T02 DB SOW Attachment 2 FL0066AC Paul Rogers ACM 2018 Report 2018 10 26.pdf

LEAD AND COPPER IN WATER TESTING

ASSESSMENT LOCATION:

PAUL G. ROGERS FEDERAL BUILDING/COURTHOUSE

701 CLEMATIS STREET

WEST PALM BEACH, FLORIDA 33401

GSA BUILDING NUMBER: FL0066AC

REFERENCE NUMBER: A138630, S224093, P224208

SURVEY DATE: SEPTEMBER 25, 2018

REPORT DATE: OCTOBER 26, 2018

PREPARED BY:

UNITED STATES PUBLIC HEALTH SERVICE

FEDERAL OCCUPATIONAL HEALTH

ANNUAL ASBESTOS SURVEILLANCE REPORT

COMPLETED FOR THE

GENERAL SERVICES ADMINISTRATION – SAFETY/FIRE

PROTECTION/ENVIRONMENTAL BRANCH

Paul Rodgers FB/CT 2

GSA Building Number FL0066AC

701 Clematis Street West Palm Beach, FL

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. In addition, compliance with GSA contract safety and health requirements, listed on the attached checklist, was determined for Operations and Maintenance (O&M) and Custodial contractors. Per 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. Had any imminently dangerous conditions 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.

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 – FY 2018 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 onsite personnel. Not all possible hazards and conditions may have been identified during this brief inspection, because not all spaces were inspected (per GSA), conditions are 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, Checklist/Form 3614, 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 Paul G. Rogers Federal Building and Courthouse, GSA Building Number FL0066AC, is located at 701 Clematis Street, West Palm Beach, Florida. The facility was constructed in 1972 and covers 104,499 square feet of area. There are four floors above ground. The building is constructed of steel beams and concrete flooring with a composition/built-up roof. The roof was replaced in 2001.

Cooling towers were replaced in 2016.

The building is heated and cooled by circulating heating and chilled water systems.

These systems are supplied heating water from two (2) boilers and chilled water from two (2) chiller units all located on the 1st floor. The cooling towers located on the roof were replaced in 2016. Air Handling Units (AHU’s) located throughout the building utilize the heating and chilled water to condition the air which is then distributed throughout the building via a ductwork system. Domestic hot water has a two pipe supply and return loop recirculation system. Domestic cold water is a one pipe system. A major asbestos renovation occurred in 1992 in which all ACM sprayed on ceiling material and ACM pipe insulation was purportedly removed. Sections of the 2nd, 3rd and 4th floors were renovated in 2005.

II. GENERAL FINDINGS

An annual visual surveillance check of the Paul Rodgers FB/CT was conducted by a FOH Contractor Representative, Lisa Swain, MPH, CSP, on September 25, 2018. Chris Singian the GSA Building Manager accompanied the inspector during this survey. Mr. Greg Chatham representing Tigua Enterprises, Inc. the O&M contractor, assisted in the survey. The custodial contractor is Goodwill Enterprises represented by Mr. German Serpas. This is a contractor-operated facility.

The overall building Risk Assessment Code (RAC) is 3. Significant deficient findings (RAC 1 or 2) were not identified during this surveillance. Nine (9) citations were issued during this visual surveillance of which five (5) are repeat deficiencies. Corrective measures were not taken during this surveillance.

Damaged ACM was observed in the following locations:

The PACM floor tile in Room 117 is in poor condition. Stucco and caulk on exterior panels and roof is damaged.

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

Inaccessible spaces – The following spaces were not accessible during the visual surveillance: Rooms 436, 440 and tenant spaces as noted above.

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

The most recent Annual ACM Visual Surveillance Spreadsheet was used for visual inspection purposes. 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.

The FOH Contractor Representative noted if ACM was removed since the last surveillance.

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 note if ACM was removed since the last surveillance. The FOH Contractor Representative may note suspect materials that were not previously identified or tested and list them in the spreadsheet (Table A) as suspect materials with recommendations for testing. Findings are located in the attached table.

