Environmental Health & Safety Department, Office of the Assistant Vice Chancellor for Regulatory Compliance
1784 Racine Street
Post Office Box 6508
Campus Box F484
Aurora, Colorado 80045
303) 724-0345
FAX (303) 724-0388
Subject:
ASBESTOS CONTROL PROGRAM
Date: 21 April 2010
Document Table of Contents:
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
XIV.
Purpose
Scope
Responsibilities
Medical Surveillance
Respirator Protection
Personal Protective Equipment
Asbestos in Soils (RESERVED)
Hazardous Communication
Standard Pre-abatement Protocol
Standard Protocol during Abatement
Emergencies and Unexpected Discovery of ACM.
Post Abatement Final Clearance Protocol
Asbestos Waste Disposal
Record keeping
Appendix A (1):
Appendix A (2):
Appendix B:
Appendix C:
Appendix D:
Appendix D-1:
Appendix D-2:
Appendix D-3:
Appendix D-4:
Appendix E-1:
Appendix E-2:
Appendix F:
UCD Asbestos Bulk Sampling Data Sheet
UCD Recording form for Asbestos Physical Assessment Data
UCD Air Monitoring Contractor Requirements
UCD Building Inspector Requirements
Facilities Projects: Projects Request Form and Scope of Work
Class I-III Asbestos Work Request Form
Class I-III Asbestos Work Request Form
Class I-III asbestos Work Evaluation Form (non-permit)
Evaluation Form (State Permit)
Air Sampling Data Sheet
Asbestos Air Clearance Data Sheet
Asbestos Building Materials Evaluation Form (non-mandatory)
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I.
Purpose:
This document outlines responsibilities and practices to protect faculty, staff, students,
patients, visitors, contractors and others from the release of airborne asbestos fibers
during routine maintenance activities; remodels or renovations; new construction-related
activities; information technology services; electronic security services; and abatement
activities for damaged asbestos-containing materials (ACM) or for other activities in
which contact with ACM may occur, and to comply with all applicable rules and
regulations set forth by the local, state and federal government.
II.
Scope:
This program applies to all University of Colorado Denver (UCD) Facilities Operations,
Construction Programs, IT Services, Security Services, including UCD Contractor
activities. Applicable asbestos regulations pertaining to this program are 40 CFR 763,
Subpart G (EPA’s Asbestos Worker protection Regulation), 29 CFR 1910.1001,
(Occupational Exposure to Asbestos in General Industry), , 29 CFR 1926.1101
(Occupational Exposure to Asbestos in Construction), and the Colorado Department of
Public Health and Environment (CDPHE) Air Quality Control Commission (AQCC)
Regulation Number 8, Part B (Control of Asbestos).
In order to protect the health of those individuals occupying UCD Buildings from the
release of airborne asbestos fibers, prior to any renovation or demolition in any of the
UCD Buildings which may disturb greater than the trigger levels (260 linear feet on
pipes, 160 square feet on other surfaces, and the volume equivalent of a 55-gallon drum)
and of material identified as a suspect asbestos-containing material (ACM), the UCD
Facility shall be inspected to be determined if abatement is required.
III.
Responsibilities:
To accomplish the purpose of this program, the following responsibilities are assigned:
A.
UCD Asbestos Program Coordination: The following are key coordination
activities needed to effectively implement the asbestos program.
1.
UCD Asbestos Coordinator: UCD Director of the Environmental Health
and Safety Department or EHS Director Designee.
The UCD Asbestos Coordinator (and designees) is ultimately responsible
for the University of Colorado Health Sciences Center’s Asbestos
Protection Program. The asbestos coordinator is responsible for ensuring
the following:
a. Employs a systematic approach to determine the hazards posed by the
ACM and selects controls/response options for that hazard.
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2.
b.
Review abatement specifications, plans, drawings, scope of work
(Appendix D), hazard evaluation checklist submitted by the
project managers.
c.
Participate in selection of asbestos environmental consultants and
abatement contractors.
d.
