WHS Due Diligence Assessment

• Building Name

• Prepared by

• Conducted on

  Date
• Location
  Address

• SQFT

Reviewer Notes

• Fall of Person

  Compliant

  Non-Compliant

  N/A

• Fall of material

  Compliant

  Non-Compliant

  N/A

• Person struck by vehicle

  Compliant

  Non-Compliant

  N/A

• Fire

  Compliant

  Non-Compliant

  N/A

• Electrical Incident

  Compliant

  Non-Compliant

  N/A

Compliance Emergency Procedures

1) A team specific Emergency Procedures Handbook or Building Plan has been completed addressing the following internal and external threats to the site and includes: (Chapter 3. Safety Program)

• a) Medical Emergencies

  Yes

  No

  N/A

• b) Fire

  Yes

  No

  N/A

• c) Hazardous Material & Building Damage

  Yes

  No

  N/A

• d) Active Shooter and Work Place Violence

  Yes

  No

  N/A

• e) Bomb Threats

  Yes

  No

  N/A

• f) Earthquakes & Other Natural Disasters

  Yes

  No

  N/A

• g) Extended Power Loss

  Yes

  No

  N/A

• h) Persons With Disabilities

  Yes

  No

  N/A

• i) Exit route for each floor

  Yes

  No

  N/A

• j) Safe refuge areas for each floor

  Yes

  No

  N/A

• k) Location of assembly areas

  Yes

  No

  N/A

• l) Current and dated list of fire and floor wardens

  Yes

  No

  N/A

2) Means of egress are in accordance with code, including:

• a) Means of egress are clearly visible, understandable, and free of obstructions. (OSHA 1910.37 and NFPA 1012012 Section 7)

  Yes

  No

  N/A

• b) Any door, passage, or stairway that is neither an exit nor a way of exit access and that is located or arranged so that it is likely to be mistaken for an exit shall be identified by a sign that reads as follows: NO EXIT Per NFPA 1012012 7.10.8.3.1

  Yes

  No

  N/A

• c) Signage, labeling, and painting for emergency exits are in accordance with local code, OSHA and NFPA requirements. (OSHA 1910.37 and NFPA 1012012 7.10)

  Yes

  No

  N/A

Recommended Policy Emergency Procedures

3) Instructions have been provided in the Occupant Handbook regarding evacuation procedures, including:

• a) Plan for full building evacuation

  Yes

  No

  N/A

• b) Plan for relocation

  Yes

  No

  N/A

• c) Plan for shelter in place

  Yes

  No

  N/A

• d) List of Fire Wardens responsibilities

  Yes

  No

  N/A

Compliance-Fire Life Safety

1) A Standard Fire Fighter's Handbook (or comparable manual) has been completed and updated within the last 12 months and includes:

• a) Schematic floor plans indicating the location of emergency equipment and hazardous substances

  Yes

  No

  N/A

• b) Electrical riser diagram

  Yes

  No

  N/A

• c) HVAC riser diagram

  Yes

  No

  N/A

• d) Sprinkler riser diagram

  Yes

  No

  N/A

• e) Basic contact information including property team and vendors

  Yes

  No

  N/A

2) All fire protection system tests and inspections are conducted in accordance with NFPA (25/10/12/12A/15/16/17/72 etc) and local codes by a licensed contractor or qualified individual as specified by the NFPA and are available for review. Copies of inspections, test reports, and corrective actions are on file. Service Agreements include language in the scope of work requiring the Contractor to follow all applicable codes

• a) Wet Sprinkler Systems

  Yes

  No

  N/A

• b) Dry Sprinkler Systems

  Yes

  No

  N/A

• c) Pre-action Systems

  Yes

  No

  N/A

• d) Deluge Systems

  Yes

  No

  N/A

• e) Gaseous (clean agent, wet\dry, Halon) suppression, water mist, fire water tanks, Ansul, foam & CO2 Systems

  Yes

  No

  N/A

• f) Fire alarm systems, including elevator recall, smoke doors, smoke fans, etc

  Yes

  No

  N/A

3) Sprinkler Systems

• a) Replace and/or test sprinkler heads in accordance with (NFPA 2520205.3.1.)

  Yes

  No

  N/A

• b) NFPA 25 2020 5.3.1.1.1 5.3.1.1.2 Where sprinklers have been in service for 50 years, they shall be replaced or representative samples from one or more sample areas shall be tested, then at 10 year intervals thereafter. Sprinklers manufactured prior to 1920 shall be replaced

  Yes

  No

  N/A

• c) NFPA 25 2020 5.3.1.1.1.3 Sprinklers manufactured using fast response elements that have been in service for 20 years shall be replaced, or representative samples shall be tested and then retested at 10year intervals

  Yes

  No

  N/A

• d) NFPA 25 2020 5.3.1.1.1.4 Representative samples of solder type sprinklers with a temperature classification of extra high [325°F (163°C)] or greater that are exposed to semi continuous to continuous maximum allowable ambient temperature conditions shall be tested at 5year intervals

  Yes

  No

  N/A

• e) NFPA 25 2020 5.3.1.1.1.5 Where sprinklers have been in service for 75 years, they shall be replaced or representative samples from one or more sample areas shall be submitted to a recognized testing laboratory acceptable to the authority having jurisdiction for field service testing and repeated at 5year intervals. According to 5.3.1.2 a representative sample of sprinklers for testing per 5.3.1.1.1 shall consist of a minimum of not less than four sprinklers or 1 percent of the number of sprinklers per individual sprinkler sample, whichever is greater. 5.3.1.3 Where one sprinkler within a representative sample fails to meet the test requirement, all sprinklers within the area represented by that sample shall be replaced

