Attachment 1R - Asbestos Management and Operation Plan.pdf

OPR: 325 CES/CEAN

ASBESTOS

MANAGEMENT

AND OPERATION

PLAN

UNCLASSIFIED

UNCLASSIFIED

THIS PAGE INTENTIONALLY LEFT BLANK

MEMORANDUM FOR DISTRIBUTION (Annex Z)

FROM: 325 CES/CC

SUBJECT: Asbestos Management and Operations (AMO) Plan

1. Attached is the AMO Plan. This plan is the 325 CES/CEAN supporting plan required by AFI 32-1052. The previous plan should be destroyed in accordance with AFI 37-131.

2. This plan is effective for planning purposes upon receipt and for implementation when directed by proper authority.

3. Elements of this plan were coordinated with tasked associate units.

4. Supporting plans are not required. This plan will be reviewed biennially.

5. All changes must include the date of the basic plan.

6. The OPR for this plan is the Environmental Element (325 CES/CEAN). Requests for additions, deletions, and changes should be forwarded to this office.

BRIAN M. STUMPE, Lt Col, USAF Commander

Attachment:

AMO Plan

DEPARTMENT OF THE AIR FORCE

325TH FIGHTER WING (ACC)

TYNDALL AIR FORCE BASE FLORIDA

325th FIGHTER WING

TYNDALL AFB, FL, 32403-5541

15 January 2003

Date ____________

MEMORANDUM FOR 325 CES/CEAN, Stop 42

FROM: _________________________

SUBJECT: Distribution of 325th Fighter Wing Asbestos Management and Operations Plan

1. Change distribution for subject document as follows:

_____ Discontinue distribution.

_____ Change number of copies to ________.

_____ Change office symbol and address to: _________________________

2. _____ The listed changes apply to this Plan only.

3. _____ The listed changes apply to all Wing Plans distributed by 325 CES/CEAN.

4. REMARKS:

(Signature of Unit Commander)

Note: Complete and return to designated OPR, if there are any distribution changes and/or comments.

i

325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATIONS PLAN

SECURITY INSTRUCTIONS

1. The long title of this plan is 325th Fighter Wing Asbestos Management and Operations Plan. The short title is 325 FW AMO Plan

2. This document is UNCLASSIFIED.

3. Reproductions of this document in whole or in part to assist tasked organizations in development of supporting OIs/checklists is authorized.

4. The provisions of AFI 10-701, Operations Security (OPSEC) Program, were considered during the formation of this plan and determined to be inapplicable.

RECORD OF CHANGES

CHANGE NUMBER DATED DATE ENTERED POSTED BY

Change 1 7 Dec 06

Change 2 28 Feb 08

Change 3 24 Jun 09

Change 4 2 Aug 10

Change 5 25 Nov 11

Change 6 10 Jun 13

RECORD OF ANNUAL REVIEW

REVIEWED BY DATE REVIEWED REMARKS

Steve McLellan 8 May 04

Sylvia Parzentny 6 Sep 05 No changes made; complete

Jodi Ney Nov 06 Changes made; complete

Jose J. Cintron Jan 08 Changes made; complete

Jose J. Cintron Apr 09 Changes made; complete

Miguel Plaza Aug 10 Changes made; complete

Miguel Plaza Nov 11 Changes made; complete

Edwin Wallace Apr 13

(Change 6, 10 Jun 13) iii

PLAN SUMMARY

1. PURPOSE: The purpose of the Asbestos Management and Operations (AMO) Plan is to minimize exposure of all building occupants to asbestos fibers. The AMO Plan provides the documentation for all asbestos management efforts and procedures for overseeing the entire facility asbestos management program.

2. CONDITIONS FOR EXECUTION: Currently in operation with continuous support.

3. OPERATIONS TO BE CONDUCTED: The AMO Plan includes the following operations:

a. Notification: A program to tell workers, tenants, and building occupants where asbestos containing materials (ACM) are located and how and why to avoid disturbing the ACM.

b. Surveillance: Regular ACM surveillance to note, assess, and document any changes in the ACM condition.

c. Controls: Work control/permit system to control activities which might disturb ACM.

d. Emergency work: Response procedures for unscheduled asbestos hazards.

e. Work Practices: Work practices to avoid or minimize fiber release during activities affecting

ACM.

f. Record Keeping: To document Operations and Maintenance (O&M) activities.

g. Worker Protection: Medical and respiratory protection programs.

h. Training: Asbestos Program Manager, Facility Managers, and maintenance staff training.

4. KEY ASSUMPTIONS: None

5. OPERATIONAL CONSTRAINTS: None

6. TIME TO COMMENCE EFFECTIVE OPERATIONS: Immediately

7. COMMAND RELATIONSHIPS: Normal

8. LOGISTIC APPRAISAL: Normal

9. PERSONNEL APPRAISAL: Normal

10. CONSOLIDATED LISTING AND IMPACT ASSESSMENT OF SHORTFALL OR LIMITING

FACTORS: None v

TABLE OF CONTENTS

Contents Page No.