Any changes to the quantity and condition of ACM in the facility should be incorporated into GSA’s Operations and Maintenance (O&M) Plan.

All subsequent sampling, inspection results and any new information must be incorporated into the attached table to render it as accurate and usable as possible for future surveillances.

Photographs were taken of the building where possible and are included in the table.

Three attachments are associated with this report: 1) An Annual ACM Visual Surveillance Table, 2) GSA Checklist/Form 3614, and 3) GSA Violations Form 3559.

III. COMMENTS AND CONCERNS

The PACM floor tile in Room 117 is in poor condition.

As noted in previous surveys, the asbestos-containing mortar on the exterior of the building is showing signs of damage. The asbestos-containing mortar with imbedded rocks is attached to fiberglass panels. Rocks have fallen from the asbestos-containing mortar and were observed lying on the ground and excess debris was observed on the 2nd floor walkway. The asbestos-containing mortar, where the rocks were previously imbedded, visually looked solid. In addition, damage was observed on the columns where the caulking pulling away from the fiberglass/asbestos-containing mortar panels. Moderate damage was seen at the base of most column panels.

Asbestos-containing caulking on inside of the roof-mounted asbestos-containing mortar fiberglass panels is coming loose in a few places. In addition the other side of the fiberglass panel containing the asbestos-containing mortar/rock had minor damage in a few places where the asbestos-containing mortar/rocks had delaminated.

Minor to moderate deterioration was observed on window glazing in selected areas. Note: all windows were not inspected during the survey.

GSA Building Manger had not distributed the annual asbestos letter stating the current status, condition and location of ACM in the building to the tenants, O&M and custodial contractors.

The custodial contractor is not utilizing a low speed buffer and non-abrasive pads on VAT.

The custodial staff had completed their initial 2-hour asbestos awareness training and the required annual refresher training. They stated that they do not strip any VAT floors.

The GSA Building Manager did not have current online asbestos refresher training as per GSA policy.

GSA’s contract has the following nine asbestos O&M 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) NIBS O&M books (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 met all of these requirements.

The GSA Building Manager, Mr. Chris Singian maintains building records for this facility. However, they are not maintained in the building and do not include abatement documentation.

The O&M contractor had current refresher asbestos training.

Not all the suspected TSI could be inspected because it is above ceilings, in wall cavities or underneath newer floor tile or carpeting.

A contractor notification and sign-in sheet regarding the presence of ACM within the building was available and implemented by the O&M contractor. However, the types and locations of the ACM is not specified.

Changes in the quantity of ACM made during renovation, demolition or general O&M work had not been recorded in the O&M plan and noted in the ACM records. All changes to the quantity, condition, friability, etc. must be recorded immediately in the O&M plan. Each building should have its own records, O&M plan on site and be continuously updated by site personnel. Each facility upon receiving this updated ACM Surveillance Table should check it for accuracy and use it to record all changes in ACM amount, location, condition, etc. This table will be requested during all future checks and audits.

IV. ACTION ITEMS

The PACM floor tile in Room 117 must be immediately sampled or treated as VAT and abated.

Repair damaged ACM (mortar and caulk) on the columns and roof mounted walls, including the asbestos-containing mortar and caulking. Properly remove loose material found around damaged areas. Investigate as to whether asbestos fibers were delaminating from the outside walls and columns. Test the soil around the fallen rocks for asbestos fibers.

Seal/abate window glazing. Inspect all windows to identified damaged glazing.

Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

Distribute annual notification letter to tenants and O&M/custodial contractors regarding status, condition, presence and location of ACM in the building.

Building Managers should participate in the GSA online university asbestos awareness training. Maintain a copy of the training records in building asbestos file.

Require Custodial contractor to annually provide asbestos awareness refresher training and document.

Require O&M contractor to meet asbestos contract requirements. These include providing: medical surveillance to determine ability to wear a respirator, written medical surveillance program, written respiratory protection program, written personal protective equipment program, respirator fit-testing annually, and respirator protection training.

Maintain current records on all abatement, O&M repairs or periodic surveillance activities involving ACM. Maintain documents within the facility.