  Yes

  No

  N/A

• f) In Accordance with NFPA 25 2020 5.3.1.1.1.6 Dry sprinklers that have been in service for 10 years shall be replaced or representative samples shall be tested and then retested at 10year intervals

  Yes

  No

  N/A

4) Sprinkler System Gauges: In addition to the usual quarterly gauge inspections performed by service contractors in accordance with NFPA 25 2020 5.2.4.1 (which requires that gauges on wet pipe and deluge sprinkler systems shall be inspected quarterly to ensure that they are in good condition and that normal water supply pressure is being maintained):

• a) Gauges on dry and pre-action systems shall be inspected weekly to ensure that normal air or nitrogen and water pressures are being maintained per the requirements of 5.2.4.2. This requirement can be performed by trained in-house personnel and is not usually part of standard testing, inspection and maintenance services found in vendor service agreements

  Yes

  No

  N/A

• b) Gauges shall be replaced every 5 years or tested every 5 years by comparison with a calibrated gauge. Gauges not accurate to within 3 percent of the full scale shall be recalibrated or replaced. (NFPA 252020 5.3.2.1). Each gauge shall be labeled with the test or replacement date

  Yes

  No

  N/A

• c) NFPA 25 2020 6.3.1.1 A flow test shall be conducted every 5 years at the hydraulically most remote hose connections of each zone of an automatic standpipe system to verify the water supply still provides the design pressure at the required flow

  Yes

  No

  N/A

5) Fire pump inspections and tests: Fire Pumps are inspected and tested in accordance with (NFPA 252020 Section 8). Evidence of the following is available for review:

• a) Weekly inspection of the fire pump house equipment includes verifying adequate environmental temperature, pump system valves, piping and gauges and electrical system are in operating order and (if equipped) diesel engine or steam system check has been completed per NFPA 25 2020 8.2.2

  Yes

  No

  N/A

• b) No Flow condition (Churn test); Frequency. In accordance with NFPA 25 2020 8.3.1 through 8.3.2.9. for diesel driven fire pumps; weekly. For electric fire pumps; monthly, except for electric fire pumps serving fire protection systems in high rise buildings that are beyond the pumping capacity of the fire department and are not equipped with a redundant pump; or for systems with limited controllers, or those equipped with vertical turbines or for fire pumps taking suction from ground level tanks or a water source that does not provide sufficient pressure to be of material value without the pump; weekly. Qualified personnel shall be in attendance whenever the pump is in operation per 8.3.2.7

  Yes

  No

  N/A

• c) Per NFPA 25 2020 8.3.3.1 An annual test of each pump assembly shall be conducted by qualified personnel under noflow (churn), rated flow, and 150 percent of the pump rated capacity flow of the fire pump by controlling the quantity of water discharged through approved test devices

  Yes

  No

  N/A

• d) Flow test documentation is available for review

  Yes

  No

  N/A

• e) Fire Pump Maintenance (1) NFPA25 2020 8.5.1 A preventive maintenance program shall be established on all components of the pump assembly in accordance with the manufacturer’s recommendations or Table 8.1.2. (2) 8.5.2 Records shall be maintained on all work performed on the pump, driver, controller, and auxiliary equipment. (3) 8.5.3 The preventive maintenance program shall be initiated immediately after the pump assembly has passed acceptance tests

  Yes

  No

  N/A

6) Diesel driven fire pumps maintenance and testing

• a) Diesel driven fire pumps shall be maintained and tested in accordance with (NFPA 252011 8.5)

  Yes

  No

  N/A

7) Inspection, Testing and Maintenance of valves, valve components and trim per NFPA 25 2020 13.1.1.1, including:

• a) Each control valve shall be operated annually through its full range and returned to its normal position (NFPA 252020 13.3.3.1)

  Yes

  No

  N/A

• b) Per NFPA 25 2020 13.4.2.1 Inspection. Check and Alarm valves shall be inspected internally every 5 years to verify that all components operate correctly, move freely, and are in good condition. 13.4.2.2 Maintenance. Internal components shall be cleaned, repaired, or replaced as necessary in accordance with the manufacturer’s instructions

  Yes

  No

  N/A

• c) NFPA 2020 13.5.1 Inspection and Testing of Sprinkler Pressure Reducing Valves. Sprinkler pressure reducing valves shall be inspected quarterly and tested (full flow test on a five year basis) as described in 13.5.1.1 and 13.5.1.2. (Quarterly and 5yearly)

  Yes

  No

  N/A

• d) NFPA 25 2020 14.2.1 Except as discussed in 14.2.1.1 and 14.2.1.4 an inspection of piping and branch line conditions shall be conducted every 5 years by opening a flushing connection at the end of one main and by removing a sprinkler toward the end of one branch line for the purpose of inspecting for the presence of foreign organic and inorganic material. It is permissible on buildings with multiple systems to inspect every other system on a five year basis if no significant foreign materials or corrosion are found (14.2.2). 14.2.1.3 Most piping systems may contain some foreign material or other evidence of corrosion but not sufficient to trigger an obstruction investigation. Furthermore, an internal inspection is primarily an inspection for determining corrosion of the pipe, but it may result in finding the presence of material that would be an obstruction to piping or sprinklers. If such is found, an obstruction investigation in Section 14.3 is required

  Yes

  No

  N/A

8) Fire protection system back flow prevention assemblies

• a) Back flow prevention assemblies Per NFPA 25 2020 13.6.1.1 The isolation valves on double check assemblies (DCA) and double check detector assemblies (DCDA) shall be inspected weekly to ensure that the valves are in the normal open position and (13.6.1.2) The isolation valves on reduced-pressure assemblies (RPA) and reduced-pressure detector assemblies (RPDA) shall be inspected weekly to ensure that the valves are in the normal open position. If the inspection valves are equipped with As part of that inspection valves equipped with locks or monitored with electronic supervision they may be inspected monthly should be inspected to ensure that they are also in the normal open position