Security Instructions and Record of Changes/Review i

Plan Summary iii

Table of Contents v

Basic Plan BP-1 thru BP-7

ANNEX A - TASK ORGANIZATION A-1

ANNEX C - OPERATIONS C-1 thru C-2

Appendix 1 - Asbestos Inspection Form C-1-1 thru C-1-2

Appendix 2 - Asbestos Abatement Form C-2-1

ANNEX D - LOGISTICS D-1 thru D-2

ANNEX E - PERSONNEL E-1

Appendix 1 - Training Requirements E-2

ANNEX N – PUBLIC HEALTH N-1

ANNEX P - ADMINISTRATION P-1 thru P-2

Appendix 1 - FDEP Notice of Asbestos Renovation or Demolition P-2-1 thru P-2-4

ANNEX R - EMERGENCY RESPONSE R-1 thru R-2

ANNEX T - REGULATORY REVIEW T-1 thru T-3

ANNEX V - COMPTROLLER V-1

Table V-1 - Asbestos Contracting Mechanism V-1

ANNEX Y - GLOSSARY Y-1 thru Y-5

ANNEX Z - DISTRIBUTION Z-1

BP-1

BASIC PLAN

REFERENCES:

Federal

a. 29 CFR 1926.1101, Asbestos work in the Construction Industry

b. 29 CFR 1910.134, Respiratory Protection

c. 29 CFR 1910.1001, Asbestos Worker Protection

d. 40 CFR 61, Subpart M, EPA Regulation, National Emission Standard for Asbestos,

e. 40 CFR 763, Subpart E, Appendix C, EPA Regulation, Asbestos Hazard Emergency Response Act,

f. 15 USC 2641-2656, Toxic Substance Control Act

g. 42 USC 7401-7671q, Clean Air Act

State

h. FAC 62-257, Asbestos Work Notification Regulations

i. FAC 62-701.520 Florida Asbestos Waste Disposal Rule

Air Force

j. AFI 32-1052, Facility Asbestos Management, 4 Jan 2013

k. AFI 48-101, Aerospace Medical Operations, 19 Oct 11

l. AFOSH Standard 48-8, Controlling Exposures to Hazardous Materials, 1 Sep 97

m. AFOSH Standard 48-137, Respiratory Protection Program, 10 Feb 05

n. AFPD 32-70, Environmental Quality, 20 Jul 94

BP-2

TASKED ORGANIZATIONS: See Annex A

1. SITUATION:

General: The proper control of Asbestos Containing Material (ACM) requires personnel in key offices to carry out the duties described in this section.

2. EXECUTION:

a. Concept of Operations:

(1) General

(a) The ACM database identifies various forms of asbestos. Since we do not have the resources required to remove all asbestos materials immediately, only cells that pose an immediate or potential hazard shall be removed. All other cells shall be managed in place as permitted by OSHA and EPA standards. Personnel discovering such a hazard will immediately contact their supervisor, who will contact the 325CES Customer Service (ext 3-4949) in order to address the call to the Environmental Element. All abatement work will be done by contract with certified abatement contractors.

(b) Response Actions: Once a possible asbestos hazard has been identified, the Environmental Element (3-4346) must be notified immediately. Any work around or causing the possible release of asbestos must cease and the area evacuated. Refer to Annex R of this plan for a detailed checklist for emergency responses. If the ACM is damaged or creating a hazard, an immediate abatement response is necessary. Abatement responses to support O&M requirements shall only include removal, encapsulation, enclosure, or repair in conformance with 29 CFR 1926.1101.

(c) Hazards Requiring Immediate Response: Refer to Annex R of this plan for the complete checklist for emergency responses. Asbestos hazards requiring immediate response are those which, if not controlled immediately, would expose (above the action level, 0.1 f/cc) personnel working either in the immediate vicinity of the hazard or other areas of the building. To present such a hazard, the ACM must have deteriorated, de-laminated, or been disturbed to the point that significant amounts of dust and debris are visible. Personnel discovering such a hazard will immediately contact their supervisor, who will contact the Base Asbestos Program Officer (BAPO) at 3-4346. The BAPO will contact 325 CES/CEPM to request the IDIQ contractor respond to the hazard and will notify the Bioenvironmental Engineering Flight (BEF) that a hazard response is under way.

(d) Control Procedures: Personnel responding to the hazard must have the proper training and wear the appropriate personal protective equipment (i.e. respirator, gloves, Tyvek body suit, etc.) for asbestos work. Contractors are responsible for following all applicable OSHA rules and regulations.

The first action is to halt the further dispersion of asbestos fibers. Activities that disturb asbestos debris must be ceased, and the area where the hazard exists must be sealed off from the rest of the building.

When an imminent hazard exists, the procedures listed in Annex R will be followed. Written documentation shall be submitted for all emergency responses and filed in accordance with applicable federal and state regulations.

(e) Asbestos waste disposal: All asbestos waste generated on base must be properly bagged, labeled, and transported to landfills approved by the Florida Department of Environmental Protection (40 CFR 61, Subpart M). All asbestos contaminated waste must be placed in double thickness, 6-mil polyethylene bags or sealable drums. Label requirements for disposal bags and drums include the words "DANGER," "asbestos," and the generator's name and address. Asbestos waste should be disposed within one year of accumulation.

BP-3

(f) Abatement Documentation: Complete records must be kept on all asbestos projects accomplished on base. The BAPO will maintain a file for each abatement job completed on base designating what asbestos has been removed. This file will also contain any pertinent asbestos removal notification documents and copies of all manifests for asbestos waste disposal.

b. Tasks:

(1) The Base Civil Engineer, 325th Civil Engineer Squadron (BCE, 325 CES):

(a) Develops a base asbestos management plan (paragraph 7.1) and maintains an inventory of all facilities with known asbestos-containing materials (ACM) and ensure real property records are properly annotated. ACM is any material containing more than one (1) percent asbestos (reference AFI 32-1052, para 4.1).

(b) The program shall be managed so that asbestos materials are properly managed at the lowest possible cost to the Air Force.

(c) Specifically, the BCE will appoint the BAPO and ensure that he/she receives the training that is required to administer the Tyndall AFB Asbestos Management and Operations (AMO) Plan. Civil Engineer personnel will fill these positions. The BAPO will be appointed from within the 325 CES Environmental Element.

