FL0057ZZ Ocala ACM 2019 Report.pdf

LEAD AND COPPER IN WATER TESTING

ASSESSMENT LOCATION:

GOLDEN COLLUM FB-CT

207 NW 2ND STREET

OCALA, FL 34475

GSA BUILDING NUMBER: FL0057ZZ

REFERENCE NUMBER: 450175/485587/485705

SURVEY DATE: OCTOBER 10, 2019

REPORT DATE: NOVEMBER 1, 2019

PREPARED BY:

UNITED STATES PUBLIC HEALTH SERVICE

FEDERAL OCCUPATIONAL HEALTH

PROGRAM SUPPORT CENTER

ANNUAL ASBESTOS SURVEILLANCE REPORT

COMPLETED FOR THE

GENERAL SERVICES ADMINISTRATION – SAFETY/FIRE

PROTECTION/ENVIRONMENTAL BRANCH

A Federal Occupational Health (FOH) Contractor Representative Lisa Swain, MPH, CSP, performed a limited walk-through Annual Asbestos Visual Surveillance Check as required by the General Services Administration (GSA) for their owned facilities. Bulk or air samples were not collected. Compliance with GSA contract safety and health requirements, listed on the attached checklist, was determined for Operations and Maintenance (O&M) and Custodial contractors. As indicated by GSA instructions, only spaces listed on Table A were visually checked. During the surveillance check, observations of any potential damage to the asbestos-containing materials (ACM) was noted and recorded. If any imminently dangerous conditions had been observed they would have been immediately reported to the FOH Representative, GSA Customer Service Center Manager, and GSA Safety and Environmental Management Branch Representative in accordance with GSA established procedure.

The GSA Form 3614, GSA Notice of Unsafe/Unhealthful Workplace Conditions, was completed for any potential deficiencies and provided to the GSA Building Manager.

One GSA Form 3614 may list multiple violations. An opportunity to correct violations, if any, would be given to the GSA employee or representative during the inspection.

Those violations corrected are noted in the text of the report.

The FOH Contractor Representative used the GSA ACM Checklist for fiscal year 2019, which was approved by GSA for consistency purposes and to ensure the required information was obtained at this facility. The checklist and 3614 forms, if any, are attached to this report as supporting documentation.

This report is based on personal observations during the surveillance check and from conversations with on-site personnel. Not all possible hazards and conditions may have been identified during this brief inspection, because not all spaces were inspected (per GSA), conditions may be hidden or inaccessible and changes in equipment, regulations, operations and personnel may not be known at the time of the inspection.

The report contains the following GSA required sections: Building Descriptions, General Findings, Comments and Concerns, Action Items, 3614s, Form 3559, Corrected Items and Other.

Note: The FOH Contractor Representative designated in this project is an employee of H,S&E Resources, Inc. which has performed the services indicated in this report.

Nothing in this report is intended nor should be interpreted as establishing any form of employment or contractor relationship between the FOH Contractor Representative and General Services Administration, Federal Occupational Health, U. S. Public Health Service, or any division, agency, or contractor thereof.

Reports and other publications issued by the Environmental Health Services program of the Federal Occupational Health (FOH) were prepared under procedures established by FOH, which were designed to assure the technical competency of the persons or organizations under contract to FOH. In addition, reports and other publications were reviewed internally by one or more FOH technical staff, and all comments were addressed to the satisfaction of the issuing office, prior to dissemination.

I. BUILDING DESCRIPTION

The Golden Collum FB-CT (FL0057ZZ) is a four-story facility constructed in 1961. It has a gross area of 68,822 square feet. Three floors are above ground and one below. There is a mezzanine between the first and second floors.

The exterior surface of the building is composed of form stone. The floors are constructed with concrete beams and solid slabs. The general construction type of the building is a skeleton steel frame with reinforced concrete. The interior of the building is predominately plaster, wallboard, cement block and slab. The roof is composition built up.

The prominent features of this building are an automatic elevator that services all floors, an outdoor parking area located on the north side of the facility and offices throughout the building. There are two stairways located in the central East Side of the building, adjacent to the elevator and in the northwest portion of the building.

Mechanical systems of this facility include a boiler room and air conditioning equipment room in the basement, two mechanical equipment rooms on the mezzanine level, a mechanical equipment room, cooling tower and elevator machine room on the roof of the structure. The facility has 7 AHU’s. Four new AHU’s and an outside air unit were located in the mezzanine. These units handle the 1st and 2nd floors.

The facility has been renovated and ACM has been removed. The full scope of renovations and abatement is unknown. Construction/renovation occurred during the FY2011 survey on the 2nd floor of the US Marshals space.

New AHU’s were installed in FY2016-2017 in the Penthouse (2 units) and one unit each on the 3rd floor and basement. This installation reportedly abated all ACM in the Penthouse. Further, ACM black mastic had been removed from Rooms 235-239, and small sections of white duct mastic was removed in the basement hall near the maintenance office and basement restroom.

Sections of various ACM had been abated on the 3rd floor in 2017. Reportedly, VAT will remain under carpeting. Construction was ongoing during the survey, however this “abate only where necessary” locations on the 3rd floor will make it difficult to determine abatement locations as well as where ACM remains in future surveys.

Abatement of window glazing was conducted in the chiller room when a window was removed.

A new roof was installed in 2019.

Due to the extensive renovations and abatement projects the FOH Representative recommends a new ACM survey.

II. GENERAL FINDINGS

An Annual Visual ACM Surveillance Check of the Golden Collum Federal Building/Courthouse was conducted by a Contractor Representative of the Federal Occupational Health (FOH), Lisa Swain, MPH, CSP. The Annual Visual Surveillance check was conducted on October 10, 2019. Mr. Richard Hearne, the GSA Building Manager and the O&M representative accompanied the inspector during this surveillance check.

The overall building Risk Assessment Code (RAC) is 3. Significant deficient findings (RAC 1 or 2) were not identified during this surveillance. Seventeen (17) citations were issued during this visual surveillance of which all seventeen (17) are repeat deficiencies. Corrective measures were not taken during this surveillance.

Damaged ACM was observed in the following locations:

Minor cracks observed on ACM TSI in Rooms B-01, B-04, B-14, B-01, B- 11, B-06, basement men's restroom, and B-15. Suspect mold on TSI in Rooms B-14 & B-15. Piping associated with tank in B-06 has minor damage.

Most ACM floor tile throughout the building is dull and scuffed. Floor tile in the 3rd floor custodial closet is in poor condition.

Otherwise, the remaining ACM observed during this building re-surveillance survey was in good condition.

This is a contractor-operated facility. Katmai is the O&M and custodial contractor.

