2 - Location 1 SH Template Reference Only.xlsx
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- 47PF0023Q0019
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| File | Type | Posted |
|---|---|---|
| RFQ 47PF0023Q0019 RFIs.pdf | ||
| 1 - Location 1 FP Template Reference Only.xlsx | XLSX spreadsheet | |
| SF18.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 | ||
| 5 - Risk Assessment Codes.pdf |
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Text version
RAC Summary
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| GSA | Risk Management Survey |
Safety Health Survey
| RAC Summary | ||
| 8599 | 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 Operations | 6 | |
| Indoor Air Quality | 6 | |
| Lead | 6 | |
| Non-ionizing Radiation | 6 | |
| 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 | 1451 | 7093 | 2672169 | 1 | ||
| GSA Building Number | IL2252ZZ | 1451 | 7094 | 2672170 | 1 | ||
| GSA Building Name | FAIRVIEW HEIGHTS IL CORPORATE CENTRE | 1451 | 7095 | 2672171 | 1 | ||
| Building Street Address | 9 Executive Dr | 1451 | 7096 | 2672172 | 1 | ||
| Building City | FAIRVIEW HEIGHTS | 1451 | 7097 | 2672173 | 1 | ||
| Date of Building Construction | 1451 | 7100 | 2672175 | 1 | |||
| Building State | IL | 1451 | 7098 | 2672174 | 1 | ||
| Building Size (RSF) | 1451 | 7099 | 1 | ||||
| Building Size (GSF) | 43498 | 1451 | 7101 | 2672176 | 1 | ||
| Total Number of Floors Above Grade | 0 | 1451 | 7103 | 2672177 | 1 | ||
| Total Number of Floors Below Grade | 0 | 1451 | 7104 | 2672178 | 1 | ||
| 8599 | N | 1451 |
Building Information
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| GSA | Risk Management Survey |
Questions Response Findings/Observations
| Building Profile | ||||||
| Date(s) of Onsite Survey | 1453 | 7105 | 1 | |||
| Surveyor | 1453 | 7106 | 1 | |||
| Type of Occupancies | 1453 | 7107 | 3 | |||
| Building Point(s) of Contact for Survey | 1453 | 7108 | 1 | |||
| Lease Number | 1453 | 7136 | 1 | |||
| Lease Expiration Date | 1453 | 7137 | 1 | |||
| Property Type | 1453 | 7111 | 3 | |||
| What is the tenant breakdown? | 1453 | 7112 | 3 | |||
| Primary Tenants | 1453 | 7113 | 1 | |||
| Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section. | 1453 | 7117 | 3 | |||
| Identify any Unique Space Type #2. | 1453 | 7424 | 3 | |||
| Identify any Unique Space Type #3. | 1453 | 7425 | 3 | |||
| Identify any Unique Space Type #4. | 1453 | 7426 | 3 | |||
| 8599 | EDITABLE | N | 1453 |
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 | 1498 | 7325 | 4 | ||||||
| If asbestos is present, is there a current asbestos management plan or O&M plan? | Not Possible | No Impact | 6 | 1498 | 7326 | 4 | ||||||
| Are visual inspections of the asbestos inventory conducted annually? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1498 | 7327 | 2643332 | 4 | |||
| Are asbestos notifications documented (e.g., annual, the start of a contract, and before an abatement project)? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1498 | 7328 | 2643335 | 4 | |||
| Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations? | Not Possible | No Impact | 6 | 1498 | 7329 | 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 | 1498 | 7427 | 2643337 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1497 | 7315 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1497 | 7316 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1497 | 7317 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1497 | 7318 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1497 | 7319 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1497 | 7320 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1497 | 7321 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1497 | 7322 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1497 | 7323 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1497 | 7324 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1496 | 7312 | 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. | 1496 | 7313 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1496 | 7314 | 1 | |||||||||
| 8599 | EDITABLE | N | 1496 | |||||||||
| 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 | 1510 | 7377 | 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 | 1510 | 7378 | 4 | ||||||
| Have there been complaints about the drinking water within the past year? | Not Possible | No Impact | 6 | 1510 | 7379 | 4 | ||||||
| If there have been complaints, have they been resolved? | Not Possible | No Impact | 6 | 1510 | 7380 | 4 | ||||||
| Is there a water management plan in place for microbial control? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1510 | 7381 | 2643360 | 4 | |||
| 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 Possible | No Impact | 6 | 1510 | 7382 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1509 | 7367 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1509 | 7368 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1509 | 7369 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1509 | 7370 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1509 | 7371 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1509 | 7372 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1509 | 7373 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1509 | 7374 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1509 | 7375 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1509 | 7376 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1508 | 7364 | 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. | 1508 | 7365 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1508 | 7366 | 1 | |||||||||
| 8599 | EDITABLE | N | 1508 | |||||||||
| 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 | ||||||||||||
| Are there any visible electrical safety hazards? | Not Possible | No Impact | 6 | 1502 | 7344 | 4 | ||||||
| Has an Arc Flash analysis for the building been conducted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1502 | 7343 | 2643338 | 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 | 1502 | 7345 | 2643339 | 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 | 1502 | 7346 | 2643340 | 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 | 1502 | 7347 | 2643361 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1501 | 7333 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1501 | 7334 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1501 | 7335 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1501 | 7336 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1501 | 7337 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1501 | 7338 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1501 | 7339 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1501 | 7340 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1501 | 7341 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1501 | 7342 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1500 | 7330 | 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. | 1500 | 7331 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1500 | 7332 | 1 | |||||||||
