Attachment J.29 FAA Form 3900-17.pdf

Design Risk Analysis Environmental and Occupational Safety and Health Checklist

FAA Form 3900-17 (03/15) Electronic Version (PDF) Page 1 of 12

Section A. Purpose This checklist is intended to be used as a tool to identify environmental compliance and occupational safety and health (EOSH) requirements during project design.

Specifically, this checklist is intended to:

Ensure that the project is properly designed in regard to EOSH requirements; and Ensure that the execution of the project will not disrupt NAS operations due to EOSH issues.

The scope, schedule, and cost of a project may be impacted if EOSH requirements are not addressed. In addition, failure to address EOSH requirements in a project could lead to regulatory action against the FAA. This checklist will be completed by the Project Engineer and/or Program Manager for the project. For plans/projects managed by Engineering Services, the cognizant Engineering Services EOSH Coordinator will review and sign the document. The Engineering Services EOSH Coordinator should be consulted at the planning stage. For turnkey plans/projects managed by Headquarters organizations, the national Program Office will ensure that sufficient EOSH technical support resources are provided. For non-Engineering Services projects managed exclusively by local facilities and/or field organizations, the appropriate manager (e.g., District Office Manager or SSC Manager) will request EOSH technical support. This form is required to be completed as per FAA Order JO 3900.57A.

If EOSH issues are identified on this checklist, then it is the responsibility of the organization managing the project to address those issues. The checklist is completed with available information. If that information is not complete or changes are made during design, the checklist may need to be revised. It may be necessary to use additional references for any design modifications. This checklist relies on the training and professional judgment of the user. EOSH personnel should be consulted as needed.

Section B. Project Summary Information The purpose of this section is to provide a brief description of the construction or renovation project, and identify key personnel responsible for project completion. Fill in the requested site-specific information. In the project description below, indicate if this work will occur in or adjacent to an occupied space. Note: Provide further explanation of activities on additional sheets if necessary.

Project Name and Description: Check one: New Construction: Renovation:

Project Location: Facility:

Planned Start Date: Expected Completion Date:

Project/Design Representative Name: Phone:

EOSH Contact Name: Phone:

Originating Organization: Project Number/JCN:

Section C. EOSH Subject Areas Evaluate the project and its potential hazards and risks. Consider sensitive NAS operations and all facility occupants that may be impacted by the project. For each potential project hazard, indicate (with a checkmark) a potential for exposure, release, or incident. The following questions cover the most common EOSH related areas that may be encountered. This list is not inclusive. Consult with your designated EOSH professional for additional guidance and assistance. Refer to the latest versions of the FAA Orders cited in the “References and Actions” column.

EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

Environmental Program Areas

Attachment J.29

SIR 693KA8-20-R-00008

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Relevance to EOSH Subject Area Design References and Actions

(Yes / No / N/A)

A. Environmental Review

1. Has the project performed the appropriate level of If the proposed project cannot be categorically excluded under environmental review in accordance with the current NEPA, an environmental assessment (EA) may be necessary.

version of FAA Order 1050.1 and the National Environmental Policy Act (NEPA)?

2. Will the project involve the acquisition and/or Environmental due diligence documentation must be completed if disposition of real property? real property is acquired and/or disposed of, per the latest version of FAA Order 1050.19.

Notes:

B. Water Pollution Control

1. As currently planned, will the construction activity Federal stormwater discharge permits from construction activities impact more than 1 acre of land? apply to disturbances of land equal to or greater than 1 acre.

National Pollutant Discharge Elimination System (NPDES) permits and stormwater pollution prevention plan (SWPPP) are required in accordance with 40 CFR Part 122.

2. Will the construction activity impact more than 5 Federal stormwater discharge permits from construction activities acres? have more stringent requirements for disturbances of land greater than 5 acres.

Notes:

C. Air Pollution Control Management Program

1. Does the design include fuel-combustion equipment Investigate federal, state, and local permit requirements, including (e.g., emergency generators, boilers), paint spray requirements pursuant to Clean Air Act (CAA) implementing booths, degreasers or air pollution control devices? regulations, 40 CFR Parts 60 and 63, and the current version of

FAA Order JO 1050.17.

2. Are air quality “permits to construct” or “authorizations If yes:

to construct” applicable to the project as designed? 1. Permits to construct may need to be obtained while the project is in the design stage.