Inaccessible spaces – The following spaces were not accessible during the visual surveillance: 3rd Floor USMS space and 3rd floor communication closet and chase closet 321. As previously noted, tenant spaces were not intentionally inspected.

New suspect ACM was not identified during this inspection. Suspect materials must be treated as asbestos until sampled and analyzed. Suspect materials are noted in in blue font in the attached table.

The Annual Visual ACM Surveillance Spreadsheet, Table A, was taken from the previous annual visual surveillance report and used to prepare for this surveillance check.

Any additional information obtained by the FOH Contractor Representative during this surveillance check was added to the table. The FOH Contractor Representative did not conduct any asbestos sampling or measure ACM quantities other than noting if ACM was removed since the last surveillance. The FOH Contractor Representative may note suspect materials that were not previously identified or tested and listed them in the spreadsheet (Table A) as suspect with recommendations for testing. Findings are located in the attached table.

Three attachments are associated with this report: 1) An annual surveillance table, 2) Checklist and Form 3614 and 3) Form 3559.

III. COMMENTS AND CONCERNS

Following is a list of comments and concerns in conducting the annual visual surveillance inspections:

Due to various construction projects from 2011 to present, the exact locations of ACM is unknown. As a result, Table A may not fully represent the locations and condition of remaining ACM. Further, most room numbers have changed and abatement documents are not on site for review. As noted above, the FOH Representative recommends a new asbestos survey for the building.

Minor/Moderate cracks observed on ACM TSI in Rooms B-01, B-04, B-14, B- 01, B-11, B-06, basement men's restroom, and B-15. Suspect mold on TSI in Rooms B-14 & B-15. Piping associated with tank in B-06 has minor damage.

Most ACM floor tile throughout the building is dull and scuffed. Floor tile in the 3rd floor custodial closet is in poor condition.

Labels missing on ACM pipe elbows, white duct mastic and black duct mastic above ceiling tiles. The ACM could potentially be disturbed during work operations above the suspended ceiling.

The O&M contract has the following nine asbestos O&M contract requirements:

1) at least one O&M asbestos trained worker/supervisory person onsite; 2) annual fit tests; 3) annual medical exams; 4) the EPA asbestos O&M document;

5) The NIBS O&M book (either available onsite or access to); 6) Asbestos repair equipment onsite; 7) written respirator program; 8) written medical surveillance plan; 9) written protective equipment plan. The O&M contractor had not met these requirements, with the exception of providing the 16-hour training.

However, the refresher training has not been provided in the past two years. As a result, the 16-hour training may no longer be valid.

The annual notification letter regarding current location, status and condition of asbestos within the building had not been provided by GSA to the tenants and contractors.

The Custodial contractor had not provided the required annual asbestos refresher training.

A contractor notification and sign-in sheet regarding the presence of ACM within the building was not present and implemented by the O&M contractor.

The GSA building manager had participated in the GSA online asbestos awareness training.

ACM records onsite were incomplete.

Not all the TSI could be inspected because it was in pipe chases, under carpeting or above ceilings.

IV. ACTION ITEMS

Due to the various construction projects, the FOH Representative strongly recommends an AHERA survey to identify the remaining types and locations of the ACM in the building.

Abate/repair damaged ACM insulation noted above in accordance with State and Federal guidelines.

Maintain wax coating on all ACM floor tile. Low speed buffers/scrubbers and non-abrasive pads must be utilized on ACM floor tile.

Label ACM to alert contractors working in this space of the presence and location. Maintain labels and signs on all accessible TSI.

Ensure sampling, abatement and disposal documents for renovation projects are on site and available for review.

Maintain asbestos containing building materials in good condition.

Ensure only trained and properly equipped personnel perform maintenance on ACM.

Ensure GSA Building Managers participate in the GSA online asbestos awareness training.

Require O&M and Custodial contractors to meet all requirements of the asbestos O&M portion of contract and annually document all training.

Distribute the annual notification letter concerning location and condition of ACM to building occupants and contractors.

GSA should ensure that the custodial staff possesses the requisite training and that they are aware of the following: 1) ACM is present in the building, 2) Annual asbestos refresher awareness training is required and must be documented each year, 3) Cleanup of any suspect ACM material is prohibited and 4) The use of HEPA vacuums for routine cleaning is contract-required.

Ensure contractors sign and date a form regarding notification of the presence of ACM before allowing any contractor to commence work within the building. This document demonstrates communication between the contractor and GSA regarding ACM and procedures for working around ACM.

GSA should ensure that agencies hiring contractors also provide notification.

Any changes to the quantity and condition (including repairs and removal) of ACM in the facility should be incorporated into GSA’s Operations and Maintenance (O&M) plan. Abatement documents must be maintained on-site. Maintain a copy of all inspection reports to clearly show the current status of ACM at this facility.

The facility should review the attached updated spreadsheet (Table A) ACM Surveillance Table for accuracy and use it to record all changes in ACM amount, location, condition, etc. This summary table will be requested during all future inspections and be audited.

Sample and analyze suspect ACM and new floor tiles and mastic before performing any renovation or demolition or obtain documentation from the manufacturer stating that their product contained no asbestos. Maintain records in the asbestos file to be used for future inspections and surveillances. GSA should request that all records regarding renovations be forwarded on a timely basis.

Test all previously identified suspect mastic-containing materials by TEM prior renovating any areas.

Any new or future renovation or remodeling must have a letter from the architect and/or contractor stating no ACM building products were reinstalled.

Otherwise all building materials must be considered Suspect ACM and be tested for asbestos before being disturbed. GSA must perform a pre-renovation check as per the GSA asbestos policy.

Suspect ACM must be treated as ACM until sampling and analysis is completed.

Asbestos Free stickers should be placed on all reinsulated items that once housed asbestos to visually show that ACM is no longer present.

Carpet may have been installed over VAT in several spaces. If carpet is adhering (glued) to floor tiles, carpet removal must be considered an abatement project.

Sample and analyze suspect ACM PRIOR performing any renovation or demolition. Maintain records in the asbestos file to be used for future inspection and surveillances.

IV. 3614’s

1. Repeat - Minor cracks observed on ACM TSI in Rooms B-01, B-04, B-14, B- 01, B-11, B-06, basement men's restroom, and B-15. Suspect mold on TSI in Rooms B-14 & B-15. Piping associated with tank in B-06 has minor damage.

Abate damaged TSI or repair immediately. Maintain in good condition. The O&M contract limits repairs to 3 linear/square feet. Cumulatively, the FOH Representative estimates that the damage exceeds 3 SQ/LF and abatement/repairs should be contracted to asbestos abatement contractor.