Review all Operations and Maintenance requests to perform Class
I through Class III Asbestos Work (Appendix D-1) and if
approved provide authorization for the Class I-III Asbestos Work
by filling out “Class I-Class III Asbestos Work Authorization
Form” (Appendix D-2).
e.
Reviews and interpret the results of the samples and their physical
characteristics submitted by the building inspector.
f.
Responsible for communicating with the U.S. Environmental
Protection Agency (EPA) and Colorado Department of Public
Health and Environment (CDPHE).
g.
Evaluate work practices employed during asbestos work not
addressed in pre-approved abatement plan, “Class 1-3 Work
Evaluation Form (non-permit)” (Appendix D-3).
h.
When assessing Colorado State Permitted projects the UCD
Asbestos Coordinator or designee will evaluate the project by
using the “UCHSC Asbestos Abatement Evaluation Form (State
Permit Work Only)” (Appendix D-4).
i.
Responsible to ensure that identified ACM within the UCD
Buildings on Campus are periodically evaluated and recorded on
the “Asbestos Building Materials Evaluation Form” (Appendix F).
j.
Responsible for the disposal of asbestos waste in accordance with
the local, state, and federal regulations and with the “Asbestos
Waste Disposal” Section XIII of this document.
k.
Checks all waste manifests.
l.
Ensures proper record keeping for manifests.
UCD Building Inspector(s): An individual certified with the Colorado
Department of Public Health and Environment (CDPHE) to perform
inspections and assessments of the suspect asbestos-containing material.
a.
Responsible for inspecting, assessing, and sampling for asbestoscontaining material (ACM) in all UCD buildings in accordance
with the guidance in the “UCD asbestos Bulk sampling Data sheet”
[Appendix A(1)] and “UCD Recording Form for Asbestos
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Physical Assessment Data” [Appendix A(2)]; ensuring EHS
receives the original asbestos sampling data sheet.
b.
Responsible for documenting building inspection reports in
accordance with the Colorado Air Quality Control Commission
(AQCC) Regulation # 8 (CDPHE-The Control of Asbestos).
c.
When it is necessary to hire an outside Building Inspector
Contractor for an UCD internal project, ensure the inspector or
inspection firm meets the criteria identified in the “UCD Air
Monitoring Contractor Requirements” (Appendix C).
Note: Formal inspections, assessments and sampling, as required by
Colorado Regulation # 8, will generally be conducted by an
outside contracted entity.
3.
UCD Air Monitoring Specialist: Is an individual certified through the
Colorado Department of Public Health and Environment (CDPHE) to
perform final visual clearance inspections or any air monitoring referred to
in Regulation Number 8.
a.
Responsible for performing visual inspections of each work area
where asbestos abatement was conducted to determine whether all
dust and debris has been removed.
b.
Responsible for performing air monitoring to determine the
Maximum Allowable Asbestos Level (MAAL) for final clearances
as well as ambient samples. The “Air Sampling Data sheet”
(Appendix E-1) and the Asbestos air clearance data sheet”
(Appendix E-2) is to be used to document this monitoring.
c.
Responsible for performing air sampling for Occupational Safety
and Health Administration’s (OSHA’s) personal and excursion
requirements.
d.
When it is necessary to hire an outside Air Monitoring Specialist
Contractor for an UCD internal project, ensure the individual or
firm meets the criteria identified in the “UCD Air Monitoring
Contractor Requirements” (Appendix B).
B. Facilities Project Managers and Facilities Operations Managers: The UCD
Facilities Project Manager, Operations Managers or Managers contracted by the
university and shall be responsible for coordinating asbestos related projects,
including informing the Environmental Health and Safety Department of work to
be performed, notifications to affected parties, providing required regulatory
information, serving as point of contact, resolving problems and other
management/coordination responsibilities. To achieve this goal the
responsibilities of the UCD Facilities Project and Operation Manager include, but
are not limited to the following:
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1. Notify the UCD Asbestos Coordinator or designee of the project as soon as
informed of the task.
a.
Provide written Scope of Work (SOW) (Appendix D) for the
project.
b.
Supply drawings of the area to be renovated or altered.
