2 - SH Template Reference Only.xlsx
XLSX spreadsheet 208 KB Posted
- Solicitation number
- 47PF0024Q0112
About this file
This document appears to be a Risk Management Survey for 36 leased federal facilities. It covers various safety and health risk areas such as asbestos, electrical, emergency planning, hazardous materials, indoor air quality, and more. The survey assesses the risk level (Risk Assessment Code) for each area and identifies any recommended corrective actions. The survey is being conducted by the General Services Administration (GSA) Public Buildings Service Region 5. The key details include:
The federal contract opportunity is for conducting these Risk Management Surveys at 36 leased locations. The solicitation number is 47PF0024Q0112. The surveys assess various safety and health risk areas to provide an overall Risk Assessment Code for each location. The surveys identify any recommended corrective actions to mitigate risks. This information will be used by GSA Region 5 to manage the safety and health risks at these leased facilities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment 47PF0024Q0112_0002.pdf | ||
| Solicitation Amendment 47PF0024Q0112_0001.pdf | ||
| Revised Fire Protection Template.xlsx | XLSX spreadsheet | |
| 47PF0024Q0112 SF18 Form.pdf | ||
| 4 - Fire Protection Program Policy Document.pdf | ||
| 1 - FP Template Reference Only.xlsx | XLSX spreadsheet | |
| 3 - Contractor Quote Breakdown Sheet.xlsx | XLSX spreadsheet | |
| RFQ - FY25 Fire Protection and Safety Health RMS - 36 Leased Locations.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RAC Summary
| Downloaded on: 02/22/2023 09:35:59 | |
| GSA | Risk Management Survey |
Safety Health Survey
| RAC Summary | ||
| 8604 | EDITABLE | N |
| Asbestos | ||
| Drinking Water | ||
| Electrical | ||
| Emergency Planning | ||
| Equipment Machine Guard | ||
| HazMat HazCom | ||
| Hazardous Energy Control | ||
| High Risk Operations | ||
| Indoor Air Quality | ||
| Lead | ||
| Non-ionizing Radiation | ||
| Confined Spaces | ||
| Powered Industrial Vehicles | ||
| Radon | ||
| Walking-Work Surfaces |
Overall RAC
IRIS Building Profile
| Downloaded on: 02/22/2023 09:35:59 | |
| GSA | Risk Management Survey |
Questions Response Findings/Observations
| IRIS Building Profile | |||||||
| Region | 5 | 1451 | 7093 | 2755406 | 1 | ||
| GSA Building Number | IL2514ZZ | 1451 | 7094 | 2755407 | 1 | ||
| GSA Building Name | ORLAND OFFICE CENTER II | 1451 | 7095 | 2755408 | 1 | ||
| Building Street Address | 15321 S 94th Ave | 1451 | 7096 | 2755409 | 1 | ||
| Building City | ORLAND PARK | 1451 | 7097 | 2755410 | 1 | ||
| Date of Building Construction | 1451 | 7100 | 2755412 | 1 | |||
| Building State | IL | 1451 | 7098 | 2755411 | 1 | ||
| Building Size (RSF) | 1451 | 7099 | 1 | ||||
| Building Size (GSF) | 15300 | 1451 | 7101 | 2755413 | 1 | ||
| Total Number of Floors Above Grade | 0 | 1451 | 7103 | 2755414 | 1 | ||
| Total Number of Floors Below Grade | 0 | 1451 | 7104 | 2755415 | 1 | ||
| 8604 | N | 1451 |
Building Information
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | |||
| 8604 | EDITABLE | N | 1453 |
Asbestos
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1498 | 7325 | 4 | ||||||
| If asbestos is present, is there a current asbestos management plan or O&M plan? | Not Possible | No Impact | 1498 | 7326 | 4 | ||||||
| Are visual inspections of the asbestos inventory conducted annually? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1498 | 7327 | 2643497 | 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 | 1498 | 7328 | 2643500 | 4 | |||
| Is asbestos maintenance or renovation done in accordance with Federal, state and local regulations? | Not Possible | No Impact | 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 | 1498 | 7427 | 2643502 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1497 | 7315 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1497 | 7316 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1497 | 7317 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1497 | 7318 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1497 | 7319 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1497 | 7320 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1497 | 7321 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1497 | 7322 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1497 | 7323 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1497 | 7324 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1496 | ||||||||
| N |
Drinking Water
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 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 | 1510 | 7378 | 4 | ||||||
| Have there been complaints about the drinking water within the past year? | Not Possible | No Impact | 1510 | 7379 | 4 | ||||||
| If there have been complaints, have they been resolved? | Not Possible | No Impact | 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 | 1510 | 7381 | 2643525 | 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 | 1510 | 7382 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1509 | 7367 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1509 | 7368 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1509 | 7369 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1509 | 7370 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1509 | 7371 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1509 | 7372 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1509 | 7373 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1509 | 7374 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1509 | 7375 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1509 | 7376 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1508 | ||||||||
| N |
Electrical
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1502 | 7344 | 4 | ||||||
| Has an Arc Flash analysis for the building been conducted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1502 | 7343 | 2643503 | 4 | |||
| Are proper Arc Flash warning labels posted on the appropriate electrical equipment? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1502 | 7345 | 2643504 | 4 | |||
| Have electrical spaces been limited to qualified personnel only per OSHA requirements? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1502 | 7346 | 2643505 | 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 | 1502 | 7347 | 2643526 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1501 | 7333 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1501 | 7334 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1501 | 7335 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1501 | 7336 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1501 | 7337 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1501 | 7338 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1501 | 7339 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1501 | 7340 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1501 | 7341 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1501 | 7342 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1500 | ||||||||
| N |
Emergency Planning
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1462 | 7175 | 2643506 | 4 | |||
