Safety, Health, and Environmental Management Residential Report

• Building / Apartment Number

• Occupant

• Conducted on

  Date

• Prepared by

• Location
  Address

Gas Services

• Check if there are gas appliances in the residence

All Gas Services Appliances and Equipment: Gas Supply line

• Gas supply through rigid pipe (iron or steel), or tubing (steel, brass or copper). FPG, Section F-2, OBO/OPS/FIR

  Yes

  No

  N/A

• Manual shut-off value within 1.8 m (6 ft) of appliance. FPG Section F-2, OBO/OPS/FIR

  Yes

  No

  N/A

• Leak detection must be conducted over all fittings and connections during appliance replacement or anytime supply line work is done. FPG Section F-2, OBO/OPS/FIR

  Yes

  No

  N/A

• Fuel used is appropriate for appliance(s). NFPA 30, OBO/OPS/FIR, OBO/OPS/SHEM

  Yes

  No

  N/A

All Gas Services Appliances and Equipment: Operations and Maintenance

• Instructions available for proper operation and maintenance. OBO/OPS/FAC, OBO/OPS/SHEM

  Yes

  No

  N/A

• Warning labels (English and Official Country Language) present on combustion appliances. OBO/OPS/FAC, OBO/OPS/SHEM

  Yes

  No

  N/A

• Equipment operated and maintained as intended within design limits. 15 FAM 253.5, OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

All Gas Services Appliances and Equipmen: Venting of Exhaust Gases

• Exhaust vents are installed to vent gases to the outdoors and away from intakes and windows. 15 FAM 253.5, IMC, Chapter 8, IRC, Chapter 24, OM/SHEM

  Yes

  No

  N/A

• Fireplace chimney and flue constructed and installed properly (per manufacturer). 15FAM 253.5, IMC Chapter 8, OBO/OPS/SHEM

  Yes

  No

  N/A

• Fireplace Chimney and flue inspected annually and cleaned. IMC Chapter 8, OBO/OPS/SHEM

  Yes

  No

  N/A

All Gas Services Appliances and Equipmen: Carbon Monoxide Alarms

• Carbon monoxide alarm installed, at above eye level, outside sleeping areas in residences with any combustion appliance or an attached garage. SHEM CO Alarm Guides, OBO/OPS//SHEM.

  Yes

  No

  N/A

• Check the date of installation and manufacture date to ensure the alarm is not beyond the ten year expiration utilization date. SHEM CO Alarm Guides, OBO/OPS/SHEM`

  Yes

  No

  N/A

Electric Water Heater: Installation Position of Tanks

• Upright and securely anchor tanks using metal straps which are bolted using expansion bolts to a masonry wall, or lag bolts to a wood stud wall, at the top and bottom of the tank. IMC Chapter 6, OBO/OPS/SHEM

  Yes

  No

  N/A

Electric Water Heater: Temperature and Pressure Relief Valves

• TPRV drain piping installed to direct discharge to floor.IMC Chapter 6, IRC, Chapter 28. OBO/OPS/SHEM.

  Yes

  No

  N/A

• TPRV drain piping is not reduced, threaded at the end and has no uphill runs. IMC, Chapter 6, IRC, Chapter 28, OBO/OPS/SHEM

  Yes

  No

  N/A

• TPRV drain piping has no other valve downstream of TPRV. IMC, Chapter 6, IRC, Chapter 28, OBO/OPS/SHEM

  Yes

  No

  N/A

Electric Water Heater: Water Heater Supply Connections

• Supply through flexible metallic connections. IMC, Chapter 6, OBO/OPS/SHEM

  Yes

  No

  N/A

Fire and Life Safety: Smoke Detectors

• Each sleeping room. FPG, Sections E-1 and G-1, OBO/OPS/FIR.

  Yes

  No

  N/A

• Corridor leading to bedrooms. FPG Sections E-1 and G-1, OBO/OPS/FIR

  Yes

  No

  N/A

• Top of internal stairwells. FPG Sections E-1 and G-1, OBO/OPS/FIR

  Yes

  No

  N/A

• One on each floor level. FPG Sections E-1 and G-1, OBO/OPS/FIR

  Yes

  No

  N/A

• Placement is on the ceiling, or alternately on a wall between 4_ (10 cm) to 12_ (30.5 cm) away from the ceiling. FPG Sections E-1 and G-1, OBO/OPS/FIR

  Yes

  No

  N/A

Fire and Life Safety: Exit Signs

• Signs for exit doors in public corridors on floors with sleeping accommodations requires illuminated exit signs. FPG Section E-1, OBO/OPS/FIR.