2. Permits to operate may need to be obtained before the equipment is turned over to the facility and prior to operations.

Notes:

D. Wetlands

1. Will the activity including building, dredging or filling in Any person, firm, or agency planning to work in navigable waters of the vicinity of tidal waters, fresh water, or wetlands? the United States, or discharge (dump, place, deposit) dredged or fill material in waters of the United States, including wetlands, must first obtain a permit from the U.S. Army Corps of Engineers.

2. Will the activity cause the loss of more than one-tenth Depending on the type and location of the project, an individual acre of waters of the U.S., including wetlands, or is permit may not be required. The Corps has many general the volume of excavation or filling more than twenty- nationwide permits, which authorize minor activities without the five cubic yards? need for individual processing.

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EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

E. Fuel Storage Tanks: Underground Storage Tanks (USTs)/Aboveground Storage Tanks (ASTs)

1. Does the project require that a new or replacement The tank must conform to FST Program Office baseline design fuel storage tank (FST) system be installed during the requirements and the latest versions of FAA Orders 1050.15, project? 1050.16, and JO 1050.17, National Fire Protection Association

(NFPA 30), and federal, state and local requirements. Only ASTs may be deployed without special approval from FST Program Office. Where state and local agencies require, use licensed UST/AST removers and installers.

2. Have state and/or local permits been obtained for Obtain necessary state and local permits.

installation of the FST? If not, please explain why in the notes.

3. Does the project include work on or impact to an Comply with the requirements stated above, maintain continuity of existing AST or UST? service to critical systems, and determine if temporary fuel supply may be necessary.

4. If an AST is included in the design, will the aggregate An aggregate aboveground capacity of oil greater than 1,320 capacity for the facility be greater than 1,320 gallons? gallons requires a spill prevention, control, and countermeasures

(SPCC) plan per 40 CFR 112.

F. Protected Species

1. Does the construction activity have the potential to Species include plants, wildlife and their habitats. Informal harm or otherwise impact federally- or state-protected consultation under Section 7 of the Endangered Species Act (ESA) species or their habitat? may be necessary to make the determination.

G. Drinking Water

1. Will the project involve installing or modifying any Newly plumbed systems at staffed facilities, as well as any plumbing systems or sources of drinking water, or will impacted by construction, require drinking water testing per the construction impact the facility’s water system? latest version of FAA Order JO 3900.61. Any fixtures must be compliant with NSF/ANSI Standard 61.

H. Hazardous Waste Disposal

1. Will hazardous and other regulated waste (e.g., Specify that all hazardous and other regulated waste will be asbestos, lead, polychlorinated biphenyl [PCBs], identified and require proper disposal of hazardous wastes spent solvents, silica dust) be generated as a result of including the use of hazardous waste manifests for shipments.

this project, or will legacy equipment containing Specify consultation with the Safety and Environmental Compliance hazardous materials require disposal? Manager (SECM) or facility manager to determine regulatory requirements based on facility generator status.

2. Have disposition requirements been identified for Compliant disposal options must be identified according to the hazardous waste materials originating from the latest version of FAA Order JO 1050.17. Ensure adequate funding project? for the removal and disposition of removed equipment and materials.

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EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

I. Non-Hazardous Solid Waste Management

1. Has a solid waste management plan been developed outlining how all non-hazardous waste, trash and debris from the project will be handled?

2. Has a Construction and Demolition (C&D) waste Recycling of C&D waste, whenever feasible, is required by management plan been developed for the project? Executive Order 13514.

3. Will the project involve removal and/or disposition of Older equipment may contain PCBs or other hazardous materials.

equipment and/or electronic waste? Electronic waste must be managed through a recycling firm certified by an accredited certification standard (e.g., Responsible Recycling Practices (R2), e-Stewards). Ensure compliance with the approved National Disposition Plan, if applicable.

J. Energy Conservation Program

1. Has the project taken into account potential Review Energy Policy Act of 2005, the Energy Independence and opportunities for energy efficiency and/or applicable Security Act of 2007 (EISA), and the latest version of FAA Orders sustainable building requirements? 1053.1 and JO 1053.3.

2. Have alternative fuel supply/storage measures (i.e., clean energy initiatives such as solar or fuel cells) been evaluated?

EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

Safety Program Areas

K. Asbestos Management Program

1. Has the facility asbestos survey or Operations and If yes:

Maintenance (O&M) plan (as applicable) been 1. Review available asbestos reports to see if the facility has been reviewed prior to design? surveyed.

2. If no survey report is available, then all suspect materials that will be impacted must be assumed to be asbestos-containing material (ACM) or sampled and tested. Presumed Asbestos Containing Material means thermal system insulation and surfacing material found in buildings constructed no later than 1980; however, ACM are still being installed in new buildings.

Samples may be required; contact SECM for guidance.

3. Review the latest versions of FAA Orders 1050.20 and 3900.19, bargaining unit agreements, CAA implementing regulations, 40 CFR Part 61 Subpart M, Toxic Substances Control Act (TSCA) implementing regulations, 40 CFR Part 763, 29 CFR 1910.1001, 29 CFR 1926.1101, and state and local regulations.

4. Include in specifications applicable regulatory and union agreement requirements along with safe work practices.

2. Does the facility asbestos survey or O&M plan An asbestos survey is required prior to renovation and demolition indicate the presence of any ACM? and is a means of estimating the cost of abatement and disposal.

3. Will the project involve installation of equipment in or demolition/renovation of facilities ACM or PACM?

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EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

4. Will the project involve disturbance or removal of Requirements may include any or all of the following: latest floor and/or ceiling tiles, insulation, or roofing versions of FAA Orders 1050.20 and 3900.19, bargaining unit materials in buildings or facilities with ACM or agreements, CAA implementing regulations, 40 CFR Part 61, PACM? Subpart M, TSCA implementing regulations, 40 CFR Part 763, 29

CFR 1910.1001, 29 CFR 1926.1101, state, and local regulations.

5. Has the Facility Asbestos Coordinator been Per FAA Order 1050.20, the designated Facility Asbestos contacted regarding the appropriate procedures for Coordinator is responsible for asbestos issues at a facility.

ACM at the specific facility in question, as applicable?

L. Lead Management Program

1. Will the project involve disturbance or removal of Grinding, sanding, cutting or welding into surfaces coated with lead-based paint? lead-based paint may generate lead dust and/or fumes. Installation of new equipment may disturb lead-based paint. Review the latest versions of FAA Orders 3900.19, bargaining unit agreements, Toxic Substances Control Act (TSCA) implementing regulations, 40 CFR Part 745, 29 CFR 1910.1025, 29 CFR 1926.62, and state and local regulations. Include in specifications applicable regulatory and union agreement requirements along with safe work practices.

2. Will the project potentially impact any materials containing lead (e.g., lead sheathing on piping)?

M. Hazardous Materials Handling and Storage

1. Will the proposed building or renovated space be Ensure appropriately designed chemical storage areas are used to store hazardous materials? incorporated into the design.

li

2. Do all hazardous materials storage areas meet Applicable standards include design, chemical International Building Code (IBC), International Fire segregation/compatibility, secondary containment, explosion-proof Code (IFC), and NFPA standards? ghting, drainage, fire wall rating, ventilation and accessibility.

N. Storage Space

1. Is adequate storage space allotted for routine Maintenance items should be stored in designated storage areas.

maintenance items (e.g., ladders or tools)? Items should not be stored under stairs or in stairwells.

Notes:

O. Electrical Safety

1. Does the design, construction, or installation include If yes:

high voltage equipment? 1. Will proper clearances be met after installation?

2. Is there a plan to develop lockout/tagout (LOTO) procedures?

3. Will the equipment be capable of accepting lockout devices?

4. If electrical equipment is included in the design, sufficient clearance distance in front of the equipment must be included after installation in accordance with 29 CFR Part 1910 Subpart S, and NFPA 70.

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EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

2. Does the design meet the definition of major If yes to either question, an Arc Flash Risk Assessment (AFRA) is modification in the latest version of FAA Order JO required to determine appropriate personal protective equipment 3900.64? Is the design a new facility? (PPE) and arc flash boundaries. Refer to FAA Order JO 3900.64 and NFPA 70E for requirements of the AFRA.

3. Is the energy isolating device of the new or modified After January 1990, energy isolating devices for new or modified equipment designed to accept a lockout device? equipment must be designed to accept a lockout device. Refer to

29 CFR 1910.147(c)(2)(iii).

4. Have the proper clearances around electrical Refer to the latest version of FAA Order JO 3900.64, 29 CFR equipment been included in the design, as 1910.303(g) (1), and NFPA 70 Article 110.26.

applicable?