2.
Coordinate with the Building Inspector, that meets the criteria identified in
Appendix C, a time to perform the inspection of the building area to be
disturbed during the project to identify the potential ACBM with in the
project boundaries and ensure that the asbestos survey has been performed
and provides the information noted in Appendix A(1) and Appendix
A(2).
3.
The Project Manager or Operations Manager will perform due
diligence when involved with projects that will disturb the soil.
(RESERVED)
4.
The project manager should contract with the environmental consultant
separate from the asbestos abatement contractor and ensure that the
environmental consultants meet the requirements in Appendix B and/or
Appendix C.
5.
Ensure that the UCD Competent Person as defined in this UCD Asbestos
Control Program Document, Section III.G.4 is involved in Facilities
Projects and Operations projects that involve asbestos materials.
6.
Coordinate with groups, such as the Environmental Health and Safety
Department, Facilities Operations Building Proctors and Client, to resolve
questions and issues before beginning the bid process.
7.
Invite the UCD Asbestos Coordinator or designee to walk-throughs.
8.
Ensure that the UCD Asbestos Coordinator or designee is involved in the
bid selection process for asbestos abatement contractors.
9.
Ensure that the asbestos abatement contractor and all employees within
their employment tasked to handle asbestos are certified in the State of
Colorado.
10.
The asbestos abatement contractor is to be independent to the air
monitoring specialist and building inspector as defined in this document,
Section III.11.c.
11.
Ensure that the asbestos abatement contractor understands that they are
responsible for the following:
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a.
Processing the asbestos notice and permit application for the
asbestos project in accordance with Colorado AQCC Regulation #
8.
b.
Inform the CDPHE, Air Pollution Control Division of any permit
modification, variances, etc. Inform the UCD Asbestos
Coordinator or designee of those changes.
c.
When applicable, the contractor is responsible for supplying air
monitoring specialist that are independent of the contractor to
perform visual inspections of the regulated area and final air
samples.
d.
1.
“Independent means that a person is not an employee,
agent, representative, partner, joint venture, shareholder,
parent or subsidiary company of another person.”
2.
“Regulated areas are areas where Class I, II, and III
asbestos work shall be conducted. These operations have
the potential of causing airborne asbestos concentrations
exceeding the PEL, which are 0.1 fibers per cubic
centimeter.
Responsible to ensure that all paperwork, such as permits,
notifications, ambient air results, final clearances, and the visual
inspection reports, etc. is provided to the UCD Project Manager or
Operations Manager and Asbestos Coordinator or designee.
e. Responsible to ensure asbestos waste and associated manifest is
prepared in accordance with Section XIII, “Asbestos Waste Disposal”
located in this UCD Asbestos Control Program.
12.
If the project was a renovation of a whole or partial building the Facilities
Project Manager or Operations Manager is responsible to get a signed
statement from the architect, or project engineer or a certified building
inspector that no asbestos was specified as a building material in any
construction document for the renovation project, or to the best of his or
her knowledge, no asbestos was used as a building material in the building
during the renovation project.
13.
If the project was a new building construction project. The Project
Manager is responsible to get a signed statement from the architect or
project engineer or a certified building inspector that no asbestos was
specified as a building material in any construction document for the
building, or, to the best of his or her knowledge, no asbestos was used as a
building material in the building.
14.
The Project Manager or Operations Manager shall provide a copy of the
signed statement from the architect, project engineer or and certified
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building inspector that no asbestos was used during the renovation or new
construction as indicated in Section III.A.10.(f and g) of this document to
the UCD Asbestos Coordinator or designee.
15.
C.
D.
The Project manager or Operations Manager shall notify UCD Asbestos
Coordinator of small Operations and Maintenance (O &M) projects that
have potential of disturbing Asbestos Materials by submitting a “Class I
through Class III work Request Form” (Appendix D-1).
Facilities Operations Construction Services and Maintenance Supervisors and
Personnel: UCD personnel assigned to or contracted by the Facilities Operations
and tasked to perform small renovation jobs and general building maintenance.