(2) Environmental Element (325 CES/CEAN): The BAPO is the focal point for the administration of the Tyndall AFB Asbestos Management and Operations Program. The BAPO will oversee all aspects of the management area of the program and will ensure timely completion of all necessary actions.

Specifically, the BAPO is responsible for the following.

(a) AMO Plan Updates: The BAPO will review/update the AMO Plan as needed, but at least biennially.

(b) Training: The BAPO will ensure that the essential personnel comply with the necessary training requirements as specified in Appendix 1, Annex E of this Plan.

(c) Ensure that personnel who are potentially occupationally exposed to asbestos meet the following requirements: receive OSHA asbestos management training, enroll in Tyndall’s respiratory protection program, and provide a medical questionnaire to the Aerospace Medical Squadron.

(d) Asbestos Supplies: The BAPO will ensure that the following supplies remain stocked to be used by the 325 CES/CEAN in emergencies: asbestos waste bags, duct tape, respirators and filters, asbestos caution tape and asbestos danger signs.

(e) Contract Projects: The BAPO shall assist project managers in identifying the presence and condition of asbestos. If the project will disturb ACM or Presumed ACM (PACM) the project manager shall program in the budget for asbestos surveys and/or abatement. The BAPO shall review contract drawings and specifications to ensure that abatement activities are specified in accordance with 40 CFR 61, Subpart M, FAC 62-257, and 40 CFR 763.

(f) Contractor Abatement: The BAPO will assist project managers in determining that the contractor abatement work is completed in accordance with the specifications and proper work practices.

The BAPO will advise contract management personnel on inspecting and documenting each contract job as required by the contract specifications.

(g) The BAPO shall assist self-help personnel in identifying the presence and condition of asbestos and shall review the SOW, contract drawings, and specifications to ensure that abatement activities are specified in accordance with 40 CFR 61, Subpart M, FAC 62-257, and 40 CFR 763. All self- help request shall be submitted through a work order.

BP-4

(h) Database Maintenance: The BAPO will maintain the base asbestos database and/or file system when the status of any ACM changes and when additional materials are tested to ensure the most accurate information is available. These files will show the location, quantities, and descriptions of ACM material for all base buildings, which have been surveyed. This information is available to all base personnel for specific buildings and can be requested by contacting the 325th CES/CEAN at DSN 523- 4346.

(i) Response Plan: The BAPO will develop a response plan as described in Annex R of this plan.

(3) 325th Aerospace Medical Squadron Bioenvironmental Engineering Flight (325AMDS/SGPB):

(a) Oversees Respiratory Protection Program: According to AFOSH 48-137, the Bioenvironmental Engineering Flight (BEF) is the office of primary responsibility for the base respiratory protection program. This responsibility does not extend to asbestos abatement contractors. This responsibility includes but is not limited to:

1. Determines if respiratory protection is required

2. Identifies all requirements outlined in applicable OSHA standards.

3. Base level authority on selection, use, fit-testing, limitation, and maintenance of respirators used for protection against inhalation of harmful atmospheres.

4. Ensure fit-testing is conducted according to provisions in AFOSH 48-137

5. Coordinate completion of medical evaluation questionnaires by respirator user

(b) Ensures Healthy Work Environments:

1. Recommend feasible controls to reduce employee exposure below the Occupational Exposure Limits (OELs).

2. Recommend the appropriate Personal Protective Equipment (PPE) for DoD employees when engineering and work practice controls are not yet installed or are not feasible to control the exposure.

3. Conduct exposure assessments (monitoring as needed) of DoD employees whose duties may potentially expose them to asbestos and provide employees and supervisors the results.

Contractors are responsible for complying with all applicable OSHA standards and regulations for their employees.

4. Determine whether regulated areas are needed and establish the boundaries for these areas.

5. Evaluate asbestos abatement projects to ensure Federal, State, and Local health standard that impact DoD employees are followed

6. Ensure BAPO reviews construction/renovation plans for ACM if note concerns during BEF review.

7. 325 CES Contractor QAE must verify w/ BEF that contractor met clearance level prior to building re-occupancy when applicable.

BP-5

(c) Abatement Project Consulting: The BEF shall review contract requirements and consult with the contract management personnel and the BAPO to ensure that abatement activities are specified in accordance with applicable Air Force and OSHA requirements. It’s the responsibility of the contractor to ensure compliance with all applicable regulations.

(d) Abatement Prioritization: The BEF will assist in prioritization of abatement projects.

(4) 325 CES Housing Flight (325 CES/CEH): Housing is privatized. It is the responsibility of the Housing contractor to ensure compliance with all applicable regulations during renovation/ demolition activities.

(5) 325 CES Programs Flight (325CES/CEP):

(a) Programs Flight project designers will ensure that all projects are reviewed by 325 CES/CEAN for identifying the presence and condition of asbestos. Projects must be submitted to 325 CES/CEAN for review on a Project Environmental Review Sheet, a DD Form 1391, Military Construction Data, AF Form 332, Base Civil Engineer Work Request, AF Form 813 Request for Environmental Impact Analysis, or similar documentation. Also they will ensure that the project documents adequately address its proper disposal and/or management in-place.

(b) The BAPO will assign someone to ensure all personnel occupationally exposed to ACM comply with the training requirements necessary to performed their duties as specify in appendix 1 of annex E of this Plan.

(c) All large scale asbestos abatements will be done by contract professionals. The Project Manager/QAE will provide a copy of the SOW, specifications, and work plans to the BAPO for review with a lead-time of at least 14 days.