Require ACM sampling PRIOR to renovation or demolition. Maintain records in the asbestos file to be used for future inspection and surveillances.

Require outside contractors sign and date a form regarding notification of the presence, type and location 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.

Continue maintaining the remaining ACM in good condition.

Conduct annual asbestos visual surveillance inspections at this facility. When conducting the next annual visual surveillance survey, please provide the inspector a copy of this report and request they verify location and condition.

Request the inspector to note any additional suspect ACM. Note and rectify discrepancies between the reports. All changes to condition, location, etc., should be made on the associated standardized spreadsheet.

Upon receiving this updated ACM Surveillance Table A, the GSA Building Manager and Maintenance Inspector should check it for accuracy and use it to record all changes in ACM amount, location, and condition as the renovation continues. It is suggested that this attached spreadsheet, which incorporates older and newer data, be used along with building floor plans to maintain an up-to-date record of asbestos locations and conditions. This table will be requested during all future inspections and audited.

Previous analyses of floor tiles with negative results are suspect if analyzed by PLM. TEM is the current method of choice because it can see the coated asbestos fibers that PLM cannot. Also, new floor tile and mastic may contain asbestos depending on overseas manufacture location. Therefore, floor tiles that were negative for asbestos and newer floor tile should be re-sampled and analyzed by TEM before renovating any area containing floor tile.

New materials installed during renovation such as, mastic, ceiling tile, drywall mud, etc. are considered as PACM unless a letter is obtained from the construction contractor (PE) and/or architect stating, “No asbestos products were installed during this renovation”. If this documentation is not available new materials must be sampled and analyzed for asbestos prior to future renovation, remodeling, and demolition in those areas. Obtain similar documentation for all future renovations, remodeling or demolitions. The documentation should be made a permanent fixture in the building asbestos file.

Each facility upon receiving this updated ACM Surveillance Table should check 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.

All building materials affected by renovations and/or demolition, not previously sampled and analyzed in that specific space, must be sampled and analyzed prior to work commencing or assumed to contain asbestos.

V. 3614’s

1. REPEAT - Moderate damage to Stucco (asbestos-containing mortar) on the outside of the building on columns and on the roof panels. Repair/Maintain stucco following GSA O&M Plan and all Federal, State and Local Regulations.

2. REPEAT - Minor damage to asbestos-containing caulking on the outside of the building on the roof panels. Repair/Maintain caulking following GSA O&M Plan and all Federal, State and Local Regulations.

3. Minor to moderate deterioration was observed on window glazing in selected areas. Note: all windows were not inspected during the survey. Seal/abate window glazing. Inspect all windows to identified damaged glazing. Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

4. REPEAT - PACM floor tile is in poor condition in Room 117. Seal floor tile in Room 106 with wax coating. The floor tile in Room 117 must be immediately sampled or treated as VAT and abated.

5. Custodians are using high speed equipment to strip VAT flooring. Equipment used to strip VAT must be less than 300 rpm, use low abrasive pads and use wet stripping methods.

6. REPEAT - 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.

7. 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.

8. Asbestos documentation on site was missing and/or incomplete. Maintain all asbestos repairs, abatement, sampling and inspection documents on site for review.

9. REPEAT - GSA Building Managers did not participated in the GSA online Asbestos Awareness Training. Ensure Building Managers and Specialists participate in the asbestos refresher class annually.

VI. CORRECTED CITATIONS

The following items were corrected during the day of the surveillance check or shortly thereafter and confirmed by the GSA Building Manager: None

VII. 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 surveillance checks and audited.

When conducting the next annual visual ACM surveillance, please give the GSA inspector a copy of this report and have them verify all locations. 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 previous contractor 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 check. 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.

Table A - Annual ACM Visual Surveillance Table

Note: This table is in color. Information will be lost if reproduced in black and white! This table is for O&M purposes only. A renovation requires additional evaluation and sampling prior to commencement of work.