| 8599 | EDITABLE | N | 1500 | |||||||||
| 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 | 1462 | 7175 | 2643341 | 4 | |||
| Are emergency drills performed (e.g., fire, tornado, etc)? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1462 | 7176 | 2643342 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1461 | 7165 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1461 | 7166 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1461 | 7167 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1461 | 7168 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1461 | 7169 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1461 | 7170 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1461 | 7171 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1461 | 7172 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1461 | 7173 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1461 | 7174 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1460 | 7162 | 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. | 1460 | 7163 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1460 | 7164 | 1 | |||||||||
| 8599 | EDITABLE | N | 1460 | |||||||||
| 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 | 1518 | 7415 | 2643343 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1517 | 7405 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1517 | 7406 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1517 | 7407 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1517 | 7408 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1517 | 7409 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1517 | 7410 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1517 | 7411 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1517 | 7412 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1517 | 7413 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1517 | 7414 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1516 | 7402 | 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. | 1516 | 7403 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1516 | 7404 | 1 | |||||||||
| 8599 | EDITABLE | N | 1516 | |||||||||
| 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 | ||||||||||||
| Are chemicals properly labeled and stored in the facility? | Not Possible | No Impact | 6 | 1482 | 7260 | 4 | ||||||
| Does O&M and Custodial have a Hazcom Program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1482 | 7261 | 2643362 | 4 | |||
| Is there a chemical inventory, and are SDS available for each chemical on the inventory | Not Possible | No Impact | 6 | 1482 | 7262 | 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 | 1482 | 7263 | 2643363 | 4 | |||
| If applicable, are emergency eye wash/showers routinely inspected? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1482 | 7428 | 2643344 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1481 | 7250 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1481 | 7251 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1481 | 7252 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1481 | 7253 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1481 | 7254 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1481 | 7255 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1481 | 7256 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1481 | 7257 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1481 | 7258 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1481 | 7259 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1480 | 7247 | 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. | 1480 | 7248 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1480 | 7249 | 1 | |||||||||
| 8599 | EDITABLE | N | 1480 | |||||||||
| 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 | 1486 | 7277 | 2643345 | 4 | |||
| If observed, are proper lockout/tagout practices and procedures followed? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1486 | 7429 | 2643346 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1485 | 7267 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1485 | 7268 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1485 | 7269 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1485 | 7270 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1485 | 7271 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1485 | 7272 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1485 | 7273 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1485 | 7274 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1485 | 7275 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1485 | 7276 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1484 | 7264 | 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. | 1484 | 7265 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1484 | 7266 | 1 | |||||||||
| 8599 | EDITABLE | N | 1484 | |||||||||
| 6 | 6 | N |
High Risk Operations
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| GSA | Risk Management Survey |
High Risk Operations
| 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 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 Possible | No Impact | 6 | 1514 | 7396 | 4 | ||||||
| If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a)) | Not Possible | No Impact | 6 | 1514 | 7397 | 4 | ||||||
| If Firing Range or Shoot House is present, is it compatible with other occupancies? | Not Possible | No Impact | 6 | 1514 | 7398 | 4 | ||||||