(d) The abatement site will be available for inspections by the BAPO. If contract management personnel detect discrepancies in abatement work done by contractors, the contract inspector will contact the contracting officer and ensure that the project is halted until the discrepancy is resolved.

At a minimum two QAE from the Programs Flight (325 CES/CEPM) CEPM shall be a certified asbestos inspector so that compliance with the laws and the contract documents are certain. All other contract inspectors shall at a minimum receive annual asbestos awareness training.

(6) Contract Programmers will request the BAPO screen contract requests for the possible presence of asbestos by reviewing the base asbestos database and file system. They will incorporate the results of the survey into programming documents.

(7) Contracting Officers: Contracting officers must ensure that asbestos abatement contractors meet the necessary requirements of state and federal regulations for abatement work as stated in the supporting contract specifications.

(8) Abatement Projects Management: Contractors shall be allowed to work only after qualifications contained in the specifications are met to the satisfaction of the Base Contracting Officer and the project designer in 325 CES/CEPM.

(a) Contractor Notification: The Environmental Element shall ensure that documentation of the presence of ACM is contained in the contract documents. In addition, 325 CES/CEAN will review all contract drawings.

BP-6

(b) ACM Encounters: Contract specifications shall identify the procedures to follow if previously unidentified ACM is encountered on the job. If material suspected to be ACM is encountered, the contractor is to immediately cease all work in that area and notify the Contracting Officer of the suspected material. The Contracting Officer shall then notify the BAPO and 325 CES/CEPM, so that the suspected material can be sampled and/or alternate procedures formulated to prevent the release of asbestos fibers.

(9) Facility Managers: Facility Managers shall have the BAPO review the base asbestos database when preparing AF Form 332s and will have the BAPO note on the request if the work will or will not disturb ACM. In addition Facility Manager shall comply with the training requirement as specified in Appendix 1 of Annex E of this Plan.

(10) 325 CES Operations Flight (325 CES/CEO):

(a) Operations Flight personnel will ensure that all projects are reviewed by the BAPO for identifying the presence and condition of asbestos.

(b) Self-help personnel in 325 CES/CEO and the Civil Engineer Operations Contractor shall ensure the BAPO has indicated on the Environmental Checklist Request that asbestos will or will not be disturbed for all projects which disturb building materials.

(c) All large-scale asbestos abatements will be done by contract professionals. The Project Manager will provide a copy of the SOW, specifications, and work plans to the BAPO for review with a lead-time of at least 14 days.

(d) The abatement site will be available for inspections by the BAPO. If contract management personnel detect discrepancies in abatement work done by contractors, the contract inspector will contact the contracting officer and ensure that the project is halted until the discrepancy is resolved.

(e) At a minimum, one inspector from 325 CES/CEO shall be a certified asbestos inspector so that compliance with the laws and the contract documents are certain. All other contract inspectors shall at a minimum receive annual asbestos awareness training.

(f) The Operations Flight Commander will assign someone to ensure all personnel occupationally exposed to ACM meet the following requirements: receive annual asbestos awareness training.

(g) Civil Engineer Operations Contractor (325 CES/CSOL):

1. Responsible for coordinating the screening of each job site for possible ACM through the use of on-site visual inspections. If a material is suspected to contain asbestos and will be disturbed in the accomplishment of the work, the craftsmen will cease work and consult the BAPO. Once verification is made, the craftsmen shall consult with the BAPO for the required course of action. In no case shall craftsmen who are not who are not properly trained/certified by an EPA accredited program, disturb ACM. At minimum craftsmen should receive an annual awareness training session.

2. Responsible for maintaining the facility manager list. Contractor will invite 325 CES/CEAN and Public Health to any facility manager training in order to allow for the opportunity to train on the hazards of ACM. It is not mandatory that Public Health attend these meetings since training is provided on the website.

3. Responsible for ensuring the maintenance workers comply with the BOSS Contractors Safety Plan.

BP-7

(11) Environmental Safety and Occupational Health Committee: Review the AMO Plan annually.

(12) Public Health Flight (325 ADS/SGPM): Will ensure that all federally employee occupationally exposed to ACMs received annual awareness training on the hazards of ACMs.

(13) Aerospace Medicine Council (AMC):

(a) Establish medical surveillance protocols and arrange physical examinations when required.

(b) Periodically (at least annually) review the status of the asbestos program (ambient and bulk monitoring, education, medical monitoring, etc.) for compliance with Air Force, OSHA, and Environmental Protection Agency standards.

3. ADMINISTRATION AND LOGISTICS:

a. Administration: See Annex P

b. Logistics: See Annex D

c. Personnel: See Annex E

4. COMMAND AND SIGNAL: Public Health will provide occupational health education/training on asbestos awareness for federally employed maintenance and custodial personnel who may work in buildings that contain ACM but are not required to work with ACM to the extent requiring EPA accredited training.