| Are emergency drills performed (e.g., fire, tornado, etc)? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1462 | 7176 | 2643507 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1461 | 7165 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1461 | 7166 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1461 | 7167 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1461 | 7168 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1461 | 7169 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1461 | 7170 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1461 | 7171 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1461 | 7172 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1461 | 7173 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1461 | 7174 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1460 | ||||||||
| N |
Equipment Machine Guard
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1518 | 7415 | 2643508 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1517 | 7405 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1517 | 7406 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1517 | 7407 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1517 | 7408 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1517 | 7409 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1517 | 7410 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1517 | 7411 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1517 | 7412 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1517 | 7413 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1517 | 7414 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1516 | ||||||||
| N |
HazMat HazCom
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1482 | 7260 | 4 | ||||||
| Does O&M and Custodial have a Hazcom Program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1482 | 7261 | 2643527 | 4 | |||
| Is there a chemical inventory, and are SDS available for each chemical on the inventory | Not Possible | No Impact | 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 | 1482 | 7263 | 2643528 | 4 | |||
| If applicable, are emergency eye wash/showers routinely inspected? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1482 | 7428 | 2643509 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1481 | 7250 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1481 | 7251 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1481 | 7252 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1481 | 7253 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1481 | 7254 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1481 | 7255 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1481 | 7256 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1481 | 7257 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1481 | 7258 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1481 | 7259 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1480 | ||||||||
| N |
Hazardous Energy Control
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1486 | 7277 | 2643510 | 4 | |||
| If observed, are proper lockout/tagout practices and procedures followed? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1486 | 7429 | 2643511 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1485 | 7267 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1485 | 7268 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1485 | 7269 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1485 | 7270 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1485 | 7271 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1485 | 7272 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1485 | 7273 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1485 | 7274 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1485 | 7275 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1485 | 7276 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1484 | ||||||||
| N |
High Risk Operations
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1514 | 7396 | 4 | ||||||
| If Laboratory is present, is it compatible with other occupancies? (ref. 29 CFR 1960.34(a)) | Not Possible | No Impact | 1514 | 7397 | 4 | ||||||
| If Firing Range or Shoot House is present, is it compatible with other occupancies? | Not Possible | No Impact | 1514 | 7398 | 4 | ||||||
| If Explosive materials storage is present, is it compatible with other occupancies? | Not Possible | No Impact | 1514 | 7399 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1513 | 7386 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1513 | 7387 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1513 | 7388 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1513 | 7389 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1513 | 7390 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1513 | 7391 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1513 | 7392 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1513 | 7393 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1513 | 7394 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1513 | 7395 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1512 | ||||||||
| N |
Indoor Air Quality
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1490 | 7291 | 4 | ||||||
| If yes, have the complaints been resolved? | Not Possible | No Impact | 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 | 1490 | 7293 | 2643512 | 4 | |||
| Is the GSA Lease Administration Manager familiar with the IAQ portion of the contract? | Not Possible | No Impact | 1490 | 7294 | 4 | ||||||
| Are there visible signs of water damage or mold? | Not Possible | No Impact | 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 | 1490 | 7296 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1489 | 7281 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1489 | 7282 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1489 | 7283 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1489 | 7284 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1489 | 7285 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1489 | 7286 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1489 | 7287 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1489 | 7288 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1489 | 7289 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1489 | 7290 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1488 | ||||||||
| N |
Lead
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 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 | 1466 | 7430 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1465 | 7180 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1465 | 7181 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1465 | 7182 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1465 | 7183 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1465 | 7184 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1465 | 7185 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1465 | 7186 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1465 | 7187 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1465 | 7188 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1465 | 7189 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1464 | ||||||||
| N |
Non-ionizing Radiation