  Yes

  No

  N/A

• Directional signs must be posted if the path from the apartment is not straight or the exit is less than obvious. FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

Fire and Life Safety: Emergency Egress

• All apartments should have as a minimum two methods of emergency egress. FPG Section B-2, OBO/OPS/FIR

  Yes

  No

  N/A

• The maximum travel distance to an exit with an automatic fire sprinkler protection is 200 feet (61 m). FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

• The maximum travel distance to an exit without an automatic fire sprinkler protection is 150 feet (45.8 m). FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

Fire and Life Safety: Fire Extinguishers

• One Department standard 10 lb. (4.45 kg) extinguisher (4-A: 40-B: C).FPG Sections E-1 and G-2, OBO/OPS/FIR.

  Yes

  No

  N/A

• Wall mounted in each kitchen area. FPG Sections E-1 and G-2, OBO/OPS/FIR.

  Yes

  No

  N/A

Fire and Life Safety: Lighting

• Hallways, stairways or other means of egress must have illumination properly installed and maintained correctly. FPG, Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

• If emergency generator is not available to provide emergency lighting, provide battery-packed emergency lights in public spaces, hallway, stairway or other means of egress. FPG Section E-1, OBO/OPS/FIR.

  Yes

  No

  N/A

Fire and Life Safety: Window Grilles

• Operable from the inside. FPG, Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

• Minimum opening: 5.7 ft2 (0.529 m2). FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

• Minimum dimension: 24_ (61 cm) x 20_ (51 cm) and not be more than 44_ (112 cm) from the floor. FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

• Bars or grilles must have inside release mechanism. FPG Section E-1, OBO/OPS/FIR

  Yes

  No

  N/A

Plate Glass Safety: Tempered / safety glass locations

• Entry and exit doors, storm doors, glass sliding doors must be tempered/safety glass. IRC Chapter 3, IBC Chapter 24, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Windows located within 18_ (46 cm) of the floor must be tempered/safety glass. IRC Chapter 3, IBC Chapter 24, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Doors and enclosures for bathtubs, showers, sauna must be tempered/safety glass. IRC Chapter 3, IBC Chapter 24. OBO/OPS/SHEM

  Yes

  No

  N/A

• Stairway enclosures and handrail panels must be tempered/safety glass. IRC Chapter 3, IBC Chapter 24. OBO/OPS/SHEM

  Yes

  No

  N/A

• All locations listed above without tempered glass, need safety glass or non-breakable replacement materials, or protection with barriers. Doors at ground level may be treated with a Mylar coating or with decals or markings. OBO/OPS/SHEM

  Yes

  No

  N/A

Electric Safety: Ground Fault Circuit Interrupters

• GFI_s will be installed for exterior outlets (<6.5 ft (2m) above grade) FPG, Section F-1, NEC Section 210-8(a), OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• GFI_s installed for kitchens countertop & wet bars (all countertop outlets or those within 6 ft (1.8m) of sink). FPG Section F-1, NEC Section 210-8(a), OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• GFI_s installed for all outlets in bathrooms. FPG Section F-1, OBO/OPS/SHEM.

  Yes

  No

  N/A

• For 220-volt systems, installed GFI_s to trip at 10 mA. FPG Section F-1, OBO/OPS/SHEM

  Yes

  No

  N/A

Electric Safety: Transformers and Extension Cords

• Transformers must be placed on a ceramic Tile. OBO/OPS/FIR

  Yes

  No

  N/A

• Extension cords can not cover by a carpet or Clothed material. OBO/OPS/FIR

  Yes

  No

  N/A

• Each cord must be connected to a wall outlet so that no cords are connected together. NEC Section 250, OBO/OPS/FAC.

  Yes

  No

  N/A

Electric Safety: Grounding

• Impedance of the ground path may not exceed 25 ohms. Verify measuring with an ohmmeter. FPG Section F-1, NEC Section 250, OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

Electric Safety: Electrical service supply & panels

• Knock-outs and twist-outs in breaker/fuse panel(s) must have fill plates. NEC Section 110, 310 & 400, OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Breaker/fuse panel must have a front working clearance of 30" (76 cm) wide x 36" (92 cm) deep. NEC Section 110, 310 & 400. OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Breakers and fuses must be labeled (In English and Official Country Language) as to function/area served. NEC Section 110. OBO/OPS/SHEM

  Yes

  No

  N/A

• Any outdoor service entrance, outlets and switch boxes have waterproof covers. NEC Section 400, OBO/OPS/FAC.

  Yes

  No

  N/A

Electric Safety: Circuit (Capacity Circuit connectors are protected by fuses or circuit breakers having trip elements not larger than: FPG, Section F-1 and F-3, NEC Sections 210, 220 and 310. OBO/OPS/FAC, OBO/OPS/FIR, OBO/OPS/SHEM.)

