LIMA FAC POSHO CERTIFICATION RESIDENTIAL PROPERTY

GENERAL.

• CERTIFICATION TYPE

  Residential

  No Residential

• POST

  LIMA

• POSHO

  PETTIFORD, Maurice

• POSHO ASSISTANT

  ALEMAN, Gabriela

  COSSIO, Jimmy

• DATE

  Date
• ADDRESS:
  Address

• PROPERTY RPA ID:

• LEASE NUMBER:

• INITIAL ACQUISITION DATE:

  Date

• LEASE EXPIRATION DATE:

  Date

• PREPARED BY:

• REQUIREMENTS: In accordance with 15 FAM 252.5, safety, health, and environmental hazards must be identified in the selection of housing to eliminate the possibility of conditions that can cause serious injuries or fatalities. No employee may occupy a residence unless the POSHO certifies that the following conditions are met:

• Attach photo of the residence here.

  Media

REQUIREMENT.

GAS FLASH WATER HEATER.

• Removal of all unvented units that cannot be relocated or properly vented to the outside in accordance with the manufacturer’s instructions.

  YES

  NO

  N/A

COMBUSTION HEATING EQUIPMENT.

• All systems inspected by a qualified technician for proper operation.

  YES

  NO

  N/A

SWIMMING POOLS.

• Installation of a fence or other barrier which is compliant with the OBO/OPS/SHEM Swimming Pool Safety Standard. The barrier must be at least four ft. high, surround the entire pool, and separate all pools from residences and other structures that are non-pool related. The gate must be self-latching, self-closing, lockable, and the latch must be located at least 4.5 ft. off the ground.

  YES

  NO

  N/A

CARBON MONOXIDE ALARMS

• SHEM provided alarms are Installed in any residence that has combustion-type appliances (except cooking appliances), an attached and totally enclosed garage, or exterior combustion appliances that are located near windows.

  YES

  NO

  N/A

• Expiration Date:

  Date

ELECTRICAL SYSTEM GROUNDING

• An effective grounding system is in place with ground resistance verified and documented to be less than 25 ohms. Document the measured ground resistance in the Comments column to the right.

  YES

  NO

  N/A

GROUND FAULT CIRCUIT INTERRUPTERS - GFCIs.

• Installation of GFCIs, with a trip level of no more than 10 mA for electrical outlets in bathrooms, kitchens where the outlets are installed to serve the countertop surfaces, garages, crawl spaces, areas where outlets are installed within 6 ft. of a sink, unfinished basements, and outdoors (including pools or boathouses).

  YES

  NO

  N/A

GUARDRAILS AND HANDRAILS.

• Installation of handrails, typically for stairways, at 34-38 inches and guardrails at a minimum height of 36 inches (42 in. is recommended) for balconies, decks, elevated patios, and other similar structures for family and duplex housing units. Guardrail installation at apartments and representational areas open to the public must be 42 in. high. Guardrails are required where the fall would be greater than 30 in. and must not have openings greater than 4 in.

  YES

  NO

  N/A

FIRE EXTINGUISHER.

• Installation of OBO/OPS/FIR-provided fire extinguisher in or near the<br>kitchen area.

  YES

  NO

  N/A

• Expiration Date:

  Date

RESIDENTIAL SMOKE ALARMS

• Installation of OBO/OPS/FIR-provided smoke alarms in each sleeping room, in the corridors outside of each sleeping room, and in the internal stairway of the residence at each level.

  YES

  NO

  N/A

• Expiration Date:

  Date

FIRE PROTECTION SYSTEM.

• Installed fire protection systems must be operational, and documentation of periodic testing must be provided.

  YES

  NO

  N/A

• Acceptable Condition

  Select 1 Exist Stairs Fire Alarm/Detection System Fire Sprinkler System 2 Exit Stairs.

  • 1 Exist Stairs
  • Fire Alarm/Detection System
  • Fire Sprinkler System
  • 2 Exit Stairs.

• N# of Apartments per floor

  Only 2 per floor or less

  More than 2 per floor

HIGH - RISE APARTMENTS.

• The apartment meets the requirements outlined in 15 FAM 812.5. If not, has the COM/DCM signed a request for mitigation to the Office of Fire Protection, and are mitigation factors in the lease file?

  YES

  NO

  N/A

• Real Estate Decision.

  Select Lease on any floor Lease at or below 5th floor Lease at or below 6th floor Lease at or below 4th floor Lease at or below 3rd floor Do not Lease.

  • Lease on any floor
  • Lease at or below 5th floor
  • Lease at or below 6th floor
  • Lease at or below 4th floor
  • Lease at or below 3rd floor
  • Do not Lease.

Completion

• Click "Add FAC Manager"

FAC Manager

• Name & Signature

  Sign

• Click "Add FAC Supervisor/Foreman

FAC Supervisor / Foreman

• Name & Signature

  Sign

• Completed By : (Name & Signature)

  Sign