2. The O&M contractor did not have all necessary asbestos equipment and supplies on site to conduct an O&M repair/removal action. Require contractor to maintain the necessary equipment and supplies to conduct asbestos repair/removal projects less than 3 square or linear feet.

3. Most ACM floor tile throughout the building is dull and scuffed. Floor tile in the

3rd floor custodial closet is in poor condition. Abate floor tile in custodial closet. Maintain wax seal on ACM floor tile.

4. The O&M contractor did not have documentation of refresher Asbestos

Awareness maintenance training. Provide annual Asbestos Awareness Training to O&M employees annually. Submit a copy of the training records to GSA annually.

5. The O&M contractor did not have evidence that employees have been enrolled in a medical evaluation program to determine their ability to wear a respirator. Enroll employees in a medical evaluation program and document ability to wear a respirator. Maintain a copy on site. Provide a medical clearance letter annually to GSA.

6. The O&M contractor did not have a record of Respiratory Protection training.

Train employees on respiratory protection as required by OSHA and submit a copy of the training records to GSA. Maintain a copy on site.

7. Repeat - Labels missing on ACM pipe elbows, white duct mastic and black duct mastic above ceiling tiles. The ACM could potentially be disturbed during work operations above the suspended ceiling. Label all ACM where work may be performed.

8. The O&M contractor did not have an annual respirator fit-test. Provide annual respirator fit-test. Maintain document on site.

9. Custodial contractor did not have documentation of annual refresher Asbestos

Awareness Training. Provide custodial contractor with Annual Asbestos Awareness Refresher Training.

10. Tenants, O&M and custodial contractors were not notified annually of presence, location and condition of asbestos within their building. Notify tenants, O&M and custodial contractors, other contractors in writing annually of presence, location and condition of ACM.

11. Documentation was not available notifying contractors of presence of ACM within this facility. Notify contractors of presence of ACM within their work area as per facilities Asbestos O&M program. Have contractors sign and date the document. Maintain records.

12. The O&M contractor did not have the NIBS O&M asbestos manual on site to follow in event of an asbestos incident. Require contractor to maintain a copy of this reference manual or have access to it via their company.

13. The O&M contractor did not have evidence of a written Respiratory Protection

Program. Develop, implement and update annually a written Respiratory Protection Program and submit a copy to GSA.

14. The O&M contractor did not have evidence of a written medical surveillance program. Develop, implement an annually review the written medical surveillance program. Maintain a copy on site.

15. Repeat - ACM records were not maintained in the building as required by law. Update and maintain a copy of all ACM records. This enables the building mechanic to make other contractors aware of ACM locations before they commence work. Maintain all asbestos repairs, abatement, sampling and inspection documents on site for review.

16. Abatement documents were not available for review including air monitoring and disposal records. Include all abatement/repair documents and job notes in ACM master file.

17. The O&M contractor did not have the EPA O&M asbestos guide, “Green

Book” onsite as a guide to follow in event of an asbestos incident. Require contractor to maintain a copy of this reference manual.

V. OTHER

Each facility upon receiving this updated ACM Surveillance Table A should review it for accuracy and use it to record all changes in ACM amount, location, condition, etc. This table will be requested during all future inspections and audited.

When conducting the next annual visual surveillance, please provide the GSA inspector a copy of this report so that they may verify location and condition.

Request the GSA inspector to note any additional suspect ACM. When using the previous Contract Inspector, request them to use this report and to verify discrepancies between the reports. Require all contractors to modify their surveillance report to include the attached table. All changes to condition, location, etc., should be made on this standardized spreadsheet.

The Surveillance Table is to be updated continuously. The table contains three color-highlighted areas that indicate changes in the amount, location or condition of ACM. Red indicates changes in the amount or condition of ACM. Blue denotes “suspect asbestos,” as noted by the inspector, that should be sampled and analyzed before any renovation or demolition occurs. Green indicates that suspect asbestos was determined not to be ACM or that ACM was removed.

Column 3 indicates the remaining ACM as of the last annual visual ACM surveillance inspection. In the “Condition” column, good implies no or very minor damage (i.e., less than 1 percent), fair implies between 1 and 10 percent overall damage and poor means damage greater than 10 percent overall or 25 percent localized.

SUMMARY LISTING OF ALL ACM REINSPECTED

DURINGTHE ANNUAL VISUAL ACM SURVEILLANCE INSPECTION

Golden - Collum Federal Building and Courthouse Conducted by: Lisa Swain, MPH, CSP

GSA Building Number - FL0057ZZ

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

THROUGHOUT

THROUGHOUT AND ALL MECHANICAL

ROOMS

PACM - ALL PIPE RUN

INSULATION Unknown VARIES

ADDITIONAL SAMPLING

REQUIRED TO CONFIRM

TSI ON PIPES MARKED ACM,

HOWEVER, DATA IS AVAILABLE ONLY

FOR ELBOWS

THROUGHOUT AND ALL MECHANICAL

ROOMS; B-11, SHELTER AREA (B-4 & B13) PIPE ELBOWS Unknown GOOD NONE Total removal on Mezzanine in 2009

THROUGHOUT WINDOW CAULKING Unknown UNKNOWN

PROPERLY REPLACE

DAMAGED CAULKING,

SAMPLE AND/OR CHECK

NEGATIVE DATA PRIOR

TO DISTURBING

3 SAMPLES NEG IN NEW MARSHALS

OFFICE AND 248, SEE WC2 IS

NEGATIVE. POSITIVE IN 312, 314

THROUGHOUT

WHITE AND BLACK

ELECTRICAL WIRING Unknown UNKNOWN

ADDITIONAL SAMPLING

REQUIRED TO CONFIRM

NOT OBSERVED DURING 2010 OR 2011

SURVEY - BELEIVED TO HAVE BE

REMOVED.

THROUGHOUT PACM - FIRE DOOR Yes UNKNOWN O&M

Additional items have been moved into the storage space. Could not locate during this survey.

THROUGHOUT

BLACK DUCT MASTIC ON

HVAC No

GOOD - where visible

O&M, INSPECT SEVERAL

LOCATIONS EACH FLOOR Total removal on Mezzanine in 2009

BASEMENT

B-09, B-10, BASEMENT FLOOR TILE 9X9 GRAY No UNKNOWN O&M, Maintain wax coating

No floor tile in B-9. Abated?? ACM IN

TILE ONLY, NOT IN MASTIC, TILE

UNDER CARPET

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

THROUGHOUT WINDOW GLAZING Unknown UNKNOWN

PROPERLY REPLACE

DAMAGED CAULKING,

SAMPLE AND/OR CHECK

NEGATIVE DATA PRIOR

TO DISTURBING

Glazing for window in chiller room abated in FY2016 for chiller replacement. Sampled as positive by construction company.

