Information

  • Site

  • Conducted on

  • Prepared by

  • Location

Facility

  • Building Number / Name

  • Address
  • Please describe how you are conducting this review.

Environmental

  • Are managers aware of the agency environmental liablity reporting requirements and the information needed to complete the annual report.

  • Are environmental issues asessed throughout planning and project development, so that the environmental impacts of a project are considered during the decision making process? (i.e. do project managers confer with environmental subject matter experts.

  • Projects performed on the facilities have approval from the regional environmental office/specialist.

Hazardous and Universal Waste

  • A Hazardous Waste Program has been established to handle and dispose of hazardous, biological, infectious, and chemical waste in accordance with Federal, State and local requirements.

  • Facility maintains an accurate HW inventory.

  • Records of hazardous waste shipments are complete, including original manifests and certificates of disposal.

  • Original HW shipping manifests MUST be kept in Service Center files.

  • Documentation is on file regarding wastes generated by GSA staff.

  • Waste documentation is on hand for 3 years.

  • Universal waste is stored properly (i.e. closed container, labeled, dated)

  • Documentation showing universal waste recycling is on file.

  • All associates involved with the handling, storage, and/or disposal of hazardous wastes have received appropriate training from the environmental office.

Under and Above Ground Storage Tanks

  • Check this box if the office has any Under or Above ground Storage Tanks on its property, regardless of ownership.

  • UST/AST have spill/overfill protection system.

  • Copy of UST/AST registration is maintained on file and copy sent to Safety Office.

  • Appropriate personnel have received UST Operator Certification.

  • Copies of training exam results, course attendance, or certificates are maintained onsite and available electronically.

  • Copies of the SPCC plan for required ASTs are kept on file and maintained.

OSH - Client Agency Communication

  • Client agencies are kept informed of buildings conditions that affect them and complaints are responded to promptly.

  • Client agencies are notified of building activities such as renovations, or other situations, which may affect safety, health, or indoor air quality.

OSH Program

  • An Occupational Safety and Health (OSH) Program has been established by the Service Center, maintenance and custodial contractors.

  • Employee OSH and environmental training records are kept in a central location.

  • Posters, signs, and posted notifications are used to increase safety awareness.

  • Check if this office has 4 or more GSA supervisors

  • OSH Committee established with equal management and non-management representation.

  • OSH Committee meets at least quarterly.

  • Written agenda and minutes of all OSH Committee meetings are on file.

  • Meeting minutes are forwarded to the Regional Safety Specialist (7PMC).

  • The Service Center enrolls those employees exposed to occupational hazards in a medical surveillance program and maintains a roster listing each employee.

  • The current Safety Newsletter is posted.

  • GSA OSH Policy Statement posted in GSA Workspaces.

  • Managers are aware of OSH Regulation, Regional OSH Site Programs.

  • Supervisors are trained and assist in worksite analysis, ensure physical protection, reinforce training, enforce discipline, and explain work procedures.

  • Associates are trained by the Regional Safety Office on how to look for hazardous conditions.

  • Employee and facility related accidents/injuries are investigated and reports completed and forward to the appropriate office.

  • The following forms completed and processed in a timely manner: OSHA Form 300, OSHA Form 301, OSHA Form 300A, DOL CA1, DOL CA2 and SF9.

  • Copies of CA-1s OSHA 300 Logs and CA-2s are sent to the regional Safety Office.

  • Managers conduct monthly safety discussions for awareness.

  • Associates have received awareness training on Lock Out - Tag Out, Hazard Communication, Confine Space and any other facility specific training.

Workplace Analysis and Projects

Risk Abatement Program

  • Unsafe/unhealthful conditions are evaluated and corrective action(s) are taken to reduce risks.

  • Surveys are conducted and appropriate corrective actions are initiated.

  • IRIS Items overdue 30 days or more overdue are reviewed and updated in IRIS.

  • All items overdue must have new abatement date and a annotated reason. All items will have a work in progress or project date for completion. Items longer than 45 days must annotate interim controls in place.

  • Projects performed on the facilities have approval from the regional safety and health office/specialist.

  • RAC 1s & 2s in IRIS program are corrected within specified time frames or interim corrective action has been taken.

Safety and Health Compliance

  • The facility is in compliance with all OSH Regulations. (ie, walking / working surfaces, electrical, compressed gas, means of egress, etc.)

Hazard Communication and Materials Handling

  • GSA Managers have received training in Safety and Health responsibilities and demonstrate an understanding of their responsibilities.

  • A Hazard Communication Program has been developed and implemented by the maintenance and custodial contractors.

  • MSDS’s and chemical inventory lists are readily available upon request and are current.

  • Chemicals are stored, handled, transported and labeled properly.

Lockout / Tagout

  • Circuits under repair are properly Locked Out / Tagged Out.

  • Lock Out / Tag Out equipment is properly maintained.

Confined Space

  • Confined Spaces are identified in the facilities with proper signage.

  • Confined Space permits are kept on file by the facility manager.

Hearing Conservation

  • Hearing protection is used and available in the facility.

  • Hazardous noise areas are identified with proper signage.

Tanks

  • Check this box if tanks are applicable to this office.

  • Safety Devices are properly maintained (i.e. Bonding, PRV's, Fire Control and Warning Devices).

PPE

  • Proper Personal Protection Equipment are available in areas where hazards are identified and present.

  • Personal protection equipment are maintained in good condition.

Asbestos Control

  • An Asbestos Program Manager and an Alternate Asbestos Manager have been appointed in writing.

  • Primary and Alternate Asbestos Program Managers have attended an approved EPA asbestos course. Current certifications for all appropriate personnel are available.

  • A building specific Asbestos Management Plan has been developed and implemented for all buildings with asbestos containing material (ACM).

  • Tenant agencies have been notified of the presence of asbestos and the availability of the Asbestos Management Plans.

  • All building asbestos inspection reports and prevalent level air monitoring data are maintained and kept on file.

  • The O&M Contractor has been supplied a copy of the current building asbestos inspection or re-inspection report.

  • Adequate periodic ACM inspections are conducted.

  • ACM is appropriately labeled.

  • Damaged ACM is identified and prompt abatement actions are taken.

  • Prior to any renovations, the presence and condition of ACM is determined by a pre-alteration asbestos survey.

  • Prior to any asbestos abatement actions, client agencies are notified and provided all appropriate information concerning the project.

Lead Paint

  • Prior to any renovations, the presence and condition of lead is routinely determined by a pre-alteration lead survey.

  • Prior to any lead abatement actions, client agencies are notified and provided all appropriate information concerning the project.

Indoor Air Quality

  • Client agency’s complaints are promptly acted upon. If possible, the specified source of the concern/problem is identified and corrective action taken.

  • All leaks and water intrusion problems are corrected within 72 hrs.

  • Micro-biological controls are in place (drip pans properly maintained).

  • Construction operations are properly sequenced and managed to address contaminates.

  • Low volatile organic compound (VOC) materials used where feasible.

  • Special contaminant sources identified and controlled (e.g. print shops, garages, etc.).

Childcare Center Lead

  • A Lead Program for child care centers has been established and is being implemented.

  • Lead in drinking water studies of child care centers have been performed, written documentation is on file and abatement actions have been taken as needed.

  • Child care centers have been tested for lead based paint and abatement actions have been taken as needed. A procedure is in place to ensure the testing of paints in child care centers prior to any renovation.

PROGRAM COMPLIANCE

  • Program Compliance

  • Program Reviewer

  • Field Office Representative

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