(AFOSH 48-8 para A.9.2.5)

BRIAN M. STUMPE, LtCol, USAF Commander

ANNEXES:

A - Task Organizations C - Operations D - Logistics E - Personnel N - Safety P - Administration R - Emergency Response T - Regulatory Review V - Comptroller Y - Glossary Z - Distribution

A-1

ANNEX A TO 325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATIONS

PLAN

TASK ORGANIZATION

325TH CIVIL ENGINEER SQUADRON

Base Civil Engineer (BCE) (325 CES/CC) Environmental Element (325 CES/CEAN) Programs Flight (325 CES/CEP) Operations Flight (325 CES/CEO) Civil Engineer Operations Contractor (325 CES/CSOL)

325TH MEDICAL GROUP

BioEnvironmental Element (BEF) (325 AMDS/SGPB) Public Health Flight (PH) (325 AMDS/SGPM) Flight Medicine Flight (325 AMDS/SGPF) Physical Exams (325 AMDS/SGPF)

325TH CONTRACTING SQUADRON

Base Support Flight (325 CONS/LGCAA) Base Infrastructure Flight (325 CONS/LGCC)

C-1

ANNEX C TO 325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATIONS

OPERATIONS

REFERENCES: See Basic Plan

1. GENERAL:

a. AMO Plan: The AMO Plan must be accurately maintained to reflect all measures the base is taking to control exposure to airborne asbestos fibers. Therefore, whenever any changes in policy are required, the plan must be revised accordingly. At a minimum, the plan must be reviewed biennially.

b. Base Asbestos Database: The base asbestos database contains information on facilities that have been surveyed for ACM and must be continually updated to accurately show the location, quantity, and condition of ACM on Base. The 325 CES/CEAN file system supplements the database and may contain additional building information. Both the database and file system must be referenced to ensure the most accurate and updated information is obtained.

2. ASSUMPTIONS: None

3. RESPONSIBILITES:

a. 325th Civil Engineer Environmental Element:

(1) Re-inspection of ACM: If there is reason to believe the status of ACM has changed in a building, the ACM must be re-inspected. The Asbestos Inspection Form (Appendix 1 to Annex C) can be used to assess and document any changes in the ACM’s condition. Facility managers, maintenance personnel and custodial workers should report immediately any suspected ACM degradation to the Environmental Element.

b. 325th Civil Engineer Operations Flight and Contracts, and SABER Elements:

(1) Following any abatement activity that may result in the removal of asbestos, an Asbestos Abatement Report detailing what was removed must be submitted to the BAPO. In addition, SABER must update the base asbestos database to reflect the abatement work performed.

(a) ACM abated: Documentation regarding ACM that has been abated should be provided to the Environmental Element following any abatement activity. At a minimum, the following information is needed: the building number, the room number, the amount and type of ACM abated.

This can be reported on the Asbestos Abatement Form in Appendix 2 to Annex C.

(b) Re-inspection of ACM: AFI 32-150 instruct Facility Management to closely monitor facilities to ensure asbestos containing material does not become airborne. Facility Managers should report any changes in the ACM’s condition to CE and ensure material is quickly repaired. The attached Asbestos Inspection Form (Appendix 1 to Annex C) will be used by the certify CE personnel to assess the area.

(c) Newly Identified ACM: In addition to properly documenting the removal of previously identified ACM, newly discovered ACM must be added to the base asbestos database using the form in Appendix 1 to Annex C to provide the necessary documentation to the Environmental Element for inclusion in the base asbestos database.

c. Records Retention: Regulation requires that all asbestos files will be retained indefinitely.

Environmental Element, in coordination with 325 CES/CEPM will maintain and update the project folders for all projects that include asbestos abatement.

C-2

4. LIMITING FACTORS: None

Appendices:

1. Asbestos Inspection Form

2. Asbestos Abatement Form

C-3

C-1-1

APPENDIX 1 TO ANNEX C TO 325th FIGHTER WING ASBESTOS MANAGEMENT

AND OPERATIONS PLAN

ASBESTOS INSPECTION FORM

Building: ____________________________________________________________________________

Address:_____________________________________________________________________________

Room(s): ____________________________________________________________________________

General Description:___________________________________________________________________________

Type of Suspect ACM: Surfacing:

TSI: ___________________________ Other: _____________________________________________ Description: _____________________________

Assessment Status: GRADE Methodology: Priority 1 - Immediate Removal, Priority 2 - Remove ASAP Priority 3 - Planned Removal, Priority 4 - Repair, Priority 5 - Monitoring, Priority 6 - No Immediate Action

1. Evidence of Physical Damage: _____________________

2. Evidence of Water Damage: _________________________

3. Evidence of Delimitation or Other Damage: __________________

4. Degree of Accessibility of the Material: _

C-1-2

5. Degree of Activity Near the Material: ___________________

6. Location in an Air Plenum, Air Shaft, or Airstream: ____________

7. Other Observations (including the condition of the encapsulant or enclosure, if any):

Recommended Action/Comments: ___________________

Signed:__________________________________________ Date:_____________________________ (Inspector)

Print Name:______________________________________ Title:______________________________

C-2-1

APPENDIX 2 TO ANNEX C TO 325th FIGHTER WING ASBESTOS MANAGEMENT

AND OPERATIONS PLAN

ASBESTOS ABATEMENT FORM

Building: ____________________________

Address: ____________________________

Room(s): ____________________________

General Description: _________________________

Type of ACM: Surfacing: _____________________ Thermal System Insulation: ______________________ Other: _______________________________

Description/Quantity Removed: _________________________

Abatement Status:

1. The ACM has been:

Encapsulated: __________ Enclosed: __________ Neither: ___________ Removed:______________

General Information/Comments: __

Signed:__________________________________________ Date:_______________________________ (Project Manager/Engineer)

Print Name:______________________________________ Title:_______________________________

D-1

ANNEX D TO 325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATIONS

LOGISTICS

REFERENCES: See Basic Plan

1. GENERAL:

a. This section contains guidance for planning asbestos abatement contracts and notifying contractors. A current copy of the ACM abatement SOW maintained by 325 CES/CEAN shall be used as guide specifications for all ACM abatement projects on Tyndall AFB. The Corps of Engineers guide specifications can be used for a reference in preparing ACM abatement specification contracted asbestos abatement work involving friable material.

b. All appropriate federal, state, local abatement regulations, and policies shall be used for the removal of Category I and II asbestos containing non-friable materials. The removal/abatement of ACM shall be performed following the most stringent regulation.

c. The purpose of the specifications and guidance is to protect personnel from asbestos hazards and conform to regulatory requirements.