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1474 | 7222 | 2643513 | 4 | |||
| Are safety zones established and proper danger signage posted? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1474 | 7223 | 2643514 | 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 | 1474 | 7224 | 2643515 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1473 | 7212 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1473 | 7213 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1473 | 7214 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1473 | 7215 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1473 | 7216 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1473 | 7217 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1473 | 7218 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1473 | 7219 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1473 | 7220 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1473 | 7221 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1472 | ||||||||
| N |
Confined Spaces
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1506 | 7361 | 2643516 | 4 | |||
| Are PRCS in the building properly labeled? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1506 | 7362 | 2643517 | 4 | |||
| Are GSA employees prohibited from entering PRCS? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1506 | 7363 | 2643518 | 4 | |||
| Does operations and maintenance contractor have a written confined space entry program? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1506 | 7431 | 2643519 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1505 | 7351 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1505 | 7352 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1505 | 7353 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1505 | 7354 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1505 | 7355 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1505 | 7356 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1505 | 7357 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1505 | 7358 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1505 | 7359 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1505 | 7360 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1504 | ||||||||
| N |
Powered Industrial Vehicles
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1494 | 7310 | 2643520 | 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 | 1494 | 7311 | 2643521 | 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 | 1494 | 7432 | 2643522 | 4 | |||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1493 | 7300 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1493 | 7301 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1493 | 7302 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1493 | 7303 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1493 | 7304 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1493 | 7305 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1493 | 7306 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1493 | 7307 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1493 | 7308 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1493 | 7309 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1492 | ||||||||
| N |
Radon
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1470 | 7204 | 4 | ||||||
| If yes, are the radon levels within acceptable levels as identified in the contract? | Not Possible | No Impact | 1470 | 7205 | 4 | ||||||
| Has radon testing (initial baseline) been done for the building? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1470 | 7206 | 2643523 | 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 | 1470 | 7207 | 2643524 | 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 | 1470 | 7208 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1469 | 7194 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1469 | 7195 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1469 | 7196 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1469 | 7197 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1469 | 7198 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1469 | 7199 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1469 | 7200 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1469 | 7201 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1469 | 7202 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1469 | 7203 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1468 | ||||||||
| N |
Walking-Work Surfaces
| Downloaded on: 02/22/2023 09:35:59 | |
| 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 | 1478 | 7238 | 2643529 | 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 | 1478 | 7239 | 4 | ||||||
| Are floor loads known and available? (example: mezzanines) | N/A | Not applicable for Leased building | Not Possible | No Impact | 1478 | 7240 | 2643498 | 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 | 1478 | 7241 | 2643499 | 4 | |||
| If present, have roof anchors been tested and certified? | N/A | Not applicable for Leased building | Not Possible | No Impact | 1478 | 7242 | 2643501 | 1 | |||
| For buildings in high-risk seismic zones | |||||||||||
| Does the building exterior appear free of visible damage or deterioration? | Not Possible | No Impact | 1519 | 7416 | 4 | ||||||
| Are hanging objects (e.g. fixtures, decorations) in occupied areas secured to minimize swinging or falling? | Not Possible | No Impact | 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 | 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 | 1519 | 7419 | 4 | ||||||
| Other Findings | |||||||||||
| Other Findings 1 | Not Possible | No Impact | 1477 | 7228 | 1 | ||||||
| Other Findings 2 | Not Possible | No Impact | 1477 | 7229 | 1 | ||||||
| Other Findings 3 | Not Possible | No Impact | 1477 | 7230 | 1 | ||||||
| Other Findings 4 | Not Possible | No Impact | 1477 | 7231 | 1 | ||||||
| Other Findings 5 | Not Possible | No Impact | 1477 | 7232 | 1 | ||||||
| Other Findings 6 | Not Possible | No Impact | 1477 | 7233 | 1 | ||||||
| Other Findings 7 | Not Possible | No Impact | 1477 | 7234 | 1 | ||||||
| Other Findings 8 | Not Possible | No Impact | 1477 | 7235 | 1 | ||||||
| Other Findings 9 | Not Possible | No Impact | 1477 | 7236 | 1 | ||||||
| Other Findings 10 | Not Possible | No Impact | 1477 | 7237 | 1 | ||||||
| Overall RAC | |||||||||||
| Overall RAC | 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 | ||||||||
| 8604 | EDITABLE | N | 1476 | ||||||||
| 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 |
| PossibleSignificant | 3 |
Microsoft_Excel_Worksheet.xlsx
GSA National Consolidated Risk Management Survey Environmental Survey
RAC Summary
448 EDITABLE N
Documentation 1
Air Programs 1
Fuel Storage Tanks 1
Hazardous Materials 1
Hazardous Waste 1
PCBs 1
Solid Waste 1
Water Pollution 1
Overall RAC 1
GSA National Consolidated Risk Management Survey
Questions Response Finding & Observation
IRIS Building Profile
Region 11 63 342 834236 1
GSA Building Number DC0010ZZ 63 343 834237 1
GSA Building Name LYNDON B. JOHNSON FEDERAL BLDG 63 344 834238 1
Building Street Address 400 MARYLAND AVE SW 63 345 834239 1
Building City WASHINGTON 63 346 834240 1
Building State DC 63 347…
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 .