  Yes

  No

  N/A

• b) Per NFPA 25 2020 13.6.1.4* Back flow prevention assemblies shall be inspected internally every 5 years to verify that all components operate correctly, move freely, and are in good condition

  Yes

  No

  N/A

• c) Documentation of annual Back flow certification test is available and each valve is tagged with date of last inspection and signed off by a certified inspector

  Yes

  No

  N/A

9) Management of fire life safety system impairments:

• a) Management of fire life safety system impairments shall be in accordance with (NFPA 252020 Section 15) and property insurance carrier requirements

  Yes

  No

  N/A

• b) Written procedures exist for the property creating instructions and plans for impairments

  Yes

  No

  N/A

• c) Documentation exists that all team members have been trained on the Impairment Plan. Required Onetime, unless changes to process occur

  Yes

  No

  N/A

• d) A tag shall be used to indicate that a system, or part thereof, has been removed from service or impaired. The tag shall be posted at each fire department connection and system control valve indicating which system, or part has been removed from service. The authority having jurisdiction shall specify where the tag is to be placed

  Yes

  No

  N/A

• e) A preplanned impairment program is in place in accordance with (NFPA 252015 15.5) where a required fire protection system is out of service for more than 10 hours in a 24hour period

  Yes

  No

  N/A

10) All portable fire extinguishers are inspected, maintained, and tested:

• a) All portable fire extinguishers are inspected, maintained, and tested in accordance with OSHA 29 CFR 1910.157. Team can provide documentation of the plan and status of the inspection and maintenance program

  Yes

  No

  N/A

• b) Portable fire extinguishers are checked monthly for proper charge, location, signage, and clear access. Each fire extinguisher card is signed monthly indicating it has been inspected

  Yes

  No

  N/A

• c) A fire extinguisher distribution plan has been conducted for the base building to confirm application and density compliance with OSHA 29 CFR 1910.157 part (d), Selection and Distribution. A copy of this Plan is available on site. The plan can be applied to floor prints showing location of units. The Plan is reviewed and updated annually, as required by code or change in occupancy

  Yes

  No

  N/A

• Yes

  No

  N/A

Compliance Fire Life Safety (continued)

• 1) The life safety system(s) are monitored 24 hours per day .The life safety system monitoring service is tested annually. Testing contractor to document monitoring services acknowledgement of test

  Yes

  No

  N/A

• 2) Flammable and combustible storage practices are in compliance with NFPA 30 2022 9.9.5 “Flammable and Combustible Liquid Code” and OSHA 29 CFR 1910.106

  Yes

  No

  N/A

• 3) Testing and Maintenance for Fire Dampers shall follow (NFPA 80), Standard for Fire Doors and Other Opening Protective, 2022 Edition (NFPA 90A), Standard for the Installation of AirConditioning and Ventilating Systems, 2022 Edition (NFPA 105), Standard for Smoke Door Assemblies and Other Opening Protective, 2022 Edition. Follow all directives from the NFPA requirements; each damper shall be tested and inspected one year after installation. The test and inspection frequency shall then be every 4 years, except in hospitals, where the frequency shall be every 6 years according to NFPA 10510 8.5.2

  Yes

  No

  N/A

• 4) In accordance with NFPA 72: National Fire Alarm and Signaling Code, 2022 Chapter 14: Inspection, Testing, and Maintenance: Smoke detectors and smoke alarms should be inspected and tested at the following frequency: Smoke detectors shall be visually inspected on a Semiannual basis and tested (functional test) Annually

  Yes

  No

  N/A

• 5) Emergency stairwell directional signs and identification clearly marked in accordance with OSHA, NFPA, and local code

  Yes

  No

  N/A

• 6) All emergency egress lighting is operational. Functional testing shall be conducted annually for a minimum of 1.5 hours if the emergency lighting system is battery powered in compliance with NFPA 1012022 7.9.3.1.1 (2). Documentation is available for review

  Yes

  No

  N/A

• a) Functional testing shall be conducted monthly, for not less than 30 seconds, except as otherwise permitted per NFPA 101 2022 7.9.3.1.1(2)

  Yes

  No

  N/A

• b) Emergency Power Supply Systems (EPSSs). NFPA 1102022 requires an EPSS system that supports life safety systems (where failure of the equipment to perform could result in loss of human life or serious injuries) that the routine maintenance and testing of the system has to be maintained to Level 1 per the manufacturers recommendations, the instruction manuals, the requirements of NFPA 110 and the Authority Having Jurisdiction. In accordance with Section 8.4; Operational Inspection and Testing for EPSSs shall be initiated at an ATS, shall include all appurtenant components and shall be inspected weekly. Instruction manuals shall be kept in a secure convenient location, once set near the equipment, and the other set in a separate location for Level 1 systems

  Yes

  No

  N/A

• 7) Diesel generator sets in service shall be exercised at least once monthly, for a minimum of 30 minutes, using one of the following methods: (1) Loading that maintains the minimum exhaust gas temperatures as recommended by the manufacturer (2) Under operating temperature conditions and at not less than 30 percent of the EPS standby nameplate kW rating (8.4.2). Dieselpowered EPS installations that do not meet this requirement shall be exercised monthly with the available EPSS load and shall be exercised annually with supplemental loads at not less than 50 percent of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75 percent of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours

  Yes

  No

  N/A

• a) Duration testing: Level 1 EPSS shall be tested at least once within every 36 months; and shall be tested continuously for the duration of its assigned class (see NFPA 110, Section 4.2). This is typically 4 hours but the code does not require a duration of more than 4 hours per Section 8.4.9.2. The test shall be initiated by operating at least one transfer switch test function and then by operating the test function of all remaining ATSs, or initiated by opening all switches or breakers supplying normal power to all ATSs that are part of the EPSS being tested. A power interruption to non-EPSS loads shall not be required (8.4.9.4). For a diesel powered EPS, loading shall be not less than 30 percent of the nameplate kW rating of the EPS. A supplemental load bank shall be permitted to be used to meet or exceed the 30 percent requirement. For a diesel powered EPS, loading shall be that which maintains the minimum exhaust gas temperatures as recommended by the manufacturer. Where the duration test is combined with the annual load bank test, the first 3 hours shall be at not less than the minimum loading required above and the remaining hour shall be at not less than 75 percent of the nameplate kW rating of the EPS (8.4.9.7)

  Yes

  No

  N/A

• 8) NFPA 5000 2022 8.8.2 Fire stop Systems and Devices Required. Penetrations for cables, cable trays, conduits, pipes, tubes, combustion vents and exhaust vents, wires, and similar items to accommodate electrical, mechanical, plumbing, and communications systems that pass through a wall, floor, or floor/ceiling assembly constructed as a fire barrier shall be protected by a fire stop system or device

  Yes

  No

  N/A

Inspection of Door Openings. Door assemblies shall be inspected and tested not less than annually in accordance with NFPA 101 and NFPA 80 2022

• a) (1) Door leaves equipped with panic hardware or fire exit hardware (2) Door assemblies in exit enclosures (3) Electrically controlled egress doors (4) Door assemblies with special locking arrangements

  Yes

  No

  N/A

• b) Fire-rated door assemblies shall be inspected and tested in accordance with NFPA 80, Standard for Fire Doors and Other Opening Protectives. Smoke door assemblies shall be inspected and tested in accordance with NFPA 105, Standard for Smoke Door Assemblies and Other Opening Protectives

  Yes

  No

  N/A

• c) Functional testing of door assemblies shall be performed by individuals who can demonstrate knowledge and understanding of the operating components of the type of door being subjected to testing according to NFPA 1012022 7.2.1.15.5

  Yes

  No

  N/A

Policy Fire Life Safety

• 1) A preventive maintenance system is used to monitor all inspections, tests and service work performed on fire protection, portable fire extinguishers and life safety systems

  Yes

  No

  N/A

• 2) All flammable liquids are stored in either FM or UL listed flammable storage cabinets

  Yes

  No

  N/A

• 3) A written plan, complete with checklist, to tour the property at least monthly to identify fire hazards, obstacles in evacuation routes, and other unsafe conditions has been established or made part of the preventive maintenance program

  Yes

  No

  N/A

• 4) Diagrams are in place in the pump room indicating the location of all piping, devices, and pressure reducing valves (if applicable) on the fire protection systems

  Yes

  No

  N/A

35) A sign indicating the presence or absence of pressure reducing valves is posted:

• a) At the main fire protection water service entrance

  Yes

  No

  N/A

• b) Adjacent to the fire pump

  Yes

  No

  N/A

• c) At the fire command center

  Yes

  No

  N/A

Compliance Team Safety

1) In accordance with OSHA Standard 29 CFR 1910Subpart I:

• a) A hazard assessment of the workplace has been completed within the past two years

  Yes

  No

  N/A

• b) A safety program reflecting the hazards identified in the assessment has been developed for the site (see Chapter 4, Personal Protective Equipment, of the Safety Program)

  Yes

  No

  N/A

• c) Personal protective equipment (PPE) has been issued to each member of the team wherever indicated by the workplace hazard assessment (see Chapter 4, Hazard Assessment, of the Safety Program)

  Yes

  No

  N/A

• d) There is evidence that each member of the team has been trained in the use of personal protective equipment. This training is required for onetime exceptions refer to Chapter 4.2.0, Personal Protective Equipment, of the Safety Program)

  Yes

  No

  N/A

• 2) Personal protective equipment is inspected, stored, used and maintained in a sanitary and reliable condition(see Chapter 4.5.0, Personal Protective Equipment, of the Safety Program)

  Yes

  No

  N/A

• 3) If the operations and maintenance at the property requires respiratory protection, the property complies with Chapter 4.4.C of the Safety Program, Respiratory Protection Program (SCBA)

  Yes

  No

  N/A

• 4) Property specific safety/hazard training has been identified by the hazard assessment, review of the safety training matrix and OSHA regulations and completed

  Yes

  No

  N/A

5) A written, site-specific hazard communication program:

• a) Is in place in compliance with the Safety Program (see Chapter 2.10, Hazard Communication/ Globally Harmonized System (GHS) )

  Yes

  No

  N/A

• b) Material Safety Data Sheets (MSDS)/ Safety Data Sheets (SDS) from contractors are up to date and available. (Electronic Database or Binder)

  Yes

  No

  N/A

• c) A record copy of letters requesting MSDS/ SDS from tenant/occupant, permanent contractors and part time contractors (letter sent annually should state that the tenant/occupant is required to submit to the building) is available for review. And/or manufacturing sites adhere to client specific MSDS/ SDS review process frequency, and a copy of the program has been communicated to employees and contractors

  Yes

  No

  N/A

• d) Documentation of communication to contractors indicating the presence of hazardous materials is available for review

  Yes

  No

  N/A

• e) An inventory of all chemicals and products with an MSDS/ SDS is on file (Electronic Database or Binders)

  Yes

  No

  N/A

• f) Description of container labeling policy in compliance with OSHA point of use container labeling requirements

  Yes

  No

  N/A

• g) There is evidence that each member of the team has received HazCom program training. Training is required annually (for exceptions refer to Safety Program Chapter 2.6, Hazard Communication)

  Yes

  No

  N/A

7) A written, site-specific lockout/tagout program per Chapter 7.I, Lockout Tagout, in accordance with Safety Program is in place. It contains:

• a) Lockout/tagout procedures and annual audit/inspection of employees performing LOTO procedures or of the LOTO procedures

  Yes

  No

  N/A

• b) There is evidence that each member of the team has received lockout/tagout program training (this training is required annually; refer to Safety Program Chapter 7.H, Lockout Tagout.)