GYM (B-15) (UNDER CARPET)

FLOOR TILE 9X9 TAN

STREAKED No Unknown O&M

BOILER ROOM (B-04), SHOP (B-11),

CUSTODIAL CLOSET (B-01), O&M'S OFFICE

(B-03 RESTROOM), WOMEN'S RESTROOM (B-

02), HALLWAYS, STORAGE (B-14), WORKOUT

AREA (B-15)

GREY FIBROUS OR WHITE

SOLID DOMESTIC WATER

LINE ELBOWS Yes

Minor cracks in B-

14, B-01, B-11, B-

01 B-06 and Men's

Restroom. Repair/Abate, Label, O&M

BOTH HOT AND COLD WATER

ELBOWS/FITTINGS WERE POSITIVE

AS TESTED IN 1992

B-4 SUPPLY STORAGE ROOM

CHILLED WATER ELBOW-

WHITE FRIABLE POWDER Yes GOOD O&M, Label

LOCKER ROOM B9, STORAGE (B-14), B-15

BEIGE FIBROUS LOW

PRESSURE STEAM ELBOWS Yes

Minor cracks B-15

- suspect mold on pipes in B-14 & B-

15 Repair, O&M

Eliminate conditions that support mold growth and replace/seal/repair areas where suspect mold is present

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

MECHANICAL ROOMS, BASEMENT HALLWAY

AND ANY WHITE INSULATION COVERED AIR

CONDITIONING DUCTS

WHITE CHALKY DUCT

INSULATION Yes GOOD O&M

Small section in front of restroom and maintenance office removed FY2016

MECHANICAL ROOMS, WHITE INSULATION

COVERED AIR HANDLER COMPONENTS

WHITE CHALKY INSULATION

ON AIR HANDLER

COMPONENTS Unknown GOOD

SAMPLE AT TIME OF

ABATEMENT

Appears to be fiberglass, ACM may have been removed.

AHU-1 A/C DUCT INSULATION Unknown GOOD

O&M Determine ACM content.

Partial abatement in 2016-2017.

Sampling data not available. A/C DUCT

NOT LABELED

AHU-1

PACM - WHITE WRAP ON

FIBERGLASS Unknown GOOD

O&M - SAMPLE AT TIME

OF ABATEMENT

ALL MECHANICAL ROOMS PACM - VIBRATION DAMPER Unknown UNKNOWN

O&M - SAMPLE AT TIME

OF ABATEMENT

SOME UNDER COVER, NEWER

VIBRATION DAMPERS LIKELY

NEGATIVE

B-06, NEW BOILER PIPE 2006

PACM - NEW PIPES

STRAIGHT RUN AND

ELBOWS Unknown GOOD

O&M - CONFIRM

NEGATIVE WITH

SAMPLING

NOT SUSPECT, BOILER REPLACED

B-06, ABANDONED H20 TANK T-11 TANK INSULATION Unknown

Pipe associated with tank, labeled

ACM, Minor

Damage. Good

Repair and SAMPLE TO

CONFIRM, O&M

MARKED ACM, POSITIVE IN 1986 GSA

REPORT FROM 1 SAMPLE

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

B-06, CONDENSATION RETURN TANK T-12

PACM - WRAP ON

FIBERGLASS Unknown GOOD O&M - SAMPLE WRAP

CHILLER ROOM, CHILLED WATER PIPE

VALVE

PACM - WRAP ON FOAM

GLASS INSULATION Unknown GOOD O&M - SAMPLE WRAP

CHILLER ROOM, CONDENSATE PUMP PACM - INSULATION Unknown GOOD O&M - SAMPLE WRAP

CONDENSATE RETURN B-6,

PACM - PIPE RUN

INSULATION WRAP Unknown

MINOR CRACKS,

GOOD

SEAL/REPAIR, TREAT AS

ACM UNITL ADDITIONAL

SAMPLING REQUIRED TO

CONFIRMS RESULTS, O&M

TSI ON PIPES MARKED ACM,

HOWEVER DATA IS AVAILABLE ONLY

FOR ELBOWS

FALLOUT SHELTER b-13 Fire Door Insulation Unknown

Unknown, Previously noted as damaged

Seal, Treat as ACM until sampled and analyzed

Additional items have been moved into the storage space. Could not locate during this survey.

FALLOUT SHELTER

PACM - DOMESTIC COLD

WATER PIPE RUN

INSULATION Unknown GOOD

O&M - CONFIRM

NEGATIVE WITH

ADDITIONAL SAMPLES,

LABEL PIPE NAD

ONE SAMPLE COLLECTED AND

TESTED NEGATIVE IN 1992 REPORT

MEZZANINE

ALL MECHANICAL ROOMS PACM - VIBRATION DAMPER Unknown GOOD

O&M - SAMPLE AT TIME

OF ABATEMENT

SOME UNDER COVER, NEWER

VIBRATION DAMPERS LIKELY

NEGATIVE

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

CONDENSATE RETURN B-6,

PACM - PIPE RUN

INSULATION WRAP Unknown GOOD

O&M - ADDITIONAL

SAMPLING REQUIRED TO

CONFIRM

TSI ON PIPES MARKED ACM,

HOWEVER DATA IS AVAILABLE ONLY

FOR ELBOWS

1ST FLOOR

ROOM 149 (entryway into mezzanine), Previously Room 105 and Room 147

(Electrical Closet) FLOOR TILE 12"X12" BEIGE No Good, Dull O&M, Seal with wax

Removed in multi-purpose room/cafeteria. Determine if FT remains in hallway.

POST OFFICE AND OLD SSA ROOMS PIPE ELBOWS Unknown GOOD

Determine if all ACM removed.

REMOVAL SEPT. 2009 - DETERMINE IF

ANY ACM REMAINS AFTER

CONSTRUCTION

POST OFFICE AND OLD SSA ROOMS AND

THROUGHOUT

BLACK DUCT MASTIC ON

HVAC Unknown Unknown

O&M, Determine locations where mastic remains.

Reportedly removed in some areas in

Sept. 2009 - Present above drop ceiling in areas. Photo taken above CT in CSO hallway during previous survey.

Unable to locate in FY2019

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

Roo 148 and Custodial Closet Floor Tile 12"x12" Green No Good

O&M - SAMPLE AT TIME

OF ABATEMENT

STAIRWELLS EACH FLOOR

FLOOR TILE 9X9 PEACH

COLOR No GOOD, Dull O&M, Maintain wax coating

OLD SSA FLOOR 1'X2' BLACK ASPHALTIC TILE No Unknown

Determine if all FT and mastic removed. Removed 2010

2ND FLOOR

ROOM 207 - Previously 205 (ELECTRICAL

CLOSET HAS SMALL DOOR ACCESS TO PIPE

CHASE) PIPE ELBOWS Unknown GOOD Label, O&M

Observed in hall near Room 236. Most likely in other locations.