These individuals are responsible for the following:
1.
Attend an annual asbestos awareness training program.
2.
Notify their managers, supervisor or EHS of any suspect ACM that
appears to be disturbed within their Work Boundaries or Building Zone.
3.
Identify any suspect ACM that may be disturbed during any given
maintenance task and notify their supervisor or EHS before starting that
job that could disturb that suspect ACM. This will ensure the material is
sampled and determined non-ACM before the material is disturbed during
the task.
4.
Notify the UCD Asbestos Coordinator or designee of tasks or projects that
have potential of disturbing asbestos materials by filling out a “Class IClass III Asbestos Work Request Form” (Appendix D-1).
UCD Facilities Operations Competent Person: A person identified to work in
close coordination with the Environmental Health and Safety Department (EHS)
who is on the job site and capable of identifying existing asbestos hazards in the
workplace and selecting the appropriate control strategy for asbestos exposure and
given authority to take prompt corrective measures to eliminate them.
1.
This individual must be certified with the state of Colorado at a minimum
for Asbestos Worker/Supervisor.
2.
Responsible to manage or oversee the asbestos jobs in accordance with the
type of work performed (i.e. Class I through Class IV jobs as defined in
Section IV of this procedure) and the standards that pertain to that type of
work.
3.
Responsible to provide frequent inspections of the asbestos job sites, and
report the findings to EHS.
4.
Responsible to set up the regulated area, enclosure, or other containment
and ensure the integrity of the regulated and control entry to and exit from
the enclosure and/or area.
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E.
F.
5.
Responsible to inform EHS, occupants, contractors, and other UCD
employees or visitors who may be in or adjacent to the area where the
asbestos job is to be performed.
6.
Ensure the disposal of asbestos waste is in accordance with the local, state
and federal regulation and the amount of waste is reported to the UCD
Asbestos Waste Manager in accordance with this program.
Facilities Operations Asbestos Abatement Supervisor: An individual certified
through the Colorado Department of Public Health and Environment (CDPHE) to
perform supervisor responsibilities during asbestos abatement projects.
1.
Responsible to ensure the UCD Asbestos Coordinator of designee is
informed of work that may disturb asbestos materials by filling out a
“Class I-Class III Asbestos Work Request Form” (Appendix D-1).
2.
Ensures that all asbestos abatement is performed in accordance with the
local, state, and federal regulations and Sections IX through XIII in this
document.
3.
Ensure the disposal of asbestos waste is in accordance with the local, state,
and federal regulations and the amount of waste is reported to the UCD
Asbestos Waste Manager in accordance with “Asbestos Waste Disposal”
Section XIII.
4.
Responsible for identifying the amount of asbestos waste to the proper
abatement job.
5.
Ensure all asbestos workers are appropriately trained in accordance with
local, state, federal regulations and “Hazardous Communication” Section
VIII located in this document.
Facilities Operations Repair and Maintenance Asbestos Workers (RMAW): UCD
Facilities Operations Employees who have completed an approved OSHA 16 hour
training program.
1..
Responsible for notifying the UCD Asbestos Coordinator of work that
may disturb asbestos materials by filling out a “Class I- Class III asbestos
Work request Form” (Appendix D-1).
2.
Responsible for performing limited asbestos or repair work in accordance
with local, state, and federal regulations and “Emergency and Unexpected
Discovery of ACM” Section XI that pertain to UCD.
3.
Work performed by the RMAW is considered to be Class III Work as
defined in Section IV of this procedure, which is limited to emergency
clean-up and repair jobs that are identified in a routine business day.
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G.
4.
The work is limited to 3 linear feet or 3 square feet of friable and nonfriable ACM.
5..
Responsible for the disposal of asbestos waste material in accordance with
the local, state, and federal regulations and reporting the amount of waste
to the Asbestos Waste Manager in accordance with “Asbestos Waste
Disposal” Section XIII of this document.
Custodial Services Personnel: UCD personnel assigned to or contracted by the
Facilities Operations and tasked to perform house cleaning duties in buildings that
they are assigned to. These individuals are responsible for the following:
1.