  Yes

  No

  N/A

9) When emergency eyewash and/or shower units are required by the workplace hazard assessment, they:

• a) Are fully functional at all times

  Yes

  No

  N/A

• b) Are located near the workstation where injurious corrosive materials are used. Access to the emergency eyewash/shower stations should be unobstructed and take no more than ten seconds to reach

  Yes

  No

  N/A

• c) Are maintained and tested in accordance with manufacturer's recommendations, ANSI Z358.1, and buildings can supply supporting documentation

  Yes

  No

  N/A

• d) The area around the emergency eyewash\shower station is free of obstructions in accordance with ANSI Z358.1

  Yes

  No

  N/A

• e) Water supplying emergency eyewash/shower stations is supplied in accordance with ANSI Z358.1. Piping shall comply with ANSI requirements

  Yes

  No

  N/A

• 10) A first aid kit is maintained in near proximity to mechanical rooms and/or engineering spaces. Supplies must not be past their expiration date

  Yes

  No

  N/A

11) Ladder Safety:

• a) All portable ladders are maintained in good working condition. Ladders on the property do not have damaged rungs, split or cracked side rails. (Chapter 1. Appendix 1, Safety Program)

  Yes

  No

  N/A

• b) All fixed ladders with a length of 20 feet or more are equipped with cages or a ladder safety device. (see OSHA 1910.27)

  Yes

  No

  N/A

• c) No fixed ladders with substandard pitches are on site

  Yes

  No

  N/A

• d) There is evidence showing that all team members have been trained in the safe use of ladders. Required annually

  Yes

  No

  N/A

• 12) Lighting in the mechanical areas and inside equipment housing is adequate to present a safe working environment

  Yes

  No

  N/A

• 13) Safety hazards have been appropriately labeled or marked in the work place (for instance trip hazards painted yellow) (see Chapter 2, of the Safety Program)

  Yes

  No

  N/A

• 14) Documentation exists showing that team members have been trained in the proper use of aerial platforms (scissors lifts, boom lifts, etc.) and are following procedures in accordance with the OSHA 1910.67. Required OneTime, training must be specific to the brand and model of equipment used

  Yes

  No

  N/A

• 15) Warning signs and mechanisms are in place to prevent people from getting near warehouse docks.

  Yes

  No

  N/A

15) Fall Prevention, Roof Access Control, and Window Washing

• a) Fall Prevention as well as window washing equipment has been installed per OSHA 1910.66, Fall Protection, of the ANSII14.1 and local codes. Documentation is available for review

  Yes

  No

  N/A

• b) An annual inspections of suspended maintenance equipment, tieback and lifeline anchors are performed by a qualified individual

  Yes

  No

  N/A

• c) A ten-year recertification of all suspended maintenance equipment, tieback and lifeline anchors by a registered professional engineer

  Yes

  No

  N/A

• d) A log showing usage of suspended maintenance equipment is maintained

  Yes

  No

  N/A

• e) Safety harnesses onsite are in safe condition, are inspected before each use and stored in a sanitary manner

  Yes

  No

  N/A

• f) There is evidence that personnel have been trained in fall protection procedures and how to properly use the site’s fall protection equipment and PPE (See Safety Program, Chapter 1.7, Training and Instruction)

  Yes

  No

  N/A

• g) There is evidence personnel are trained and in compliance with Roof Access Control Program

  Yes

  No

  N/A

• h) Loads should be placed evenly and properly positioned, heavier loads must be stacked on lower or middle shelves. Always remember to remove one load at a time.

  Yes

  No

  N/A

16) Electrical and Arc Flash Safety

• a) In accordance with (OSHA Standard 29 CFR 1910.331 1910.339, NFPA 70E and NEC), an Electrical Safety Program is in place and documented which includes Arc Flash

  Yes

  No

  N/A

• b) All substation, power and lighting panels are only accessible to qualified personnel

  Yes

  No

  N/A

• c) All panels will be labeled with circuit identification (NEC 408.4) and Arc Flash potential warning (OSHA Standard 29 CFR 1910, NFPA 70E)

  Yes

  No

  N/A

17) Electrical Qualification Procedure:

• a) Electrical qualification and training requirements are documented

  Yes

  No

  N/A

• b) Documentation exists showing team members doing electrical work are qualified

  Yes

  No

  N/A

18) Flash Hazard Protection Procedure:

• a) Minimum clearance distance is maintained around electrical equipment. Maintain 36 to 42 inches of clearance space in front of 120v to 600v panels and disconnects based on NEC code

  Yes

  No

  N/A

• b) Team members have been trained on 'approach distances'. Required onetime, unless there are changes to codes and standards.