5. Have LOTO procedures been developed for Refer to 29 CFR 1910.147 and the latest version of FAA Order JO equipment, as applicable? 3900.75.

6. Have appropriate short circuit calculations, protective Short circuit and protective device coordination calculations are device coordination, and Arc Flash Risk Assessment required per FAA Order 6950.27. An AFRA (previously known as (AFRA) been performed, as applicable? AFHA or arc flash hazard analysis) is required per FAA Order JO

3900.64, and NFPA 70E.

7. For equipment installed as part of the project, will If yes:

personnel maintaining the equipment be exposed to 1. Revise the design to eliminate the electrical safety hazards electrical safety hazards (e.g., risk of electrocution, 2. Ensure that proper training and PPE are available following electrical shock, burns, or falls associated with work installation. Refer to FAA Orders 6950.27 and JO 3900.64.

on or near energized electrical equipment)?

P. Fire/Life Safety (FLS)

P.1. FLS General

1. Is the design work under the review of a licensed fire protection engineer (FPE)?

As per code, a fire protection engineer is required for the following:

all new buildings containing operations areas; and renovations to existing buildings in which any existing fire protection system, fire alarm system, or major means of egress component is modified.

2. Has the engineer/designer reviewed appropriate Appropriate codes may include the IBC, NFPA codes and codes for a basis of design and referenced them in standards, 29 CFR 1910, 29 CFR 1960.20, FAA Standard Design the design package? Guidelines, and state and local requirements.

3. Is the engineer/designer using the Technical Note: The TIG is a compilation of practical solutions and lessons Implementation Guide (TIG) as a resource? learned to challenging fire safety issues. The TIG is a living document developed by experienced FLS project engineers/consultants and it is recommended to review during the engineering/design phase.

4. Has the engineer/designer verified if the work is This typically applies to sponsor owned and or leased facilities and subject to applicable codes/standards or may include state or local code compliance requirements, PE review/approvals by an authority outside of the FAA stamped designs, or General Contractor/Trade licenses and local (e.g., state or local jurisdiction)? approval by the authority having jurisdiction.

5. Will there be possible impairments of FLS systems Provide Impairment Plans (developed by the engineer), as due to project implementation? appropriate for: Sprinkler, Fire Detection and Alarm, and Stair

Pressurization systems. Qualified fire-watch requirements written into the scope are required if any system is to be out of service for more than four hours in a 24-hour period (NFPA 1, §13.1.9). Also ensure there are no impairments to egress paths.

6. Does the design consider or address the Ensure that the design is not only code compliant, but also maintainability or service life of fire protection addresses the maintainability of fire life safety equipment from a systems and features? practical standpoint (for example, systems requiring maintenance are easily accessible for service personnel).

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EOSH Subject Area Relevance to

Design (Yes / No / N/A)

References and Actions

7. Has the project scope been classified in accordance The project scope affects the extent of new construction code with the International Existing Building Code compliance requirements. The project must be defined as a repair, (IEBC)? alteration (level 1, 2, or 3), a change of occupancy, or an addition.

8. Does the project change the height or area of the The maximum height and area of the building based on the existing building? construction type must be considered for building additions or expansions. See requirements in IEBC.

9. Will this project change occupancy and/or use in any of the spaces?

P.2. Means of Egress

1. Will the project involve alterations affecting means Travel distance, common path of travel, dead-end corridors, exit of egress compliance? remoteness, emergency lighting, exit signage, and exit discharge are examples of means of egress components. See NFPA 101, Life Safety Code, Chapter 7.

2. Are minimum head clearances considered in Refer to the TIG 1.11 for specific guidance.

stairwells and paths of egress?

3. Are all new interior finishes or proposed interior Refer to NFPA 101, Life Safety Code, Chapter 10.

finishes compliant?

P.3. Passive FLS Systems

1. Has the project taken into account and identified Determine where rated fire and/or smoke barriers are located and where fire resistance rated construction is located? how the project may affect them. This information is typically identified on architectural as-built drawings.

2. Is fire stopping required by the design? Any penetrations through fire rated barriers created by this project must be firestopped in accordance with the FAA firestopping specification. This includes labeling fire barriers and installed firestop systems.