Paul G. Rogers FB/CT Conducted by : Lisa Swain, MPH, CSP

701 Clematis Street

West Palm Beach, Florida 33401 Date: September 25, 2018

GSA Building Number FL0066AC

Table A. Annual Visual Surveillance Check Form

MATERIAL LOCATION

MATERIAL

DESCRIPTION AMOUNT FRIABLE PHOTO CONDITION ACTION COMMENTS

PRESUMED ASBESTOS CONTAINING MATERIAL

Behind the plaster of columns on the 4th floor and possibly behind walls and columns on other floors. Original Fire-proofing Unknown Yes Unknown

O&M. Continue to test for fire-proofing in concealed locations prior to renovations.

June 2005 report indicated 10-20% amosite is behind the plaster encasement of a column in Room

416. It is unknown where else residual fire-proofing is concealed. Major asbestos abatement was performed in 1992. Fourth floor outer walls reportedly renovated during 2005 and no ACM is reportedly present behind those walls.

Mechanical Rooms, Plenums, Walls

Pipe Insulation Runs and Elbows Unknown Unknown Unknown

O&M. Label all TSI (ELB, FTG, PRI ) that tested negative NAD, TSI not labeled is

PACM. Continue to test prior to renovations, All pipe insulation tested indicated NAD 2005, 2008.

Historically there was thermal system insulation that contained asbestos . It may be behind walls, under plastic elbows, or other not easily accessible areas.

Plenum, Mechanical Rooms

Duct Insulation, Foil

Wrapped with White

Mastic Unknown No Unknown

O&M. Presume ACM unless location tested.

Duct Mastic in Corridor Outside Room 218 was

ACM. Twelve other duct insulation and mastic samples were NAD 2005.

Mechanical Rooms Vibration Dampers Unknown Unknown Good

O&M, Presume ACM until sampled and analyzed.

Roof Unknown Unknown No Good

Test prior to disturbing or replacing unless manufacturers information can confirm that it is NAD.

Roofs are excluded from this survey, except as noted.

Unknown Fire Door Insulation Unknown Yes Unknown

O&M, Presume ACM until sampled and analyzed. Unknown if any fire doors present.

FIRST FLOOR

Room 106

Floor Tile 12"x12" beige Unknown Unknown Good

O&M, Presume ACM until sampled and analyzed. Maintain wax coating.

Mechanical Room (AHU) White duct mastic Unknown Unknown Good

O&M, Presume ACM until sampled and analyzed.

One sample of white duct mastic sampled and analyzed tested positive. Assume all white mastic positive until sampled and analyzed.

Room 117

Floor Tile 12"x12"

White with Blue Specs Unknown Unknown Poor

Immediately sample and analyze floor tile or treat as VAT and abate.

MATERIAL LOCATION

MATERIAL

DESCRIPTION AMOUNT FRIABLE PHOTO CONDITION ACTION COMMENTS

Chiller Room Mastic, Red Unknown Unknown Good

O&M, Presume ACM until sampled and analyzed.

Room 104 AHU Duct Mastic Good

O&M, Presume ACM until sampled and analyzed.

May be in multiple other locations. Tested positive in 2005 on 2nd floor.

Room 104 Area

Asbestos in mastic only, under Blue Floor

Tile 12x12 Unknown No Unknown O&M for removal only.

Room 104 Area

Floor Tile, 12x12, Dark

Beige and Black Mastic Unknown No Unknown O&M Under Carpet

Room 102

Bottom Layer of Floor

Tile and Mastic, under

FT4 Unknown No Unknown O&M for removal only. Under Carpet

Room 125, Maintenance

Bottom Layer of Floor

Tile and Mastic, under

FT5 Unknown No Unknown O&M for removal only. Under Carpet

Throughout Window Glazing Unknown Unknown

Good where

Observed O&M, inspect and repair any damage.

Note: All windows were not inspected in 2018.

Positive in samples on 2nd and 3rd floors.

SECOND FLOOR

Room 212 (Gym), 215 Poured Floor Unknown No Unknown

O&M, Treat as ACM until sampled and analyzed.

215 - covered with carpet and tile, 212 covered with vinyl tile

Corridor Outside Room 218

Duct Insulation, Foil

Wrapped with White

Mastic Unknown No Good O&M Plenum air return may cause erosion over time.

