemicals properly labeled and stored in the facility?
Does O&M and Custodial have a Hazcom Program?
Is there 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?
If applicable, are emergency eye wash/showers routinely inspected?
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?
If observed, are proper lockout/tagout practices and procedures followed?
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 Operations
High Risk Operations
Does the building contain high risk operations (e.g., high risk laboratory, firing range, shoot house, or explosive materials storage) as defined in PBS 1000.4A?
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
Have there been IAQ complaints since the last survey?
If yes, have the complaints been resolved?
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 building dealing with water intrusion or visible mold growth per industry standards (e.g., ANSI / IICRC S500 & S520)?
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
Does the building contain paint, similar surface coatings, or accumulated dust that contains lead?
Are pre-alteration assessments done in advance of work that disturb paint, similar surface coatings, or accumulated dust that could contain lead?
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
Are radio frequency (RF) transmitting devices on the building roof?
Are safety zones established and proper danger signage posted?
If applicable, is the FCC license and RF emissions analysis report from the device owner documented?
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
Confined Spaces
Confined Spaces
Are confined spaces in the building documented, including permit-required confined spaces (PRCS)?
Are PRCS in the building properly labeled?
Are GSA employees prohibited from entering PRCS?
Does operations and maintenance contractor have a written confined space entry 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
Powered Industrial Vehicles
Powered Industrial Vehicles
Are powered industrial trucks (e.g., fork trucks, tractors, platform lift trucks, motorized hand trucks, and other specialized industrial trucks) used on-site?
Does the facility have a facility specific written Powered Industrial Vehicle program, applicable to the vehicles used?
Is an evaluation of each powered industrial truck operator's performance within the last three years documented?
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 occupied 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 greater than 6 feet or otherwise noted in FEMA E-74 secured to the wall?
Are free-standing objects (e.g., file cabinets, bookcases, machines, etc.) greater than 6 feet or otherwise noted in FEMA E-74 secured to the floor or 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

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