| If Explosive materials storage is present, is it compatible with other occupancies? | Not Possible | No Impact | 6 | 1514 | 7399 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1513 | 7386 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1513 | 7387 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1513 | 7388 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1513 | 7389 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1513 | 7390 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1513 | 7391 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1513 | 7392 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1513 | 7393 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1513 | 7394 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1513 | 7395 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1512 | 7383 | 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. | 1512 | 7384 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1512 | 7385 | 1 | |||||||||
| 8599 | EDITABLE | N | 1512 | |||||||||
| 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 | ||||||||||||
| Have there been IAQ complaints since the last survey? | Not Possible | No Impact | 6 | 1490 | 7291 | 4 | ||||||
| If yes, have the complaints been resolved? | Not Possible | No Impact | 6 | 1490 | 7292 | 4 | ||||||
| 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 | 1490 | 7293 | 2643347 | 4 | |||
| Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract? | Not Possible | No Impact | 6 | 1490 | 7294 | 4 | ||||||
| Are there visible signs of water damage or mold? | Not Possible | No Impact | 6 | 1490 | 7295 | 4 | ||||||
| If present, is the building dealing with water intrusion or visible mold growth per industry standards (e.g., ANSI / IICRC S500 & S520)? | Not Possible | No Impact | 6 | 1490 | 7296 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1489 | 7281 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1489 | 7282 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1489 | 7283 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1489 | 7284 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1489 | 7285 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1489 | 7286 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1489 | 7287 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1489 | 7288 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1489 | 7289 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1489 | 7290 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1488 | 7278 | 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. | 1488 | 7279 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1488 | 7280 | 1 | |||||||||
| 8599 | EDITABLE | N | 1488 | |||||||||
| 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 | ||||||||||||
| Does the building contain paint, similar surface coatings, or accumulated dust that contains lead? | Not Possible | No Impact | 6 | 1466 | 7190 | 4 | ||||||
| Are pre-alteration assessments done in advance of work that disturb paint, similar surface coatings, or accumulated dust that could contain lead? | Not Possible | No Impact | 6 | 1466 | 7430 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1465 | 7180 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1465 | 7181 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1465 | 7182 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1465 | 7183 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1465 | 7184 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1465 | 7185 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1465 | 7186 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1465 | 7187 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1465 | 7188 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1465 | 7189 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1464 | 7177 | 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. | 1464 | 7178 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1464 | 7179 | 1 | |||||||||
| 8599 | EDITABLE | N | 1464 | |||||||||
| 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 | ||||||||||||
| Are radio frequency (RF) transmitting devices on the building roof? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1474 | 7222 | 2643348 | 4 | |||
| Are safety zones established and proper danger signage posted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1474 | 7223 | 2643349 | 4 | |||
| If applicable, is the FCC license and RF emissions analysis report from the device owner documented? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1474 | 7224 | 2643350 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1473 | 7212 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1473 | 7213 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1473 | 7214 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1473 | 7215 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1473 | 7216 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1473 | 7217 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1473 | 7218 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1473 | 7219 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1473 | 7220 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1473 | 7221 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1472 | 7209 | 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. | 1472 | 7210 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1472 | 7211 | 1 | |||||||||
| 8599 | EDITABLE | N | 1472 | |||||||||
| 6 | 6 | N |
Confined Spaces
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| GSA | Risk Management Survey |
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 |
| Confined Spaces | ||||||||||||
| Are confined spaces in the building documented, including permit-required confined spaces (PRCS)? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1506 | 7361 | 2643351 | 4 | |||
| Are PRCS in the building properly labeled? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1506 | 7362 | 2643352 | 4 | |||
| Are GSA employees prohibited from entering PRCS? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1506 | 7363 | 2643353 | 4 | |||
| Does operations and maintenance contractor have a written confined space entry program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1506 | 7431 | 2643354 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1505 | 7351 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1505 | 7352 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1505 | 7353 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1505 | 7354 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1505 | 7355 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1505 | 7356 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1505 | 7357 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1505 | 7358 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1505 | 7359 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1505 | 7360 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1504 | 7348 | 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. | 1504 | 7349 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1504 | 7350 | 1 | |||||||||