Room 231 Suite

Floor Tile, 12x12, Dark

Beige, Black Mastic Unknown No NA None Abated 2013

DESCRIPTION AMOUNT FRIABLE PHOTO CONDITION ACTION COMMENTS

Room 231 Suite

Adhesive behind paneling Unknown No NA None Abated 2013

Throughout (Sampled in Room

213) Window Glazing Unknown No

Minor deterioratio n noted, Good where observed

Seal/Abate, O&M, inspect all windows and repair any damage.

Note: All windows were not inspected in 2018.

Positive in samples on 2nd and 3rd floors.

Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

THIRD FLOOR

Room 303 Stairwell

Floor Tile under Floor

Tile 3 NO Unknown O&M. Abetment for removal only.

Throughout Window Glazing 3 Unknown

Sections missing Seal/Abate, O&M

Previously reported as positive in Room 339.

Mechanical Room is 339 and does not have windows, most likely 336 (One sample window glazing tested NAD, two tested ACM. May be two different types of glazing, test before renovation).

Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

FOURTH FLOOR

Room 437, Courtroom 1 Ceiling Tile 4X4 4 Yes Unknown

O&M, Treat as ACM until sampled and analyzed. Reportedly replaced in 2001

Mechanical Room Vibration Dampers 4 No Good

O&M, Treat as ACM until sampled and analyzed.

Behind the plaster of columns on the 4th floor (Room 416) and possibly behind walls and columns an other floors. Original Fire-proofing 4 Yes Unknown

O&M. Continue to test for fire-proofing in concealed locations prior to renovations.

June 2005 report indicated 10-20% amosite is behind the plaster encasement of a column in Room

416. It is unknown where else residual fire-proofing is concealed. Major asbestos abatement performed in 1992. Fourth floor outer walls reportedly renovated during 2005 and no ACM is reportedly present behind those walls. See also 1986 GSA report.

Air sampling was conducted on April 10, 2018.

Asbestos fibers were not detected in any of the air samples.

DESCRIPTION AMOUNT FRIABLE PHOTO CONDITION ACTION COMMENTS

Corridor Outside Room 438

Duct Insulation, Foil

Wrapped with White

Mastic Unknown No Good O&M Plenum air return may cause erosion over time.

Rooms 436, 440

Floor Tile, 12x12, Dark

Beige with Brown &

Red Streaks, Black

Mastic 4 No Unknown

O&M. Abatement may be required with carpet removal.

No access - occupied. Carpeted, may have been removed

Throughout Window Glazing 4 Unknown

Good where

Observed O&M, inspect and repair any damage.

Note: All windows were not inspected in 2014.

O&M reported that during a mold remediation project (2003-2004), all backer rods and caulk were replaced except 17 windows. Reportedly, all windows on 2nd NE floor replaced.

PENTHOUSE

PENTHOUSE Roof Exterior Panel Stucco No Good/Fair O&M

Winds and Future Hurricanes will continue to damage these panels. ACM debris is on the roof from deteriorated panels.

PENTHOUSE Roof

Interior Mortar on

Exterior Panel No Good/Fair O&M

Winds and Future Hurricanes will continue to damage these panels. ACM debris is on the roof from deteriorated panels.

OUTSIDE

Roof Black Tar Mastic No Good

O&M, Treat as ACM until sampled and analyzed.

Entire Exterior of Building and on Roof

Stucco on Exterior of

Building ALL No Fair/Poor

Damaged observed in multiple areas.

O&M program specific for care of exterior needs to be planned and implemented. Excessive debris observed on 2nd floor walkway. Test area where rock has fallen for asbestos fibers to determine if they are being released from the mortar. Some areas have suspect mold.

NOTES

RED - Indicates the changes in condition (worsening) of ACM or removal or repair work is required.

BLUE - Indicates suspect asbestos (PACM) that requires sampling and analysis before permitting renovation or removal.

GREEN - Indicates suspect asbestos that has been determined not to contain asbestos or asbestos that has been removed.