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

HVAC - PROBATION SUITE, ABOVE

CT9,WEST OF 248 HVAC, SW OF 248 HVAC,

PROBATION OFFICE,

BLACK DUCT MASTIC ON

HVAC No Unknown

Could not locate, determine if abated during renovation.

Removed from Marshal's space in 2010.

Could not locate 248. Removed from

235-239 (Probation) in FY2016.

NEW MARSHALS OFFICE, ALSO PREVIOUS 6-

MO REPORTS ITS IN NORTH SIDE OF BLDG TRANSITE PIPE Unknown UNKNOWN NONE

REMOVAL SEPT. 2009 - DETERMINE IF

ANY ACM REMAINS AFTER

CONSTRUCTION

EAST STAIRWELL, Room 207 (Electrical

Closet)

FLOOR TILE 9X9 PEACH

COLOR No Dull O&M, Maintain wax coating Previously reported in Closet 205.

Hallway (under carpet), custodial, phone and electrical closet 207

FLOOR TILE 9X9 GREEN

COLOR Dull, Scuffed

Seal with wax and maintain, O&M

Carpet in custodial space. Dull in phone closet and electrical closet

THROUGHOUT ABOVE PLASTER CEILING PIPE ELBOWS Unknown UNKNOWN O&M

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

ROOM 248, STORED IN 248, COMPUTER

ROOM, ALL OFFICES IN US MARSHALS 216

CEILING TILE 2X4 Red back

(above non-ACM 2'x4' tiles) Yes Unknown

Obtain abatement documentation

Reportedly removed in US Marshal space in 2009 - However may still be present. Determine if ACM remains in

US Marshal space.

3RD FLOOR

MECHANICAL ROOMS, AHU-5 AND ANY

WHITE INSULATION COVERED AIR

HANDLING COMPONENTS

WHITE CHALKY HVAC

COMPONENTS INSULATION Yes NA NA

Abated FY2018. Abatement documentation not available.

MECHANICAL ROOMS, WHITE INSULATION

COVERED AIR CONDITIONING DUCTS

WHITE CHALKY DUCT

INSULATION Yes NA NA

Abated FY2018. Abatement documentation not available.

312,314 WINDOW CAULK No UNKNOWN

O&M, Inspect Windows for damage

GLAZING, NON-FRIABLE, SOME

NEGATIVE RESULTS AS WELL AS

POSITIVE, SEE WC2

AHU 5 (ROOM 320) CHILLED WATER PIPE

ELBOW

WHITE, BEIGE OR GREY

FIBROUS ELBOW Yes GOOD O&M Abated in 2017

Courtroom Wall Tiles, 1'x1' Unknown GOOD O&M no access in session

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

ALL MECHANICAL ROOMS PACM - VIBRATION DAMPER No UNKNOWN

O&M - SAMPLE AT TIME

OF ABATEMENT All AHU's replaced in 2017

MECHANICAL ROOM -CHILLED WATER PIPE

RUNS

HVAC FG INSULATION WITH

WHITE WRAP Unknown NA NA

Abated FY2018. Abatement documentation not available.

CLERKS WAITING ROOM

BLACK DUCT MASTIC ON

HVAC No NA NA

Abated FY2018. Abatement documentation not available.

DUCT CHASE INSIDE ELECTRICAL CLOSET

307 BY EAST STAIRWELL AND POSSIBLY

ABOVE PLASTER CEILINGS AND CHASE

CLOSET 321

HEATING WATER ELBOWS

AND FITTINGS AND OTHER

PIPING Yes GOOD O&M, Label No access - prisoners on site

STAIRWELL EAST

FLOOR TILE 9X9 PEACH

COLOR No Dull, Scuffed

Seal with wax and maintain, O&M

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

CORRIDOR, ROOM 314, 307 ENTRY,

RECEPTION CLOSET, 321, 313, Phone and

Electrical Closets, CSO Closet

FLOOR TILE 9X9 TAN

STREAKED No

Dull, Scuffed throughout 3rd floor. Poor in

Janitor's Closet

Abate, Seal with wax and maintain, O&M

ACM IN TILE ONLY NAD IN BLACK

MASTIC. (Under carpet in hallway, exposed in 314 and 321)

MECHANICAL ROOM BLACK ROPE INSULATION No Unknown O&M

Could not locate FY2018, FIBROUS, NON-FRIABLE

PENTHOUSE

MECHANICAL ROOM- AHU-6 AHU-7 WHITE

INSULATION COVERED AIR HANDLER

COMPONENTS

WHITE CHALKY HVAC

INSULATION Yes NA NA

Abated in 2016-2017, Need abatement documentation

MECHANICAL ROOM- WHITE INSULATION

COVERED AIR CONDITIONING DUCTS

WHITE AND GREY CHALKY

DUCT INSULATION Yes NA NA

Abated in 2016-2017, Need abatement documentation

MECHANICAL ROOM

BLACK DUCT MASTIC ON

HVAC No NA NA

Abated in 2016-2017, Need abatement documentation

MECHANICAL ROOM- CHILLED WATER PIPE

ELBOW and VALVES

WHITE, BEIGE FIBROUS

ELBOW INSULATION Yes NA NA

Abated in 2016-2017, Need abatement documentation

Ocala, FL 34475

LOCATION

MATERIAL

DESCRIPTION FRIABLE PHOTO CONDITION ACTION COMMENTS

Date: October 10, 2019

TABLE A: ANNUAL ACM VISUAL SURVEILLANCE RESULTS AND COMMENTS

MECHANICAL ROOM

GREY FIBROUS OR WHITE

SOLID DOMESTIC WATER

LINE ELBOWS Yes NA NA

Abated in 2016-2017, Need abatement documentation

ALL MECHANICAL ROOMS PACM - VIBRATION DAMPER VD NA NA

Abated in 2016-2017, Need abatement documentation

CONDENSATE RETURN B-6,

PACM - PIPE RUN

INSULATION WRAP PRI NA NA

Abated in 2016-2017, Need abatement documentation

ROOF

MAIN ROOF PACM - ROOF UNKNOWN

O&M - TEST PRIOR TO

WORKING ON ROOF

NOT SAMPLED TO DATE, ACCORDING

TO O&M NEW ROOF INSTALLED OVER

OLD ROOF.