Attend an annual asbestos awareness training program.
2.
Notify their supervisor or EHS of any suspect ACM that appears to be
disturbed and stop work before any more asbestos material becomes
disturbed.
3.
Review the information below concerning the use of burnishers.
a.
The use of burnishers to strip and polish floors can represent a
potential hazard related to the release of asbestos fibers. Use of
high speed (> 300 RPM) burnishers on floor tile or linoleum that
contains asbestos fibers has the potential to release asbestos fibers.
To minimize this risk, burnishers operating at less than 300 RPM
should only be used on flooring containing asbestos material. The
following is a listing of buildings where the floor tile or linoleum is
known or suspected to contain asbestos material:
1.
2.
3.
4.
5.
Research Bridge Hallways (All floors)
School of Nursing Hallways (Old Building -All Floors)
Old Child Daycare (Old Gym and Lunchroom)
School of Dentistry Hallway (Basement)
JFK Hallways (All Floors)
Note: It should be recognized that not all possible areas have been
listed above. However, any 9” X 9”
floor tile should always be suspected and treated as containing
asbestos. If there are any questions regarding specific campus
locations, the H&S division should be contacted.
b.
Care of asbestos-containing flooring material is to comply with the
following practices:
1. Sanding of flooring known to contain asbestoscontaining material (ACM) is prohibited.
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2. Stripping of finishes shall be conducted using low abrasion pads
at speeds lower than 300 RPM and wet methods.
3. Burnishing or dry buffing may be performed only on flooring
that has sufficient finish so that the pad cannot contact the flooring
material.
H.
I.
IV.
Grounds Personnel: UCD personnel assigned to or contracted by the Facilities
Operations and tasked to ensure that the grounds are kept groomed and clean and
that he sprinkler systems are in good repair. These individuals ensure that the
plants in the plant beds are healthy and resupplied when needed. These
individuals are responsible for the following:
1.
Attend an annual asbestos awareness training program with emphasis on
the UCD Asbestos in Soil Protocol (Section VII: RESERVED).
2.
Notify their supervisors or EHS of any suspect ACM identified with in
their work area or suspect any asbestos in the soil on the UCD grounds.
Information and Security Services: UCD employees assigned to or contracted by
the IT Department and/or Security Services tasked to run communication cable
through walls, above plenum and in the crawl spaces of the buildings located on
the UCD Campus. In order to help prevent the possibility of asbestos
contamination within our UCD buildings, the personnel employed in this program
is responsible for the following:
1.
Attend an annual asbestos awareness training program.
2.
Notify their supervisor or EHS of suspect ACM that appears to be
disturbed.
3.
Identify any suspect ACM that may be disturbed during the placement of
the cable and notify their supervisor or EHS before starting the task that
could disturb the suspect material. This will ensure that the material is
sampled and determined non-ACM before the material is disturbed during
the task.
Medical Surveillance:
All UCD employees and Contractors performing Class I through Class IV work for more
the 30 days in a given year or has been exposed to concentrations of asbestos at or above
the TWA and/or the excursion limit shall be place under a medical surveillance program
in accordance with all local, state, and federal regulations and this program document.
A.
All UCD asbestos workers who have been exposed to asbestos concentrations at
or above the OSHA Permissible Exposure TWA and/or Excursion Limit shall be
placed in a medical surveillance program. The medical surveillance program
consists of the following:
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1
Examination by a physician:
UCD shall ensure that all medical examinations and procedures are
performed by or under the supervision of a licensed physician, and shall
be provided without cost to the employee and at a reasonable time and
place.
2.
Examinations:
UCD asbestos workers who will perform class I, II or III work, for more
than 30 days per year where exposure concentrations are expected to meet
or exceed the OSHA permissible exposure limit TWA, shall have an
examination.
3.
Periodic Examinations:
For those workers noted above, periodic medical examinations shall be
made available annually.
4.
Termination of Employment Examination:
UCD shall provide, or make available, a termination of employment
medical examination for any asbestos worker who has been enrolled, at
anytime, in this medical surveillance program.