  Yes

  No

  N/A

• c) A Matrix exists showing the PPE needed for work on equipment identified in the flash hazard study

  Yes

  No

  N/A

• d) PPE and rated tools are maintained and properly stored

  Yes

  No

  N/A

19) Energized Work Permit Procedure:

• a) Energized Work Permit Procedure is in place covering any energized work above 50V

  Yes

  No

  N/A

• b) There is a written policy governing work performed on or near energized equipment

  Yes

  No

  N/A

• c) The site has and follows a permit system for working on energized electrical equipment

  Yes

  No

  N/A

• d) The energized electrical equipment permit system restricts energized work to 600 volts or less

  Yes

  No

  N/A

• e) The permit system requires a qualified person to review and approve energized electrical work

  Yes

  No

  N/A

• 20) Mandatory State and Federal employment notices are posted in a conspicuous place

  Yes

  No

  N/A

• 21) The team has established incident reporting and record keeping program. OSHA 300 logs are maintained at the account level. OSHA 300 logs are posted (February 1 April 30th) for previous year Recordable cases (electronic posting)

  Yes

  No

  N/A

22) Machine Guarding:

• a) One or more methods of machine guarding shall be provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks

  Yes

  No

  N/A

• b) Guards shall be affixed to the machine and secured

  Yes

  No

  N/A

• c) Guards shall be such that it is not an accident hazard

  Yes

  No

  N/A

23) Walking and Working Surfaces OSHA 29 CFR 1910.22 and the ANSI A1264.2-2006 Provision for the Slip Resistance on Walking/Working Surfaces

• a) Floors are marked with yellow tape or paint to identify walkway barriers

  Yes

  No

  N/A

• b) Slip resistant coating or surfaces are in place in all areas as required

  Yes

  No

  N/A

24) Contractor Management:

• a) A contractor safety management program is in place (see Chapter 2.7 Contractors) in Safety Program

  Yes

  No

  N/A

Client Policy Team Safety

• 25) If AED devices are kept at the property, there must be an OEM maintenance program in place with a qualified supplier to provide medical supervision, equipment training and maintenance, first aid training and annual inspection requirements. The supplier contract must be either with a supplier who has a pre-approved contract with Client or Client legal. All supporting documentation is maintained at the property

  Yes

  No

  N/A

• 27) The team is trained on Client Engineering Services policies. Team members have signed off upon receipt of training. Required onetime; unless changes to policies

  Yes

  No

  N/A

28) Goals and Objectives for all engineering staff members:

• a) Goals and Objectives state that the site must be compliant with the Client Engineering Services Safety Program within 12 months of startup and remain compliant

  Yes

  No

  N/A

• b) All engineering personnel must participate in continuing technical education such as online safety program

  Yes

  No

  N/A

Compliance Environmental Hazards Procedures

1) Buildings completed before 1981 with Presumed Asbestos Containing Materials (OSHA Designation) and any building with documented asbestos comply with OSHA asbestos requirements:

• a) Evidence of tenant/occupant, contractor, and employee asbestos notification is maintained at the property. All copies of asbestos surveys from our clients are located onsite and available for communicating with our people and subcontractors

  Yes

  No

  N/A

• b) Annual asbestos awareness and safety training is documented in the employee’s personnel file and in the site training matrix and records. Employee's training is current

  Yes

  No

  N/A

• c) Warning signs, labels, or other notices identify asbestos materials in the property

  Yes

  No

  N/A

• d) No damaged asbestos or asbestos debris is present in the property, except as managed by secured access and signage

  Yes

  No

  N/A

• 2) Disposal records are maintained at the property for each regulated waste stream. Examples of a regulated waste stream includes used oil, waste paint, spent fluorescent bulbs, ballasts, most electronics, batteries, asbestos and parts cleaner. When the waste disposal is the responsibility of a service contractor, that responsibility is defined in the contract

  Yes

  No

  N/A

• 3) Each inservice underground storage tank has been assigned a (certified) designated tank operator. Records of tank operator certification are maintained at the site and are current

  Yes

  No

  N/A

• 4) When applicable, complete records of underground storage tank manual tank gauging, integrity testing and routine inspections are kept at the property. The site has a documented program for managing USTs, including a documented leak detection program

  Yes

  No

  N/A

• 5) When present, automatic tank gauging or vapor monitoring systems are tested monthly. Tightness testing of piping every three years or as required by state regulation

  Yes

  No

  N/A

• 6) Registration placards for any underground storage tanks are maintained in the engineer’s office or the office of the building

  Yes

  No

  N/A

• 7) All liquid bulk storage (chemical, fuel and waste) containers are properly labeled, stored and in good condition. Storage locations are secure and isolated from drains, soils or porous surfaces by berms or secondary containment

  Yes

  No

  N/A

• 8) Waste accumulation containers are clearly labeled stating the contents of the container. Hazardous waste accumulation container labeling contains all required information. Hazardous waste storage and inspection methods meet all state or AHJ requirements

  Yes

  No

  N/A

• 9) Spill response kits are kept as near as practical to chemical storage and used

  Yes

  No

  N/A

10) Above ground storage tanks comply with applicable regulations & codes:

• a) Monthly tank inspection and annual inspections satisfy the Steel Tank Institute SP001 standard [when total above ground bulk storage of fuel or other hazardous materials storage exceeds 1320 gallons in containers of 55 gallons or greater; or as mandated by state or local regulation.]

  Yes

  No

  N/A

• b) Secondary containment is either integral to the tank or a physical containment has been added that equals or exceeds 110% of the tank volume

  Yes

  No

  N/A

• c) Written procedures are in place to prevent delivery overfills and spill response

  Yes

  No

  N/A

• 11) A Spill Prevention, Control and Countermeasure plan has been completed, when total above ground bulk storage of fuel or other hazardous materials storage exceeds 1320 gallons in containers of 55 gallons or greater. The plan is sealed by a Professional Engineer or other competent person and signed by a site manager. All activities specified in the SPCCP are being accomplished on schedule, and there is a record of those activities

  Yes

  No

  N/A

• 12) Air emission permits are maintained current for any regulated equipment, including stationary generators, boilers, and commercial water heaters. The operating, monitoring and maintenance requirements in the permit(s) are being conducted and recorded

  Yes

  No

  N/A

• 13) Annual state Tier II registration has been completed when a property has a bulk fuel storage exceeding 1420 gallons or a lead acid uninterruptable power supply exceeding a gross weight of 2750 pounds. These are common examples of reporting requirements, but there are more extensive requirements that may need to be met. The site must go to the applicable State Tier II reporting site and review reporting thresholds and requirements for applicability annually. (Most sites are required to complete this registration by March 1 of each year)