3. Are mechanical components of HVAC penetrations Fire dampers, smoke dampers and combination fire/smoke of fire rated resistance construction affected or dampers are sometimes required for fire resistance rated required by the design? construction.

4. Are new openings through fire rated construction Examples of openings in fire rated construction include the protected appropriately? following: fire rated doors, door frames, door self-closing mechanisms, magnetic hold opens, fire rated floor, ceiling, and shaft hatches.

P.4. Active FLS Systems

P.4a. Fire Alarm System

1. Will all new construction or modifications to existing Refer to NFPA 72, National Fire Alarm and Signaling Code.

fire detection, alarm and communication systems be designed in accordance with appropriate FAA requirements?

E e p

2. Will room or space modifications require changes to xamples of modifications that can affect the compliance of the existing fire alarm system layout? xisting fire alarm systems include: new partitions, removing artitions, space usage changes, etc.

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EOSH Subject Area Relevance to

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References and Actions

3. Will the fire alarm and/or interfacing systems be Documenting the existing condition of the fire alarm system prior to modified? modifications is critical to ensure improperly operating portions of the system are accounted for in the design. Examples of interfacing systems include elevator primary/secondary recall, fire/smoke dampers, sprinkler flow and sprinkler valve supervisory switches, HVAC shutdowns, stair fan monitoring, etc.

4. Will modifications to other building systems impact Fire alarm systems are often interfaced with mechanical systems.

the fire alarm system?

P.4b. Stair Pressurization System (ATCTs only)

1. Does the project design affect components of the Components of the stair pressurization system include the stair pressurization system? following: fan, fan controls, relief damper, and back-up power supply. Refer to Chapter 2 of the TIG.

2. Will the project indirectly affect the stair Examples of alterations that may affect stair pressurization system pressurization system? performance include secondary leakage paths, and new stair enclosure openings, Refer to Chapter 2 of the TIG.

3. When there are alternate types of smoke control These types of systems are provided as an alternative to stair present (vented vestibule, outside balcony), does the pressurization systems in some locations. If the design affects design alter the performance of such systems? these systems, the project must demonstrate compliant alterations.

P.4c. Automatic Sprinkler System

1. Will the project affect the sprinkler system layout? Ensure sprinkler spacing locations are adjusted as necessary and remain in compliance. For example, sprinkler clearances may be affected by new shelving, book cases, storage, partitions, etc. If placed within 18 inches of the sprinklers it may be necessary to adjust the sprinkler layout. Refer to NFPA 13.

2. Does the project affect the occupancy hazard A hydraulic calculation is required if the project is increasing the classification of the sprinkler system? occupancy hazard classification. The existing sprinkler system may, or may not be capable of providing increased protection to meet the design criteria.

3. Will physical alterations of the sprinkler system As per NFPA 13, hydraulic flow calculation is required if require a new hydraulic calculation? hydraulically remote area demands are affected.

P.5. Emergency Power

1. Will emergency power or upgrading be required for See NFPA 70, National Electric Code.

design alterations to fire life safety systems?

P.6. Portable Fire Extinguishers

1. Does the project design require new and/or different Consider the quantity, travel distances, location, and type (e.g., types of fire extinguishers? ABC, dry chemical, clean agent). Refer to NFPA 10, Standard for

Portable Fire Extinguishers.

2. Will occupancy use change in any of the spaces? If so, re-evaluate and provide proper fire extinguisher type, as appropriate. Refer to NFPA 10.

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EOSH Subject Area Relevance to

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References and Actions

P.7. FLS Training/ Administrative

1. Do impacts to FLS systems require updates to the If yes, help facility managers update the Emergency Plans.

Fire Protection Plans and Emergency Action Plans?

2. Do impacts to FLS systems require updates to If yes, update the record documents as required by FAA Order system O&M manuals or as-built drawings? 6000.15.

3. Is training of personnel on new/modified FLS Ensure training is provided for occupants and technicians where a systems or features required as part of the project? project added new FLS systems or features.

P.8. Exterior FLS Features

1. If exterior work is included with the project, are site Considerations include fire department access, fire hydrants, site FLS features properly evaluated and designed? security, etc. Refer to the IBC exterior separation requirements.

Q. Fall Protection

1. Do guardrails and parapets meet OSHA's minimum Ensure that the minimum height from the upper surface of the top height, spacing and strength requirements? rail/parapet to the floor is 42 inches. Mid-rails must be positioned in a way that the maximum opening at any point is no greater than 19 inches. Refer to 29 CFR 1910.23, and FAA Order JO 3900.63, Appendix J.

2. For new facilities and/or new construction, does the Ensure appropriately designed access ladders and opening design include roof/platform hatches? protection are incorporated into the design. Refer to 29 CFR

1910.23 and 1910.27.

3. For renovations to new and existing facilities, do Floor/Hatch openings must be protected by covers and/or floor/hatch openings meet OSHA's minimum guardrails depending on the type of opening and its use. These dimension, strength, access, and opening protection specifications are found in 29 CFR 1910.23 and 29 CFR 1910.27.

requirements?

4. For new facilities and/or new construction, does the Ensure that appropriately designed ladders and ladder safety design include fixed ladders ≥ 20 feet long? systems are installed. Refer to 29 CFR 1910.27.

5. For renovations to new and existing facilities, do The minimum width of rungs is 16 inches. The maximum distance fixed ladders ≥ 20 feet long meet OSHA's minimum between rungs is 12 inches. Fixed ladders must extend at least 42 dimension, clearance, and ladder safety system inches above platforms. There are minimum clearance distances requirements? on the front and back of ladders. The ladders must be equipped with ladder safety systems that also extend 42 inches above platforms. These specifications and others are found in 29 CFR

1910.27. FAA Order JO 3900.63 prohibits the use of tubular ladder safety systems and the substitution of ladder cages.

6. For new facilities and/or new construction, does the Ensure that appropriately designed stairs and stair railings are design include stairs? incorporated into the design. Refer to 29 CFR 1910.23 and

1910.24.

7. For renovations to new and existing facilities, do The minimum stair width is 22 inches. Stair treads must be slip-stairs meet OSHA's minimum width, angle, tread, resistant and visible. The vertical clearance must be at least 7 feet platform, vertical clearance, railing, and handrail measured from the leading edge of the tread. These specifications requirements? and others are found in 29 CFR 1910.23 and 1910.24.

8. Can the need to work at heights be removed (e.g., "Work at heights" means on elevated work surfaces (e.g., rooftops, relocate equipment; install tilt-down/telescoping platforms) ≥ 4 feet above the next lower level or on fixed ladders ≥ poles)? 20 feet long.

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References and Actions

9. Does the design include equipment installed above Ensure that the equipment requiring maintenance can be accessed the 42-inch guard rail that requires access for standing at ground level. Use of a ladder to access will compromise maintenance? the fall protection provided by the 42-inch guard rail.

10. Does the design include rooftops and/or platforms Ensure that appropriately designed fall protection (e.g., parapets, that are ≥ 4 feet above the next lower level? guardrails, anchor points) are incorporated into the design. Refer to

29 CFR 1910.23.

11. Are sufficient anchorage/tie-off points capable of If not, add to project design. Refer to 29 CFR 1910.66 and withstanding 5000 pounds available for performing Appendix J of FAA Order JO 3900.63.

work or maintenance at elevated surfaces?

Notes:

R. Confined Spaces

1. Will any spaces in the project design be considered Special entry procedures may be required under 29 CFR 1910.146.

confined spaces if built as designed in the specifications, including, but not limited to: (a) fire pump room; (b) telephone/electrical rooms; (c) elevator machine room; (d) elevator pits; (e) security rooms; (f) equipment chases; (g) equipment or cable vaults; or (h) utilidors?

2. If any spaces are considered confined spaces, could Consider the following rooms/areas in design: (a) fire pump room;

a second entrance/door be designed into the b) telephone/electrical rooms; (c) elevator machine room; (d) room/area to eliminate the existence of confined elevator pits; (f) HVAC equipment; (g) cooling towers; (h) chases;

space conditions? i) cable access points, or other equipment access points.

3. If a confined space exists, have the following design considerations been considered: increased ventilation; increased egress, and access to the space?

4. If access to cables or wiring on an airfield is part of the design, are alternatives such as hand-holes and access points being considered as part of the design to replace vaults and manholes?

5. If cables and wiring are inside a building, are chases with full-sized doors being considered as part of the design?

6. During the course of construction activities, will temporary confined spaces be created (e.g., voids)?

Notes:

S. HVAC Equipment and Indoor Air Quality (IAQ)

1. Do ventilation rates for occupied spaces comply with

ANSI/ASHRAE Standard 62.1, Ventilation for Acceptable Indoor Air Quality?