ROOF AIR SUPPLY DUCT MASTIC A2 GOOD O&M

2 CANOPY ROOFS PACM - ROOF UNKNOWN

O&M - TEST PRIOR TO

WORKING ON ROOF

RED- Indicates removal or repair work required ACM - Asbestos Containing Material FD - Fire Door PA - Plaster

GREEN - Indicates ACM has been removed or is not asbestos

BLUE - Indicates presumed asbestos containing material (PACM) , additional sampling required

BLACK - Indicates ACM

Most Recent 3 Year Survey - FOH - 2007

CHECKLIST/FORM 3614

Total Citations_____

Repeat Citations _____

Corrected Citations _____

Building No: FL0057

Building Manager: Rich Hearn Facility Phone No:

Date of Inspection: 10/10/19 Other Contact No:

GSA Personnel Accompanying Inspector: Richard Hearn

Name of GSA PMC Asbestos Program Manager

O&M Contractor: Katmai O&M Contact Adam Muniz

Company Phone Number:

Custodial Contractor: Katmai Custodial Contact Adam Muniz

Company Phone Number:

x Yes No N/A ACM present? ___TSI ___VAT ___SURFACING ___MISC

Yes x No N/A

Were documented annual notifications present for the following?

GSA policy and 1910.1001(j)(2)(ii)

___ Tenants ___ O&M Contractor ___ Custodial

Yes No x N/A

Annual visual surveillance inspections conducted since previous year? Date of last inspection? List date x Yes No N/A

Has the GSA BM completed the 2 hour GSA University class for asbestos?

Yes No x N/A

Does the GSA BMS/FOS person have current asbestos awareness or higher level training?

List Current Level of Training

Yes x No N/A

Is there documented evidence of outside contractors being notified of the presence of ACM before they were allowed to work in the building? (e.g., telephone) 1910.1001(j)(2)(iii) x Yes No N/A

Is new sampling data available since last inspection? If yes, obtain a copy, check against Inspection records and add copy to GSA SEMB binder.

Yes x No N/A Were ACM records available for review in this building?

Check all dates that apply: 1910.1001(j)(2)(ii)

___ 1986 survey ___1990 - 1992 Survey ___1995 Survey

___2007 - 2009 3-yr Re-inspection ___ Annual Visual

___Other Surveys? List Dates and Authors

ANNUAL VISUAL ACM INSPECTION CHECKLIST 2019

I. FACILITY QUESTIONS (Based on GSA Asbestos portion of the Contract with both O&M and

Custodial contractors)

Facility Name: Ocala

Yes x No N/A Were the ACM records up to date?

Yes x No N/A

Did the O&M Contractor repair/remove any ACM <3 SF/LF since the last inspection?

Yes x No N/A

Did the O&M Contractor have their Asbestos removal contractor remove any ACM <3 SF/LF?

Yes No x N/A

If yes to any of the two above questions is there paperwork available for review as per NIBS and GSA asbestos O&M plan documents?

Yes No x N/A If yes, is there disposal paperwork?

Yes x No N/A Did a minor or major fiber release episode(s) occur this year?

Yes No x N/A If yes, was documentation present?

Yes No x N/A If yes, who handled release(s)? List name:

Yes No x N/A

If yes, was air monitoring conducted? GSA asbestos contract requirements.

Yes No x N/A If yes, was air monitoring data available for review?

Yes No x N/A

Was any work done above drop ceilings that contain ACM fireproofing material? This includes stringing cable, telephone wiring, ductwork or new piping.

x Yes No N/A

Were there any new AHUs, chillers, boilers, hot water heaters, cooling towers, new roof, etc. added since the last inspection? If yes, then what type of equipment and was any asbestos removed?

New roof

Yes x No N/A

Were there any new renovation or remodeling since the last inspection? If yes, then was any asbestos removed? Note: List areas where new renovation occurred for future AHERA sampling.

construction not complete, letter pending

Yes No N/A

If yes, was there documentation from the re-modeler, renovator, roofer, architect, engineer, etc., stating no asbestos was used in any of the building materials? If yes, obtain a copy for the file. If no, recommend that they need to obtain an “Asbestos not used in building materials to the best of their knowledge” document for each renovation. Note: remind BM that asbestos still found in current building products.

Pending

Yes x No N/A Is there sprayed-on material at this facility?

Yes No x N/A

If yes, was annual air monitoring performed as per GSA PBS

Asbestos Policy Final Issuance dated September 17, 2007?

Yes No x N/A Did GSA RED remove any ACM since the last inspection?

If yes, how much, where and did they leave the BM this paperwork?

Quantity

Location

II. CONTRACTOR’S PROGRAMS

Custodial

Yes x No N/A

Does Custodial Contractor have documentation of annual refresher asbestos awareness training records? GSA contract requirements &

OSHA 1910.1001 (j)(7)(iv) x Yes No N/A

Does Custodial Contractor have documentation of 2-hr initial asbestos awareness training records for new employees since last year’s inspection? GSA contract requirements & OSHA 1910.1001

(j)(7)(iv)

Yes x No N/A Does the Custodial Contractor strip VAT flooring?

Yes No x N/A

If yes, does the Custodial Contractor use a stripper operating at less than 300 rpm, use wet methods and non-abrasive pads? OSHA

1910.1001 (k)(7)(ii) x Yes No N/A

Does the Custodial Contractor use HEPA vacuum cleaners on a periodic basis or wet wipe surfaces (In those areas with asbestos sprayed-on ceiling and wall material or Asbestos ceiling tiles are present)? OSHA 1910.1001 (k)(4)

O&M x Yes No N/A

Does O&M contractor have one 16-hour asbestos trained O&M maintenance mechanic onsite? GSA asbestos contract requirements and OSHA 1926.1101 (k)(9)(i) & (v) Note: O&M must have one 16-hour O&M asbestos trained person at a minimum.

Yes x No N/A

Does the O&M contractor have the EPA Green book onsite or readily available entitled “Managing Asbestos in Place”? Note: GSA asbestos contract requirements. Note: Readily available means the

O&M contractor supervisor had a copy either onsite or at another facility that you observed or has a copy at their home office.

Yes x No N/A

Does the O&M contractor have the NIBS manual either onsite or readily available entitled “Asbestos Operations and Work Practices”.

Note: GSA asbestos contract requirements.

x Yes No N/A

Does O&M contractor have initial asbestos awareness training records for current employees if they do not work on asbestos?

OSHA 1926.1101 (k)(9)(i) & (vi)

Yes x No N/A

Does O&M Contractor have asbestos awareness refresher training records? OSHA 1926.1101 (k)(9)(ii)

Yes x No N/A

Does the O&M Contractor have an Asbestos Abatement (removal)

Subcontractor under contract?