  Yes

  No

  N/A

• 14) For regulated waste stream procedures are in place for handling, storage, managing these material and required training has been completed

  Yes

  No

  N/A

Environmental Hazards Procedures

• 15) A copy of existing environmental inspection reports for the entire property, such as a Phase I Environmental Assessment Report, a Phase II Environmental Assessment Report, Asbestos Inspection Reports and historical records pertaining to remediation have been requested from ownership

  Yes

  No

  N/A

• 16) When such reports are available, copies of the reports are maintained on file in the office of the building

  Yes

  No

  N/A

• 17) Any recommendations in the reports have been resolved and/or a plan is in place

  Yes

  No

  N/A

• 18) Waste water permits are maintained and current for any regulated discharge. These may be POTW, NPDES direct, Storm water in place and monitored or required. The operating, monitoring and maintenance requirements in the permit(s) are being conducted and recorded

  Yes

  No

  N/A

Compliance-Maintenance Inspection

• 19) Building valve charts are located appropriately in keeping with local codes

  Yes

  No

  N/A

• 20) Boiler and pressure vessel licenses are located appropriately in keeping with local codes

  Yes

  No

  N/A

• 21) Operating licenses (both equipment and personnel) located appropriately in keeping with local codes

  Yes

  No

  N/A

• 22) Electrical closet conditions are in compliance with local, state, or federal codes

  Yes

  No

  N/A

Maintenance Inspection

• 23) There is a written policy evidencing that no tools or equipment are loaned or rented to tenants/occupants, vendors, employees or contractors

  Yes

  No

  N/A

• 24) An ownership approved vendor is providing water treatment services in accordance with the Buildings water treatment policy including Key Performance Indicators (KPI's).

  Yes

  No

  N/A

• 25) The property has written access control program/policy in place. This program attempts to secure the building perimeter and security sensitive areas such as mechanical/electrical rooms from entry by unauthorized personnel. The program/policy also defines access control measures for tenants, vendors, employees and visitors

  Yes

  No

  N/A

• 26) The access control program includes electronic access cards and keys. The program requires that contractors are not allowed to remove keys from the property. Under no circumstances will a contractor be issued a permanent access to any part of the building. Only temporary access is issued and any access device must be turned in at the end of the day. No grand master keys may leave the property

  Yes

  No

  N/A

• 27) All doors for building perimeter, loading dock, roof, set back, mechanical spaces, electrical spaces, shops, etc. are secured in a manner consistent with the property security program

  Yes

  No

  N/A

28) A written key control system exists that encompasses the following:

• a) Master control/key system

  Yes

  No

  N/A

• b) Employee access

  Yes

  No

  N/A

• c) Vendor access

  Yes

  No

  N/A

• d) Occupant access

  Yes

  No

  N/A

• e) Building hardware inventory

  Yes

  No

  N/A

• f) Key blank inventory

  Yes

  No

  N/A

• g) Occupant suite keys

  Yes

  No

  N/A

• h) Mailbox keys

  Yes

  No

  N/A

• i) Logical repining sequence

  Yes

  No

  N/A

• 29) All keys, blanks, pinning equipment, cutting equipment, and tools are in a secured area

  Yes

  No

  N/A

• 30) All perimeter door access keys have “Do Not Duplicate” stamped on them

  Yes

  No

  N/A

• 31) Keys issued or controlled by the security team are stored in a locked cabinet

  Yes

  No

  N/A

• 32) A written, dated key list is used to catalog all keys

  Yes

  No

  N/A

• 33) All FAA building lighting is operational and an inspection plan is documented

  Yes

  No

  N/A

Compliance-Vertical Transportation

1) The following equipment areas and enclosures are clean and well maintained per local code:

• a) Elevator

  Yes

  No

  N/A

• b) Escalator

  Yes

  No

  N/A

• c) Hoist equipment

  Yes

  No

  N/A

• d) Hydraulic pump

  Yes

  No

  N/A

• e) Control

  Yes

  No

  N/A

• f) Sump

  Yes

  No

  N/A

• g) Shaft bottom (a.k.a. pit)

  Yes

  No

  N/A

• 2) Elevator governors have been tested and current permanent test tags are in place per local code

  Yes

  No

  N/A

• 3) Absolutely no flammables are stored in elevator machine rooms. Flammable cabinets are not used in elevator machine rooms

  Yes

  No

  N/A

• 4) If applicable, Man-lifts used in parking structures (these are not scissor type lifts) are designed, operated and maintained in accordance with (OSHA 1910.68.)

  Yes

  No

  N/A

• 5) Entrapment reports are created for each entrapment. Copies are maintained on site and filed with local authorities as required

  Yes

  No

  N/A

• 6) Elevator phone/call boxes operate as designed. (To be spot checked by the auditor on 2 or more elevators)

  Yes

  No

  N/A

• 7) Pressure relief valves on hydraulic elevator units shall be tested annually in accordance with ASME A17.12007 section number 8.11.3.2.1 and 8.11.3.2.2. Test tag or documentation is on file for review

  Yes

  No

  N/A

• 8) Elevator and escalator operating permits are posted in accordance with local code

  Yes

  No

  N/A

• 9) Firefighters emergency operations (Phase#1, Phase#2 as applicable), shall be tested and documented monthly in accordance with ASME A17.12007 section number 8.11.2.2.6, and per Authority Having Jurisdiction

  Yes

  No

  N/A

• 10) Standby or emergency power operations shall be tested and documented annually in accordance with ASME A17.12007 section number 8.11.2.2.7. Evidence that the elevator emergency sequence of operation has been tested using emergency power is available for review