Black indicates ACM

MOST RECENT 3 YEAR Survey - February 27, 28, 2008 - FOH

HM Followed by "A" indicates historical data accepted for 2008 survey.

CHECKLIST/FORM 3614

Total Citations_____

Repeat Citations _____

Corrected Citations _____

Building No: FL0066

Building Manager: Chris Singian Facility Phone No:

Date of Inspection: 9/25/18 Other Contact No:

GSA Personnel Accompanying Inspector: Chris Singian

Name of GSA PMC Asbestos Program Manager

O&M Contractor: Tigua O&M Contact Greg Chatham

Company Phone Number:

Custodial Contractor: Goodwill Custodial Contact German Serpas

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

Yes x 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 x Yes 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)

Yes x 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 2018

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

Custodial contractors)

Facility Name: Paul Rogers FB/CT

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.

Yes x 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?

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.

Yes x 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.

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

Yes x No 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)

Yes No x 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.

x Yes 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.

x Yes 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) x Yes No N/A

Does O&M Contractor have asbestos awareness refresher training records? OSHA 1926.1101 (k)(9)(ii) x Yes No N/A

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

Subcontractor under contract?

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

Best- Tec

Yes No x 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 x N/A

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

Yes No x N/A Written Respirator Program

Yes No x N/A Annual Fit Test

Yes No x N/A Medical Exam or Clearance Letter

Yes No x N/A Written Medical Surveillance Program

Yes No x N/A Written PPE Program

Yes No x N/A Respirator Training

III. LABELING

x Yes 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

x 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

cooling towers - 2016 - roof .

Contractor notification form does not tell contractors where acm is located

DATE OBSERVED DATE POSTED

GSA Bldg No. FL0066AC 9/25/2018

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

Region IV Asbestos Management

Plan & AHERA

RISK ASSESSMENT

CODE (RAC)

C II 3

Public Buildings Service Asbestos

Policy, September 17, 2007 by David

Winstead, PBS Commissioner

C III 4

29CFR1910.1001(2)(ii)

C III 4

29CFR1910.1001(2)(ii)

C III 4

5 29CFR1910.1001(k)(7)(ii) C II 3

6 29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

7 29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

8 29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

9 29CFR1926.1101, AHERA & GSA

Region IV Asbestos program

C II 3

(F) Minor to moderate deterioration was observed on window glazing in selected areas. Note: all windows were not inspected during the survey.

(F) Custodians are using high speed equipment to strip VAT flooring.

(F) REPEAT - Minor damage to asbestos-containing caulking on the outside of the building on the roof panels.

GSA NOTICE OF UNSAFE/UNHEALTHFUL WORKPLACE CONDITIONS

LOCATION

HAZARDOUS CONDITIONS

OBSERVED

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

(F) REPEAT - GSA Building Managers did not have documentation of Asbestos Awareness Training.

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

(F) REPEAT - Moderate damage to Stucco (asbestos-containing mortar) on the outside of the building on columns and on the roof panels.

(F) REPEAT - PACM floor tile in poor condition in Room 117.

Paul G. Rogers FB/CT

701 Clematis Street

West Palm Beach, Florida 33401

(F) Asbestos documentation on site was missing and/or incomplete.

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) Building Managers and Specialists should participate in the GSA online university asbestos awareness training. Maintain a copy of the training records in building asbestos file.

10/26/2018

RECOMMENDATION FOR

ABATEMENT

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

(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.

DATE

(R) Seal floor tile in Room 106 with wax coating. The floor tile in Room 117 must be immediately sampled or treated as VAT and abated.

(R) Repair/Maintain caulking following GSA O&M Plan and all Federal, State and Local Regulations.

(R) Seal/abate window glazing. Inspect all windows to identified damaged glazing. Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

(R) Equipment used to strip VAT must be less than 300 rpm, use low abrasive pads and use wet stripping methods.

GSA FORM 3614 (4-90)

(R) Repair/Maintain stucco following GSA O&M Plan and all Federal, State and Local Regulations.