Yes No x N/A If yes, does contract state that they will be there within 1 hour?

Yes x No N/A

Does the O&M contractor have equipment available on site for handling minor releases (e.g., HEPA vacuum, respirator, disposable clothing, glove bags, patching supplies, etc)? Note: Depends on GSA

Contract.

Yes No N/A

Does the O&M contractor performing asbestos O&M maintenance have the following records current? GSA asbestos contract requirements

Yes x No N/A Written Respirator Program

Yes x No N/A Annual Fit Test

Yes x No N/A Medical Exam or Clearance Letter

Yes x No N/A Written Medical Surveillance Program x Yes No N/A Written PPE Program

Yes x No N/A Respirator Training

III. LABELING

Yes x No N/A Was ACM properly labeled? 1910.1001(j)(4) If no, list locations:

Yes x No N/A Were labels painted over?

x Yes No N/A

Was ACM properly marked at the entrance?(i.e., visible label or sign)

1910.1001(j)(3)

IV. DAMAGED ACM

Yes No N/A Damaged ACM present? If yes, take pictures and include in report.

If O&M mechanics do not perform Asbestos O&M, then answer these questions as N/A and move on to next section (cite O&M Contractor only for lack of 16-hr training). Exception - If no, contract in place with asbestos company or if abatement contractor cannot get there within one hour, then cite all items missing below.

V. GENERAL COMMENTS OR CONCERNS REGARDING THIS SURVEY

tenants not notifying contractors core samples on roof, removed roof and installed new, non ACM

Floor tile under carpet on 3rd floor sampled - pos for Chrysotile

DATE OBSERVED DATE POSTED

GSA Bldg No. FL0057ZZ 10/10/2019

29CFR1910.1001(J) (2), GSA

Region IV Asbestos Management

Plan & AHERA

RISK ASSESSMENT

CODE (RAC)

C II 3

2 29CFR1910.1001(J) (2), AHERA &

GSA Region IV Asbestos program

C III 4

29CFR1910.1001(2)(ii)

C III 4

29CFR1910.1001(2)(ii)

C III 4

5 29CFR1910.1001(J)(7)(iv) & GSA

Custodial Contract

C III 4

(F) Repeat - The O&M contractor did not have all necessary asbestos equipment and supplies on site to conduct an O&M repair/removal action.

(F) Repeat - The O&M contractor did not have evidence of a written Respiratory Protection Program.

(F) Repeat - Custodial contractor did not have documentation of annual refresher Asbestos Awareness

Training.

(F) Repeat - Labels missing on ACM pipe elbows, white duct mastic and black duct mastic above ceiling tiles.

The ACM could potentially be disturbed during work operations above the suspended ceiling.

GSA NOTICE OF UNSAFE/UNHEALTHFUL WORKPLACE CONDITIONS

LOCATION

Golden - Collum Federal Building and Courthouse

207 NW 2nd Street

Ocala, FL 34475

HAZARDOUS CONDITIONS

OBSERVED

(F) Repeat - Most ACM floor tile throughout the building is dull and scuffed. Floor tile in the 3rd floor custodial closet is in poor condition.

(F) Repeat - Tenants, O&M and custodial contractors were not notified annually of presence, location and condition of asbestos within their building.

(F) Repeat -Documentation was not available notifying contractors of presence of ACM within this facility.

(F) Repeat - ACM records were not maintained in the building as required by law.

(F) Repeat - The O&M contractor did not have an annual respirator fit-test.

(F) Repeat - The O&M contractor did not have evidence that employees have been enrolled in a medical evaluation program to determine their ability to wear a respirator.

(F) Repeat - The O&M contractor did not have evidence of a written medical surveillance program.

(F) Repeat - The O&M contractor did not have a record of Respiratory Protection training.

(F) Repeat - Abatement documents were not available for review including air monitoring and disposal records.

(F) Repeat - The O&M contractor did not have the EPA O&M asbestos guide, “Green Book” onsite as a guide to follow in event of an asbestos incident.

(F) Repeat - The O&M contractor did not have the NIBS O&M asbestos manual on site to follow in event of an asbestos incident.

NUMBER OF GSA EMPLOYEES

EXPOSED

STANDARD(S) VIOLATED

(F) Repeat - Minor/moderate cracks observed on ACM TSI in Rooms B-01, B-04, B-14, B-01, B-11, B-06 basement men's restroom, and B-15. Suspect mold on TSI in Rooms B-14 & B-15. Piping associated with tank in B-06 has minor damage.

11/1/2019

(F) Repeat - The O&M contractor did not have documentation of refresher Asbestos Awareness maintenance training.

GSA Asbestos O&M contract specifications

C III 4

GSA Asbestos O&M contract specifications

C III 4

29CFR1926.1101(K)(9) & GSA O&M

Contract

C III 4

GSA Asbestos O&M contract specifications

C III 4

10 29CFR1910.134(b)(1) C III 4

11 29CFR1910.134(f)(2) C III 4

12 29CFR1910.134(e)(1) C III 4

GSA Asbestos O&M contract specifications

C III 4

14 29CFR1910.134 (k) C III 4

15 29CFR1910.1001 (J)(4)(I) C III 4

16 29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

NUMBER OF GSA EMPLOYEES

EXPOSED

STANDARD(S) VIOLATED

INTERIM CONTROL

MEASURES IMPLEMENTED

(R) Notify tenants, O&M and custodial contractors, other contractors in writing annually of presence, location and condition of ACM.

(R) Notify contractors of presence of ACM within their work area as per facilities Asbestos O&M program.

Have contractors sign and date the document. Maintain records.

(R) Update and maintain a copy of all ACM records. This enables the building mechanic to make other contractors aware of ACM locations before they commence work.

RECOMMENDATION FOR

ABATEMENT

(R) Custodial contractor had no documentation of Asbestos Awareness Refresher Training.

(R) Provide annual Asbestos Awareness Training to O&M employees annually. Submit a copy of the training records to GSA annually.

(R) Require contractor to maintain a copy of this reference manual.

(R) Require contractor to maintain a copy of this reference manual or have access to it via their company.

(R) Maintain all asbestos repairs, abatement, sampling and inspection documents on site for review.

11/1/2019

GSA FORM 3614 (4-90)

(R) Label all ACM in mechanical rooms.

GENERAL SERVICES ADMINISTRATION 1. POST AT OBSERVATION SITE

GSA REPRESENTATIVE/ FOH

CONTRACT REPRESENTATIVE

Lisa Swain, MPH, CSP 850-624-4726

EXPECTED COMPLETION

DATE

RECOMMENDATION FOR

ABATEMENT

SIGNATURE OF GSA

REPRESENTATIVE

DATE

(R) Provide annual respirator fit-test. Maintain document on site

12/1/2019

(R) Enroll employees in a medical evaluation program and document ability to wear a respirator. Maintain a copy on site. Provide a medical clearance letter annually to GSA.