  Yes

  No

  N/A

Policy-Vertical Transportation

• 11) The team has been fully trained in building policies regarding elevator rescues, elevator emergencies, and entrapments. Evidence of this training should be documented. Required one time, unless changes to policy

  Yes

  No

  N/A

Compliance-Refrigeration Management

• 12) All required operating engineers have obtained refrigerant handling certificates from EPA approved sources. In addition, CFC Certification must be obtained from all contracted/vendor personnel prior to opening any refrigerant circuit. Documentation must be kept on file

  Yes

  No

  N/A

13) Service logs for ALL refrigerant equipment with circuits containing more than 50 pounds of refrigerant shall be kept. Equipment with multiple circuits shall have a log for each circuit. Note: Service logs must be kept for all circuits less than 50 lbs whenever a circuit is opened for repair. The following information shall be kept:

• a) Date of service

  Yes

  No

  N/A

• b) Service performed

  Yes

  No

  N/A

• c) Service agency

  Yes

  No

  N/A

• d) Amount of refrigerant added

  Yes

  No

  N/A

• e) Amount of refrigerant removed from equipment

  Yes

  No

  N/A

• f) Type and total amount of refrigerant charge in lbs

  Yes

  No

  N/A

• g) Annual estimated leak rate in lbs/year and the maximum allowable leak rate in lbs/yr

  Yes

  No

  N/A

• 14) All recovery or reclaim units purchased for service work have been registered with the EPA in accordance with Section 608 of the Clean Air Act. Supporting documentation is on file in the Chief Engineer/Lead Technical Person’s office

  Yes

  No

  N/A

15) A Refrigerant Stock Inventory shall be maintained on site. Copies of invoices and packing sheets listing the types and volumes of refrigerants purchased are kept on site. A refrigerant stock inventory sheet indicates the following:

• a) Type and amount of refrigerants purchased

  Yes

  No

  N/A

• b) Previous stock on hand

  Yes

  No

  N/A

• c) Refrigerant used

  Yes

  No

  N/A

• d) Remaining stock as of last inventory date

  Yes

  No

  N/A

• e) Amount removed from premises

  Yes

  No

  N/A

16) Refrigerant Monitoring Systems including Fan Purge Systems shall be installed per NFPA 1 Fire Code 2009, Chapter 53, ICC International Fire Code 2009 Chapter 6 Section 606 and ASHRAE 152010

• a) Refrigerant Monitoring Systems shall be tested in accordance with NFPA Fire Code Number 1 2009, Chapter 53, ICC International Fire Code 2009 Chapter 6 Section 606, the equipment manufactures specifications, ASHRAE 152010 and the authority having jurisdiction (AHJ)

  Yes

  No

  N/A

• b) Signage shall be place on all entry doors to machine rooms (inside and outside) and at each signaling device that designates and identify the meaning of all system status from visual and audible alarm devices

  Yes

  No

  N/A

• c) Signage shall be maintained per NFPA 1: 2009 53.2.4.1, ICC International Fire Code 2009 606.7, NFPA 704: 2007, and the Authority Having Jurisdiction (AHJ)

  Yes

  No

  N/A

• 17) When a mechanical room is required per ANSI/ASHRAE Standard 15 2010 and the ICC International Machinery Code 2009, Chapter 11, the AHJ may require a NIOSH approved self contained breathing apparatus, suitable for the refrigerant used. It shall be located outside but close to the machinery entrance. All SCBA units shall be installed in a dedicated wall mountable case

  Yes

  No

  N/A

• 18) Where the local AHJ requires SCBA units, annual training and equipment inspection is required per CFR 1910.134(k). All employees whose job duties include emergency response shall be required to receive physician’s approval prior to using self contained breathing apparatus. Documentation will be available on site

  Yes

  No

  N/A

Policy-Refrigeration Management

• 19) A Refrigerant Equipment Inventory is completed per the Refrigerant Management Manual and maintained on site

  Yes

  No

  N/A

• 20) Signage shall be posted within each area of refrigerant storage with the maximum allowable storage amount permitted. At minimum, signs shall be 8”x10” in size

  Yes

  No

  N/A

Compliance Indoor Air Quality

• 21) There is evidence that the HVAC system is operated and maintained to correspond with the building’s fresh air minimum design. Annual documentation of system performance is maintained at the property

  Yes

  No

  N/A

Policy Indoor Air Quality

22) The Client specific Indoor Air Quality Program is completed and available for review

• a) All indoor air quality complaints are recorded, investigated, and corrected in compliance with the client specific Indoor Air Quality program

  Yes

  No

  N/A

• b) Air plenums are not used for storage

  Yes

  No

  N/A

23) The following components within the air stream are clean and without indication of biological growth:

• a) Condensate pans

  Yes

  No

  N/A

• b) Fans

  Yes

  No

  N/A

• c) Floors

  Yes

  No

  N/A

• d) Other?

  Yes

  No

  N/A

• 24) Common areas are routinely free of noxious levels of contaminants

  Yes

  No

  N/A

25) Contractor rules prohibit the use of odor-causing or particulate-generating practices during business hours

• a) Language supporting this prohibition is contained in the Buildings Rules and Regulations

  Yes

  No

  N/A

• b) Language supporting this prohibition is contained in the vendor contracts, as appropriate

  Yes

  No

  N/A

Policy Energy Management

• 26) The account must participate in an energy program: either the EPA's Energy Star program, a client specific energy management program (which must be approved by Leading Edge team) . Benchmarking of energy data must occur within 90 days of transition

  Yes

  No

  N/A

• 27) Energy Star data must be accessible to Leading Edge ESS team

  Yes

  No

  N/A

• 28) Data in Energy Star Portfolio Manager must be current within 90 days at the time of the audit

  Yes

  No

  N/A