GENERAL SERVICES ADMINISTRATION 1. POST AT OBSERVATION SITE

GSA REPRESENTATIVE/ FOH

CONTRACT REPRESENTATIVE

Lisa Swain, MPH, CSP 850-236-2026

EXPECTED COMPLETION

DATE

RECOMMENDATION FOR

ABATEMENT

SIGNATURE OF GSA

REPRESENTATIVE

Paul Rodgers FB/CT 13

West Palm Beach, FL

FORM 3559

Paul Rodgers FB/CT 14

West Palm Beach, FL

REPORT FOR FACILITY SAFETY, HEALTH, OR FIRE PROTECTION SURVEY (PART I) PAGES - 2

1. REPORT CONTROL NO.

G-4-092518-FL0066AC

2. DATE OF REPORT

October 26, 2018

3. BUILDING NAME AND ADDRESS

Paul Rodgers FB/CT

West Palm Beach, FL 33401

FL0066AC

3a. PBS FIELD

OFFICE

4. BRC B=BLDG LOCAL

____RAC 1,2=P1,P2 _4_ RAC 1,2,3=R2

_2___RAC 3=R1 3__ RAC 4,5=A1

RAC 4,5=A1

5. DATE OF SURVEY

September 25, 2018

6. Classification

_X Scheduled

__ Follow-up

__ 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 ___ (O) OSH/Asbestos __X__ (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)

1–2018- Asbes BM C II 3 ~1000 $7500

GSA Region 4 Asbestos

Management Plan &

29CFR1910.1001

(F) REPEAT - Moderate damage to Stucco (asbestos-containing mortar) on the outside of the building on columns and on the roof panels.

(R) Repair/Maintain stucco following GSA O&M Plan and all Federal, State and Local Regulations.

2–2018- Asbes BM C II 3 ~50 $2500

GSA Region 4 Asbestos

Management Plan &

29CFR1910.1001

(F) REPEAT - Minor damage to asbestos-containing caulking on the outside of the building on the roof panels.

(R) Repair/Maintain caulking following GSA O&M Plan and all Federal, State and Local Regulations.

3–2018- Asbes BM C II 3 B $2500

29CFR1910.1001(J)

(2), GSA Region IV

Asbestos Management Plan &

AHERA

(F) Minor to moderate deterioration was observed on window glazing in selected areas. Note: all windows were not inspected during the survey.

(R) Seal/abate window glazing. Inspect all windows to identified damaged glazing. Custodial personnel must use HEPA vacuums and wet methods to clean potential debris.

4–2018- Asbes BM C II 3 ~100 $1500

GSA Region 4 Asbestos

Management Plan &

29CFR1910.1001

(F) REPEAT - PACM floor tile is in poor condition in Room 117.

(R) Seal floor tile in Room 106 with wax coating. The floor tile in Room 117 must be immediately sampled or treated as VAT and abated.

REPORT FOR FACILITY SAFETY, HEALTH, OR FIRE PROTECTION SURVEY (PART I) PAGES - 2

5–2018- Asbes BM C II 3 ~1000 $1000

29CFR1910.1001(k) (7)(ii)

(F) Custodians are using high speed equipment to strip VAT flooring.

(R) Equipment used to strip VAT must be less than 300 rpm, use low abrasive pads and use wet stripping methods.

6–2018- Asbes BM C II 3 B $0

29CFR1910.1001(J)

(2), GSA Region IV

Asbestos Management Plan &

AHERA

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

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

7–2018- Asbes BM C III 4 NA $0

29CFR1910.1001(2)

(ii)

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

(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.

8–2018- Asbes BM C III 4 NA $0

29CFR1910.1001(2)

(ii)

(F) Asbestos documentation on site was missing and/or incomplete.

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

9–2018- Asbes BM C III 4 NA $0

Public Buildings Service Asbestos Policy, September 17, 2007 by David

Winstead, PBS Commissioner

(F) REPEAT - GSA Building Managers did not participated in the GSA online Asbestos Awareness Training.

(R) Ensure Building Managers and Specialists participate in the asbestos refresher class annually.