ASBESTOS PROJECT INSPECTION REPORT
City of Milwaukee
Department of Neighborhood Services
Environmental Health Section
Address of Project: _____________________________________________
Date of Project: _____________________________________________
Contractor: _____________________________________________
<Environmental Controls(29 CFR 1926.58), (29 CFR 1910.1001), (40 CFR Part 61), (40 CFR 763), (NR 447) |
NOK |
Project area adequately secured |
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Warning signs posted |
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Electrical power to area shut off |
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Temporary power with GFCI installed |
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Temporary water lines (if necessary) |
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Written emergency action plan on site Emergency phone number |
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Daily employee / visitor log-in sheet |
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Shut down of all HVAC systems |
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Temporary lighting used |
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Full containment / critical barriers |
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Negative air Number of Machines |
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Negative air vented outside |
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Proper decontamination area Number of Stages |
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Showers with hot and cold water, soap and towels |
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Shower water filtered |
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Wetting agents used |
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Waste load-out provided |
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Asbestos double-bagged, labeled and goose necked |
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Disposal facility |
Personal Protective Equipment(29 CFR 1910.1001 Appendix C), (29 CFR 1910.134), (40 CFR Part 763) |
NOK |
Number of workers on site |
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ID cards present, certification and or training type |
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Respirators provided Type |
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Written respirator protection program |
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Disposable clothing used |
Air Monitoring Clearance(29 CFR 1926.58), (40 CFR Part 763) |
NOK |
Personal Monitoring Sampler Laboratory Results |
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Visual inspection prior to clearance |
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Lockdown applied |
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Clearance monitoring Sampler Laboratory Results |
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Comments: |
Inspector: ____________________________________
Date: ____________________________________
Source: City of Milwaukee
Department of Neighborhood Services
Environmental Health Section