• 1.5 mm2 (smaller than #14 AWG, 15A) 10A

  Yes

  No

  N/A

• 2.5 mm2 (smaller than #12 AWG, 20A) 16A

  Yes

  No

  N/A

• 4 mm2 (smaller than #10 AWG, 30A) 25A

  Yes

  No

  N/A

• 6 mm2 (smaller than # 8 AWG, 50A) 40A

  Yes

  No

  N/A

• 10 mm2 (smaller than # 6 AWG, 65A) 50A

  Yes

  No

  N/A

• 16 mm2 (smaller than # 4 AWG, 85A) 60A

  Yes

  No

  N/A

Fall Safety: Railings

• Railings installed on all porches, balconies and raised floor surfaces more than 30" (76 cm) above the floor or grade below. IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Sturdy supports (balusters) with no openings larger than 4" (10 cm) and bottom of railing assembly no more than 4" (10 cm) from the floor. IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Top of railing is 42_ (107 cm) or more from floor or grade level. IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM.

  Yes

  No

  N/A

Fall Safety: Stairs and Handrails

• Measure that steps have evenly-spaced risers IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM

  Yes

  No

  N/A

• Any open risers between steps do not have an opening larger that 4" (10 cm) IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS//SHEM.

  Yes

  No

  N/A

• Where there are 4 or more risers (steps), at least one handrail installed (right-side descending preferred) for any enclosed stairway. For stairs open on one or both sides, a handrail is installed on the open side(s). Installed handrails are 34-38_ (86 cm) from the top of the stair tread nosing and can withstand a force of 200 lbs. (91 kg) in any direction. IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM.

  Yes

  No

  N/A

• For open stairways, supports (balusters) no more than 4" (10 cm) apart. IRC Chapter 3, IBC Chapter 10, PE/DE, OBO/OPS/SHEM.

  Yes

  No

  N/A

Fall Safety: Home with Children

• Windows open no more than 4-5 (10-13 cm) inches. OBO/OPS/SHEM.

  Yes

  No

  N/A

• Furniture position away from windows and railings to prevent children from climbing over rails, OBO/OPS/SHEM...

  Yes

  No

  N/A

Environmental Safety: Asbestos

• Acquisitions: asbestos inspection conducted and impact of asbestos determined. SHEM Resource Guide Section 1.2 and Post Asbestos Mgt Plan, OBO/OPS/FAC, OBO/OPS//SHEM.

  Yes

  No

  N/A

• Asbestos materials identified and maintained in good condition. SHEM Resource Guide Section 1.2 and Post Asbestos Mgt Plan, OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Maintenance and minor renovations avoid disturbance of asbestos materials. SHEM Resource Guide Section 1.2 and Post Asbestos Mgt Plan. OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

• If asbestos material has been disturbed, it has been removed properly and records of removal and disposal are maintained. SHEM Resource Guide Section 1.2 and Post Asbestos Mgt Plan, OBO/OPS/FAC, OBO/OPS/SHEM.

  Yes

  No

  N/A

Environmental Safety: Pesticides

• Building conditions or location are not inviting to common local pests. IPM Program, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Background check of chronic pest problems or extensive pesticide use. IPM Program, OBO/OPS/SHEM.

  Yes

  No

  N/A

Environmental Safety: Drinking Water Quality

• Tap water is potable (microbiologically safe and within acceptable contaminant levels listed in the Department_s drinking water standards).EHRG Section 3, OBO/OPS/SHEM.

  Yes

  No

  N/A

• If tap water is not potable, then supplemental means (e.g., point of use device such as a distiller) are used to render the water potable and quality control monitoring is done EHRG Section 3, OBO/OPS/SHEM.

  Yes

  No

  N/A

Environmental Safety: Leaded Paint

• Check that only lead-free paint is applied. EHRG Section 6, OBO/OPS/SHEM.

  Yes

  No

  N/A

• Visually check paint for condition and minimal damage. EHRG Section 6, OBO/OPS//SHEM.

  Yes

  No

  N/A

Elevators: Elevator Requirements

• Elevator is under a service contract and service logbook is utilized and up to date. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Elevator has a current safety certificate or review in country operations occur. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• All elevator cars have functional doors independent of shaft doors. NEII-1-2000, OMBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Elevator doors (car & shaft) reverse direction when an object is either contacted by the leading edge of the door or is detected by an electronic door protection device. NEII-1-2000, OBO/OPS/FAC/PS

  Yes

  No

  N/A

• All external car operating features, lobby controls and hardware are intact and functions properly. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Car operating buttons, including the emergency alarm button, function properly. NEII-1-2000, OBO/OPS//FAC/PS

  Yes

  No

  N/A

• Car lights are on and bulbs or tubes are secure, NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Car service panel is locked. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Car emergency phone is connected to a 24-hour operator. NEII-1-2000, OBO/OPS//FAC/PS.

  Yes

  No

  N/A

• Car_s audible signals are operating. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• All door mechanisms are enclosed to avoid pinch/shear points. NEII-1-2000, OBO/OPS/FAC/PS.

  Yes

  No

  N/A

• Assistant Post Occupational Safety and Health Officer Signature

  Sign

• POSHO Signature

  Sign