2. ASSUMPTIONS:

a. In all cases, the BAPO will review project drawings and specifications to ensure the appropriate asbestos notification is included.

3. RESPONSIBILITIES:

a. Planning Considerations: Before specifications can be accurately prepared, the BAPO and design engineer must thoroughly inspect the immediate area around the ACM to be removed. Personnel performing the inspection must document all items that may have an effect on the total cost of the removal project, such as ACM not previously identified, the type of ceiling or wall construction, the ceiling height, and the thickness of the ACM. Such information is needed to determine if special equipment will be needed to construct the negative-pressure containment, if scaffolding will be required, if encapsulation will be required following removal of ACM, if floors will need extra protection from water damage, and if walls will need repainting following the removal of the containment barriers.

b. If the project will abate any asbestos material, inform BEF of the project and the dates the abatement will be performed. BEF will assess whether the contractor will be required to perform air sampling in adjacent areas to ensure their containment is adequate for the project.

c. Contractor Notification: The type of contractor notification will be determined by the presence or absence of ACM. The design engineer shall contact the BAPO, which will review the asbestos database and file system to determine if ACM is present in the building.

(1) If the building is not listed in the base asbestos database or file system the engineer shall provide detailed information about the projects work area to the Environmental Element to assist with contracting an asbestos survey of the building. The survey must include at a minimum the information on the Asbestos Inspection Form (found in Appendix 1 of Annex C) and a copy of the sample results.

(2) After survey results are obtained, the findings will fall into one of three categories:

D-2

(a) No ACM is present. Project drawings or specifications should state that, to the best of the government's knowledge, no ACM is present, but that work will stop immediately should the contractor encounter previously unidentified ACM.

(b) ACM is present, but is not directly affected by the planned construction. Since this ACM could unknowingly be disturbed by the contractor, project specifications should identify the location, type of asbestos and proper work practices that should be recommended. If ACM is disturbed during the construction process then the contractor shall immediately stop work, clear personnel from the area, and inform the contracting officer and QAE of the problem. The contracting office and QAE intern should notify the BAPO.

(c) ACM is directly affected. In this case, the asbestos will be abated in the contract or under separate contract. The abatement contactor must have a current asbestos certification. A copy of this certification must be given to the Contracting Office prior to abatement.

E-1

ANNEX E TO 325th FIGHTER WING ASBESTOS O&M PLAN

REFERENCES:

a. 29 CFR 1926.1101

b. Memorandum for AIG 10904, HQ AETC/CE, 31 MAR 1997

c. 40 CFR 763, Appendix E - Model Accreditation Plan

1. GENERAL:

a. This section specifies training requirements for personnel involved in asbestos management.

b. The Public Health Flight will ensure that all federally employee occupationally exposed to ACM receive annual awareness training.

2. ASSUMPTIONS: None

3. RESPONSIBILITIES:

a. Program Administrators: The personnel that oversee abatement projects or performing asbestos sampling and/or risk assessments are required to attend Florida State initial certification and refresher training as required by 29 CFR 1926.1101.

b. Civil Engineer Project Managers or equivalent: All work that involved the removal of ACM will be performed by a Certified Abatement Contractor.

(1) Military and Federal Employees: Civil Engineer or Communications personnel may not disturb asbestos while responding to work requests and facility managers. To minimize the potential release of asbestos fibers, various levels of training are require depending of the level of exposure to ACMs (Appendix 1 to Annex E). The training covers types and locations of asbestos, what to do should they encounter suspect material on the job. Workers shall continually monitor ACM materials and report to the BAPO any materials that have become deteriorated and pose a potential for release of fibers.

(2) Contractor personnel: Contractor maintenance personnel may not disturb asbestos while responding to work requests. Contractors should reference their own health and safety plans. Activities during which employees contact, but do not disturb ACM, maintenance personnel are required to receive annual awareness training, in order to minimize the potential release of asbestos fibers. The contractor is responsible for providing the awareness training and for maintaining the records documenting their personnel have received this training on an annual basis. Contractors should address any potential hazards in their safety meetings. Workers shall continually monitor ACM materials and report to the BAPO any materials that have become deteriorated and pose a potential for release of fibers.

c. Facility Manger Training: As the point of contact for all environmental concern within their facility awareness training is required to all Facility Mangers, whether or not they are required to work with ACMs. At minimum awareness training should include information regarding; asbestos various uses and forms, health effects associated with asbestos exposure, and deterioration of ACMs (29 CFR 1910/1926, EPA Green Book). The ESOHTN has been adopted as the training tool to satisfy this training requirement.

Training requirements and schedule are addressed on Appendix 1of Annex E of this Plan.