| 8599 | EDITABLE | N | 1504 | |||||||||
| 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 powered industrial trucks (e.g., fork trucks, tractors, platform lift trucks, motorized hand trucks, and other specialized industrial trucks) used on-site? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1494 | 7310 | 2643355 | 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 | 1494 | 7311 | 2643356 | 4 | |||
| Is an evaluation of each powered industrial truck operator's performance within the last three years documented? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1494 | 7432 | 2643357 | 4 | |||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1493 | 7300 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1493 | 7301 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1493 | 7302 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1493 | 7303 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1493 | 7304 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1493 | 7305 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1493 | 7306 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1493 | 7307 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1493 | 7308 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1493 | 7309 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1492 | 7297 | 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. | 1492 | 7298 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1492 | 7299 | 1 | |||||||||
| 8599 | EDITABLE | N | 1492 | |||||||||
| 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 | 1470 | 7204 | 4 | ||||||
| If yes, are the radon levels within acceptable levels as identified in the contract? | Not Possible | No Impact | 6 | 1470 | 7205 | 4 | ||||||
| Has radon testing (initial baseline) been done for the building? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1470 | 7206 | 2643358 | 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 | 1470 | 7207 | 2643359 | 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? | Not Possible | No Impact | 6 | 1470 | 7208 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1469 | 7194 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1469 | 7195 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1469 | 7196 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1469 | 7197 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1469 | 7198 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1469 | 7199 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1469 | 7200 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1469 | 7201 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1469 | 7202 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1469 | 7203 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1468 | 7191 | 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. | 1468 | 7192 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1468 | 7193 | 1 | |||||||||
| 8599 | EDITABLE | N | 1468 | |||||||||
| 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 | 1478 | 7238 | 2643364 | 4 | |||
| Are there any tripping or fall hazards within the occupied space, common areas, ramps, sidewalks, or entrance areas to the building? | Not Possible | No Impact | 6 | 1478 | 7239 | 4 | ||||||
| Are floor loads known and available? (example: mezzanines) | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1478 | 7240 | 2643333 | 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 | 1478 | 7241 | 2643334 | 4 | |||
| If present, have roof anchors been tested and certified? | N/A | Not applicable for Leased building | Not Possible | No Impact | 6 | 1478 | 7242 | 2643336 | 1 | |||
| For buildings in high-risk seismic zones | ||||||||||||
| Does the building exterior appear free of visible damage or deterioration? | Not Possible | No Impact | 6 | 1519 | 7416 | 4 | ||||||
| Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling? | Not Possible | No Impact | 6 | 1519 | 7417 | 4 | ||||||
| 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 Possible | No Impact | 6 | 1519 | 7418 | 4 | ||||||
| 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 Possible | No Impact | 6 | 1519 | 7419 | 4 | ||||||
| Other Findings | ||||||||||||
| Other Findings 1 | Not Possible | No Impact | 6 | 1477 | 7228 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 6 | 1477 | 7229 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 6 | 1477 | 7230 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 6 | 1477 | 7231 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 6 | 1477 | 7232 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 6 | 1477 | 7233 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 6 | 1477 | 7234 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 6 | 1477 | 7235 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 6 | 1477 | 7236 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 6 | 1477 | 7237 | 1 | ||||||
| Overall RAC | ||||||||||||
| Overall RAC | 6 | 1476 | 7225 | 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. | 1476 | 7226 | 6 | |||||||||
| Explanation of User Adjusted RAC | 1476 | 7227 | 1 | |||||||||
| 8599 | EDITABLE | N | 1476 | |||||||||
| 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. | |
| 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 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 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 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 | |
| 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 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 | |
| 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 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? | |
| 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 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 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 | |
| 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 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 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 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 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 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 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .