6._GSA_Form_3559.pdf
GSA Form PDF 30 KB Posted
- Solicitation number
- EQ10PME-16-5005
About this file
GSA Form 3559
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Other versions and copies of GSA Form 3559
| File | Revision | Posted | Attached to |
|---|---|---|---|
| GSA_Form_3559.docx | Revision not stated | Fire Safety Surveys for Alaska Federal Buildings | |
| GSA_Form_3559.pdf | Revision not stated | Fire Safety Surveys throughout GSA NW Arctic Region 10 | |
| 7-GSA_Form_3559.doc | Revision not stated | Fire Safety Surveys |
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Text version
FACILITY NAME
FACILITY ADDRESS
BUILDING NUMBER
● Scheduled
○ Follow-up
○ Unscheduled
CONDUCTED BY
DATE OF SURVEY
DATE OF REPORT
REPORT CONTROL NUMBER
Findings and Recommendations:
001 Finding:
Recommendation:
Ref:
Estimated Cost:
Hazard Severity: (Assigned by GSA) Mishap Probability: (Assigned by GSA) Risk Assessment Code: (Assigned by GSA) Responsible Official: (Assigned by GSA)
○ S&EM – Safety and Environmental Survey
● F - Firesafety
○ FS&H – Facility Safety and Health
○ OSH – Occupational Safety and Health
○ M - Miscellaneous
R-10 GSA Form 3559 (revised 2014) Page 1 of 1
| ● F - Firesafety |
| ○ M - Miscellaneous |
File details come from the government source that posted it. Updated .