Appendix:

1. Training Requirements

E-2

APPENDIX 1 TO ANNEX E TO 325th FIGHTER WING PLAN ASBESTOS

MANAGEMENT AND OPERATIONS PLAN

TRAINING REQUIREMENTS

Office Symbol Organization Training Type Required Conducted By Required Interval

325 CES/CEAN Environmental Element

Asbestos Inspector and Management Planner

Certified Institution Annually

325 CES/CEPM SABER

Element

Asbestos Inspector course Certified Institution Annually

325 CES/CEPMC Contracts Element

Asbestos Awareness Training ESOHTN website Annually

325 CES/CEO Operations Flight

Asbestos Awareness Training ESOHTN website Annually

325 ADS/SGPB Bio- Environmental Flight

Asbestos Awareness Training ESOHTN website/Public health

(325 ADS/SGPM

Annually

All Facility Managers 325 FW Asbestos Awareness Training ESOHTN website Annually

325 CES/ALON

(Maintenance Personnel)

Alutiiq/JJ Services

Asbestos Awareness Training ESOHTN website Annually

325 CS/SCQ

(Maintenance Personnel)

Stand Eval Asbestos Awareness Training ESOHTN website Annually

325 CS/SCOT

(Maintenance Personnel)

Radio Maintenance

Asbestos Awareness Training ESOHTN website Annually

325 CS/SCOI

(Maintenance Personnel)

Crypto/ Computer Systems

Asbestos Awareness Training ESOHTN website Annually

325 CS/SCOA

(Maintenance Personnel)

Airfield Systems Asbestos Awareness Training ESOHTN website Annually

325 CS/SCOI

(Maintenance Personnel)

Cable Systems Asbestos Awareness Training ESOHTN website Annually

325 CS/SCOI

(Maintenance Personnel)

Telephone Systems Element

Asbestos Awareness Training ESOHTN website Annually

Note: ESOHTN website – www.esohtn.com

E-3

N-1

ANNEX N TO 325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATIONS

PUBLIC HEALTH

REFERENCES:

a. AFOSH Standard 48-137

b. 29 CFR 1926.1101

c. 29 CFR 1910.134

d. 29 CFR 1910.1001

1. GENERAL:

a. Personnel who are exposed to airborne asbestos concentrations equal to, or greater than, the action level (0.1 fibers/cc) for 30 days or more a year or performing asbestos sampling are required to wear negative pressure respirators. Personnel will receive medical surveillance through the occupational physical examination program (reference AFOSH Standard 48-101; AFOSH Standard 48-8, Attachment 9, para A9.3.4).

b. This section applies to all Air Force Civil Engineer Squadron personnel who supervise asbestos abatement contractors and are required to inspect the job site while removal work is on-going.

2. ASSUMPTIONS: None

3. RESPONSIBILITES:

a. Respiratory Protection Program: The respiratory protection program will be administered by the BEF.

b. Occupational Physical Examination Program:

(1) Physicals: The occupational physical examination program will be administered by the Public Health and Flight Medicine Flights.

(2) Medical Certification: Flight surgeons will review the results of the physical examinations and make determinations as to whether or not personnel should be medically certified. Flight Medicine will ensure that the BAPO is notified in writing if the designated personnel are medically certified to wear a respirator during asbestos abatement work.

c. Records of Medical Surveillance: To aid the BAPO in the management of the Base Asbestos Program, the BEF shall maintain and advise the BAPO if a person is medically qualified to inspect asbestos work.

LIMITING FACTORS: None

N-2

P-1

ANNEX P TO 325th FIGHTER WING ASBESTOS MANAGEMENT AND OPERATION

ADMINISTRATION

REFERENCES: See Basic Plan

1. GENERAL: This section delineates requirements for notification of contract workers, building managers, and the state. This guidance applies to all base buildings, work areas, recreational facilities, and residences.

2. ASSUMPTIONS: None

3. RESPONSIBILITIES:

a. Construction and Service Contractors:

(1) Construction or service contractors who are not certified to perform ACM removal services may unknowingly disturb ACM in the course of their work. Notification procedures if potentially hazardous ACM is encountered during construction or performance of the service will be included in the SOW as well as company health and safety plans.

(2) Contract Projects: Contractors performing any asbestos abatement, or demolition projects will notify the state by filing the Florida Department of Environmental Protection (FDEP) 10 day Notice of Asbestos Renovation or Demolition Form (DEP Form 62-257.900(1)), in Appendix 2 to this Annex, as required by 40 CFR 61.145 . Contracting will ensure that the contractor has completed this form for any asbestos abatement or demolition project and submitted it to the FDEP adhering to the following procedure prior to allowing work to commence:

(a) The Notice will be submitted to the FDEP so that it is postmarked or received:

1. At least 10 working days prior to the start of an asbestos removal project or demolition project; or

2. No later than the following working day after an emergency renovation operation or demolition project. However, the fee may be submitted within 10 days following the emergency renovation operation or demolition project.

(b) Submit the original form to the Local FDEP office at: State of Florida, Air Program Management, Department of Environmental Protection, 2353 Jenks Avenue, Panama City FL 32405.

Copy of the notification will be forwarded to the Engineering Flight Project Manager.

b. Engineering Flight Project Managers need to have a copy of the 10-day notification to ensure the procedures of 3.b.(2) of this Annex have been completed. If the FDEP waives the 10 working day period and allows work to commence, the contractor must provide a letter from the FDEP stating approval of this waiver. A copy of the submitted form shall be provided to the BAPO for retention in the project file.

Upon completion of the project, all work related to the asbestos abatement will be retained with the contractor qualification package and the BAPO will update the base asbestos database.

c. Facility Managers:

P-2

(1) . Facility Managers in conjunction with the BAPO, will use the base asbestos database to aid Unit Safety Representatives in preparing briefings concerning potentially hazardous asbestos materials and shall have 325 CES/CEAN annotate all AF Form 332’s as to the potential to disturb or not disturb

ACM.

(2) Maintenance Rooms: Any material likely to contain asbestos inside of maintenance rooms built prior to 1990 that have a boiler and/or HVAC system will be considered presumed asbestos containing material unless sampled and proven otherwise. All maintenance rooms containing ACM or presumed ACM will have an asbestos warning sign on the entrance.

Appendices:

1. Asbestos and Demolition Notification Letter

2. Notice Of Asbestos Renovation or Demolition

P-2-1

APPENDIX 2 TO ANNEX P TO 325th FIGHTER WING ASBESTOS MANAGEMENT

AND OPERATIONS PLAN

NOTICE OF ASBESTOS RENOVATION OR DEMOLITION

(See Next Page)

P-2-3

NOTICE OF ASBESTOS RENOVATION OR DEMOLITION

TYPE OF NOTICE (CHECK ONE ONLY): � ORIGINAL � REVISED � CANCELLATION � COURTESY

TYPE OF PROJECT (CHECK ONE ONLY): � DEMOLITION � RENOVATION

IF DEMOLITION, IS IT AN ORDERED DEMOLITION? � YES � NO

IF RENOVATION:

IS IT AN EMERGENCY RENOVATION OPERATION? � YES � NO

IS IT A PLANNED RENOVATION OPERATION? � YES � NO

I. Facility Name ________________________________________________________________________________________________________

Address _____________________________________________________________________________________________________________ City _________________________________ State __________ Zip _________________ County ___________________________________ Site _______________________________________________ Consultant Inspecting Site __________________________________________ Building Size _________________ (Square Feet) # of Floors _________ Age in Years _________ Prior Use: � School/College/University � Residence � Small Business � Other _________________________________________

Present Use: � School/College/University � Residence � Small Business � Other _________________________________________ II. Facility Owner _________________________________________________________Phone (______) _________________________________

Address______________________________________________________________________________________________________________ City __________________________________ State ______________________ Zip ________________________________________________

III. Contractor's Name ______________________________________________________ Phone (______) _________________________ Address ______________________________________________________________________________________________________________ City __________________________________ State ______________________ Zip _________________________________________________ Florida License No. __________________________Is the contractor exempt from licensure under section 469.004(7), F.S.? � YES � NO IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) Asbestos Removal (mm/dd/yy) Start:_______________________ Finish:_________________________ Demo/Renovation (mm/dd/yy) Start: _______________________ Finish: ________________________ V. Procedures to be Used (Check All That Apply):

Strip and Removal Glove Bag Bulldozer Wrecking Ball Wet Method *Dry Method Explode Burn Down

OTHER:

*MUST OBTAIN PRIOR DEP APPROVAL BEFORE USING A DRY METHOD

VI. Procedures for Unexpected RACM:__________________________________________________________________________________________ VII. Asbestos Waste Transporter: Name ______________________________________________________ Phone (______) _____________________ Address_________________________________________________________________________________________________________________ City ____________________________________ State ______________________ Zip _________________________________________________ VIII. Waste Disposal Site: Name __________________________________________________________ Class _________________________________ Address__________________________________________________________________________________________________________________ City _____________________________________ State _______________________ Zip ________________________________________________

X. Fee Invoice Will Be Sent to Address in Block Below: (Print or Type)

I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on-site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours.

(Signature of Owner/Operator) (Date) DEP USE ONLY Postmark/Date Received ID#

DEP Form 62-257.900(1) Effective 2-9-99

Florida Department of Environmental Protection

Division of Air Resource Management

IX. Amount of RACM or ACM

______________ square feet surfacing material ______________ linear feet pipe ______________ cubic feet of RACM off facility components ______________ square feet cementitious material ______________ square feet resilient flooring ______________ square feet asphalt roofing

DEP Form 62-257.900(1) Effective 2-9-99

P-2-4

Instructions

The state asbestos removal program requirements of s. 376.60, F.S., and the renovation or demolition notice requirements of the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart M, as embodied in Rule 62-257, F.A.C., are included on this form.

Check to indicate whether this notice is an original, a revision, a cancellation, or a courtesy notice (i.e., not required by law). If the notice is a revision, please indicate which entries have been changed or added.

Check to indicate whether the project is a demolition or a renovation.

If you checked demolition, was it ordered by the State or a local government agency? If so, in addition to the information required on the form, the owner/operator must provide the name of the agency ordering the demolition, the title of the person acting on behalf of the agency, the authority for the agency to order the demolition, the date of the order, and the date ordered to begin. A copy of the order must also be attached to the notification.

If you checked renovation, is it an emergency renovation operation? If so, in addition to the information required on the form, the owner/operator must provide the date and hour the emergency occurred, the description of the sudden, unexpected event, and an explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden. If you checked renovation and it is a planned renovation operation, please note that the notice is effective for a period not to exceed a calendar year of January 1 through December 31.

I. Complete the facility information. This section describes the facility where the renovation or demolition is scheduled. This address will be used by the Department inspector to locate the project site. Provide the name of the consultant or firm that conducted the asbestos site survey/inspection. For “prior use” check the appropriate box to indicate whether the prior use of the facility is that of a school, college, or university; residence, as “residential dwelling” is defined in Rule 62-257.200, F.A.C.;

small business, as defined in s. 288.703(1), F.S.; or other. If “other” is checked, identify the use. Please follow the same instructions for “present use.”

II. Complete the facility owner information.

III. Complete the contractor information; however, a Florida license number or disclosure of that number is not required to comply with the notice requirements.

IV. List separately the scheduled start and finish dates (month/day/year) for both the asbestos removal portion of the project and the renovation or demolition portion of the project.

V. Check the methods and procedures to be used. (Note: The NESHAP for asbestos, which is adopted and incorporated by reference in Rule 62-204.800, F.A.C., requires obtaining Department approval prior to using a dry removal method.)

VI. Describe the procedures to be used in the event unexpected RACM is found or previously nonfriable asbestos material becomes crumbled, pulverized, or reduced to powder after start of the project.

VII. Complete the asbestos waste…