2. Will temperature and humidity levels in occupied If areas are anticipated to have moisture or high humidity, avoid spaces be maintained within the recommended porous or adsorbent wall coverings such as wallpaper or fabric, to ranges of ANSI/ASHRAE Standard 55, Thermal prevent mold growth.

Environmental Conditions for Human Occupancy?

3. Will all HVAC equipment (such as the cooling tower, chillers, and boilers) be properly enclosed to protect from weather elements and animals?

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References and Actions

4. Are outdoor air intakes located away from any Refer to ANSI/ASHRAE Standard 62.1, Ventilation for Acceptable possible sources of hazardous materials, biological Indoor Air Quality.

materials or odors (e.g., loading docks, trash/refuse areas, boiler or fuel combustion equipment exhaust stacks, kitchen exhaust ventilation)?

5. Will time be allowed for vapor off gassing (from new Refer to ASHRAE’s Indoor Air Quality Guide: Best Practices for equipment, carpets, wall coverings, paints, etc.) Design, Construction and Commissioning.

before occupancy?

6. Will kitchen exhaust ventilation be separate from the Refer to NFPA 96, Standard for Ventilation Control and Fire ventilation system of the building? Protection of Commercial Cooking Operations.

7. Do HVAC designs have features to minimize mold growth, including proper drainage, proper sized filters and spacers, moisture vapor barrier, and proper insulation?

8. Does HVAC equipment include Use of HCFC refrigerants (such as R22 and HCFC-142b) is being hydrochlorofluorocarbon (HCFC) refrigerants? phased out. The use of refrigerants acceptable under the EPA's

Significant New Alternatives Policy program must be considered for all new installations and modifications. Review the latest versions of FAA Orders JO 1050.17A and 1050.18.

9. If the project involves application of paints, sealants, or adhesives, will air intakes be closed and/or the building’s HVAC system be isolated from the area where the materials are being applied?

Notes:

T. Radiation

1. Is the project located inside the safe distance to a If the project is not located outside the safe distance, consult with radiation-emitting NAS facility as defined in Chapter Spectrum Engineering Group to determine any necessary actions.

16 of FAA Order 6050.32B?

Notes:

U. Battery Safety

1. For new or existing facility construction/renovation If yes:

projects, does the design include batteries used for 1. Batteries must be stored in ventilated rooms and on backup power? appropriate battery racks. Refer to the latest versions of NFPA

70E, NFPA 1 52.3.6, IEEE Std. 1187, and FAA Order 6980.25C.

2. Emergency eyewash/showers must be incorporated into these rooms as applicable and meet the requirements for the space.

(29 CFR 1910.151, FAA Order 6980.25C, ANSI/ISEA Z358.1)

3. Personal protective equipment must be provided as necessary.

2. Will the project include the disposition of batteries? Hazardous materials and hazardous waste management requirements are outlined in the latest version of FAA Order JO 1050.17, as well as in state and local requirements.

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References and Actions

V. Hearing Conservation (Noise)

1. If the design includes systems/processes that will Refer to 29 CFR 1910.95.

generate noise, have those systems/processes been evaluated to determine whether alternatives exist that will eliminate or reduce the generation of noise?

2. If equipment generating over 85 dBA will be installed, Possible steps include isolating noise sources from work areas, will steps be taken to minimize impact to employees? installing acoustic barriers, installing vibration isolation for mechanical equipment, and installing suitable mufflers on engine exhausts and compressor components.

Notes:

Section D. Review Information This checklist will be completed and signed by the Project Engineer and/or Program Manager for the project. The appropriate FAA EOSH professional will sign below to document review of the items on this form. For plans/projects managed by Engineering Services, the cognizant Engineering Services EOSH Coordinator will review and sign the document. For turnkey plans/projects managed by Headquarters organizations, the National Program Office will ensure that sufficient EOSH technical support resources are provided.

Completed By:

Project Engineer:

(Print or Type Name) (Signature ) (Title) (Date)

Program Manager:

(Print or Type Name) (Signature ) (Title) (Date)

Reviewed By:

(Print or Type Name) (Signature ) (Title) (Date)

Notes (e.g., provide further explanation of potential hazards, locations, etc. below and attach additional sheets if necessary)