(R) Develop, implement an annually review the written program. Maintain a copy on site.

(R) Train employees on respiratory protection as required by OSHA and submit a copy of the training records to GSA. Maintain a copy on site.

(R) Abate floor tile in custodial closet. Maintain wax seal on ACM floor tile.

(R) Abate damaged TSI or repair immediately. Maintain in good condition. The O&M contract limits repairs to

3 linear/square feet. Cumulatively, the FOH Representative estimates that the damage exceeds 3 SQ/LF and abatement/repairs should be contracted to asbestos abatement contractor.

(R) Require contractor to maintain the necessary equipment and supplies to conduct asbestos repair/removal projects less than 3 square or linear feet

(R) Develop, implement and update annually a written Respiratory Protection Program and submit a copy to

GSA.

FORM 3559

Other corrective measures are possible and it is the responsibility of GSA and/or its O&M/Custodial contractors to determine the best way to correct.

GSA Form 3559

REPORT FOR FACILITY SAFETY, HEALTH, OR FIRE PROTECTION SURVEY (PART I) PAGES (3)

1. REPORT CONTROL

NO.

G-4-101019-FL0057ZZ

2. DATE OF REPORT

November 1, 2019

3. BUILDING NAME AND ADDRESS

U.S. Federal Building/Courthouse 207 NW 2ND Street Ocala, FL 34475 GSA Building Number: FL0057ZZ

4. PBS FIELD

OFFICE

5. BRC B=BLDG LOCAL

0 RAC 1,2=P1,P2 9 RAC 1,2,3=R2

2 RAC 3=R1 6 RAC 4,5=A1

0 RAC 4,5=A1

6. DATE OF SURVEY __X__ SCHEDULED

_____ FOLLOW-UP

October 10, 2019 _____ UNSCHEDULED

7. SURVEY CONDUCTED BY

Lisa Swain, MPH, CSP

8. TRAVEL COST INCURRED

9. TOTAL MANHOURS

EXPENDED

10. DIRECTIVE LEGEND (Referenced in Item 14)

A - OSHA STANDARD D - GSA DIRECTIVE

B - NFPA CODE E - OTHER

C - ANSI STANDARD

11. TYPE OF REPORT (Check appropriate box(es)) ____ (F) Fire Safety/Protection ____ (L) Pre-Lease ____ (S) Facility Safety & Health ____ (P) Pre-Occupancy _X__ (O) OSH/Asbestos ____ (M) Misc/Other

12. Travel Code ___ Govt. = T X Com. = C

13.

Condition Number

14.

Responsible Office (BM, RED, AGY, R&A, AM)

15. Mishap Probability

16.

Hazard Severity

17.

RAC

18.

Square

Feet Affected

19.

Estimated

Cost

20.

Design Reference

21. Condition Finding (F) Recommendation (R)

1-2019- Asbes

BM C II 3 >3’ $2000

29CFR1926.1101,

AHERA & GSA

Region IV Asbestos program

(F) Repeat - Minor cracks observed on ACM TSI in Rooms B-01, B- 04, B-14, B-01, B-11, B-06 basement men's restroom, and B-15.

Suspect mold on TSI in Rooms B-14 & B-15. Piping associated with tank in B-06 has minor damage.

(R) Abate damaged TSI or repair immediately. Maintain in good condition. The O&M contract limits repairs to 3 linear/square feet.

Cumulatively, the FOH Representative estimates that the damage exceeds 3 SQ/LF and abatement/repairs should be contracted to asbestos abatement contractor.

2-2019- Asbes

BM C II 3 NA $1000

GSA Asbestos O&M contract specifications

(F) The O&M contractor did not have all necessary asbestos equipment and supplies on site to conduct an O&M repair/removal action.

(R) Require contractor to maintain the necessary equipment and supplies to conduct asbestos repair/removal projects less than 3 square or linear feet

3-2019- Asbes

BM C II 3 ~350’ $1000

29CFR1926.1101,

AHERA & GSA

Region IV Asbestos program

(F) Most ACM floor tile throughout the building is dull and scuffed.

Floor tile in the 3rd floor custodial closet is in poor condition.

(R) Abate floor tile in custodial closet. Maintain wax seal on ACM floor tile.

GAINESVILLE U.S. FEDERAL BUILDING

GSA BUILDING NUMBER FL0065ZZ

401 SOUTHEAST FIRST AVENUE

GAINESVILLE, FL

REPORT FOR FACILITY SAFETY, HEALTH, OR FIRE PROTECTION SURVEY (PART I) PAGES (3)

4-2019- Asbes

BM C II 3 NA $250

29CFR1926.1101(K)

(9) & GSA O&M

Contract

(F) The O&M contractor did not have documentation of refresher Asbestos Awareness maintenance training.

(R) Provide annual Asbestos Awareness Training to O&M employees annually. Submit a copy of the training records to GSA annually.

5-2019- Asbes

BM C II 3 NA $200

29CFR1910.134

(e)(1)

(F) The O&M contractor did not have evidence that employees have been enrolled in a medical evaluation program to determine their ability to wear a respirator.

(R) Enroll employees in a medical evaluation program and document ability to wear a respirator. Maintain a copy on site.

Provide a medical clearance letter annually to GSA.

6-2019- Asbes

BM C II 3 NA $200 29CFR1910.134 (k)

(F) The O&M contractor did not have a record of Respiratory Protection training.

(R) Train employees on respiratory protection as required by OSHA and submit a copy of the training records to GSA. Maintain a copy on site.

7-2019- Asbes

BM C II 3 >3’ $200

29CFR1910.1001

(J)(4)(I)

(F) Repeat - Labels missing on ACM pipe elbows, white duct mastic and black duct mastic above ceiling tiles. The ACM could potentially be disturbed during work operations above the suspended ceiling.

(R) Label all ACM where work may be performed.

8-2019- Asbes

BM C II 3 NA $150

29CFR1910.134

(f)(2)

(F) The O&M contractor did not have an annual respirator fit-test.

(R) Provide annual respirator fit-test. Maintain document on site.

9-2019- Asbes

BM C II 3 NA $100

29CFR1910.1001(J)

(7)(iv) & GSA Custodial Contract

(F) Custodial contractor did not have documentation of annual refresher Asbestos Awareness Training.

(R) Provide custodial contractor with Annual Asbestos Awareness Refresher Training.

10-2019- Asbes

BM C II 3…