5.
Recent Examinations:
No medical examination is required of any employee if adequate records
show that the employee has been examined in accordance with this
guideline within the past year.
6.
Information Provided to the Examining Physician:
UCD shall provide the following information to the examining physician:
a.
A copy of 29 CFR 1910.1001 the Appendices D and E to the
mentioned standard.
b.
A description of the affected employee’s duties as they relate to the
employee’s exposure.
c.
The employee’s representative exposure level or anticipated
exposure level.
d.
A description of any personal protective and respiratory equipment
used or to be used.
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e.
7.
Physician’s Written Opinion:
a.
B.
Information from previous medical examinations of the affected
employee that is not otherwise available to the examining
physician.
UCD shall obtain a written opinion from the examining physician.
This written opinion shall contain the results of the medical
examination and shall include:
1.
The physician’s opinion as to whether the employee has
any detected medical conditions that would place the
employee at an increased risk of material health impairment
from exposure to asbestos.
2.
Any recommended limitations on the employee or upon the
use of personal protective equipment such as clothing or
respirators.
3.
A statement that the employee has been informed by the
physician of the results of the medical examination and of
any medical conditions resulting for asbestos exposure that
require further explanation or treatment.
4.
A statement that the employee has been informed by the
physician of the increased risk of lung cancer attributable to
the combined effect of smoking and asbestos exposure.
b
UCD shall instruct the physician not to reveal in the written
opinion given to UCD, specific findings or diagnoses unrelated to
occupational exposure to asbestos.
c.
UCD shall provide a copy of the physician’s written opinion to the
affected employee within 30 days from its receipt.
UCD asbestos workers who do not perform class I, II, or III work for more than
30 days per years and are not exposed above the OSHA permissible exposure
limit TWA, are not required to enroll in this medical surveillance program. The
supervisor is responsible to track the number of days their employees are involved
in asbestos work. The following are Health and Safety Division’s requirements on
setting up a program to monitor the exposure period for each UCD employee:
1.
Develop a tracking system to record each day their employee is involved
in asbestos work.
2.
Track each asbestos worker for the full year.
3.
When the employee reaches the thirty (30) day limit within the year period
or air monitoring indicates exposures levels at or above an OSHA
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permissible exposure and/or excursion limit, then full medical surveillance
is required.
V.
4.
The tracking system must be used and kept current and made available for
inspection by the Environmental Health and Safety Department.
5.
The UCD management/supervisor shall ensure that this record is
maintained for the duration of the employee’s employment plus thirty (30)
years.
Respiratory Protection:
All UCD employees and Contractors performing Class I through Class IV work will use
Respiratory Protection in accordance with the local, state, federal regulations and this
document.
Respiratory protection for asbestos shall be selected and used in accordance with the
below guidance:
A.
Applicability
Respiratory protection for asbestos work shall be used in the following
conditions:
B.
1.
During Class I asbestos work;
2.
During Class II work where the ACM is not removed in a substantially
intact state;
3.
During all Class II and III work which is not performed under wet
methods;
4.
During all Class II and III work where there is no negative exposure
assessment;
5.
During all Class III jobs where TSI or surfacing ACM or PACM is being
disturbed;
6.
During all Class IV work performed within regulated areas where
employees performing other work are required to wear respirators;
7.
During all work covered by this Program where employees are exposed
above the TWA or excursion limit;
8.
In emergencies.
Respiratory Selection
When respiratory protection is required it shall be selected in accordance with
Table 1 below. The following selection requirements shall also be implemented:
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C.
1.
Employees shall be supplied, at a minimum, with a half-mask air purifying
respirator equipped with high efficiency particulate filters whenever the
employee performs Class II and III asbestos jobs where a negative
exposure assessment cannot be produced or Class III jobs where TSI or
surfacing ACM or PACM is being disturbed.
2.
Employees shall be provided full face piece supplied air respirators
operated in `the pressure demand mode equipped with an auxiliary
positive pressure self-contained breathing apparatus for all employees
within the regulated area where Class I work is being performed for which
a negative exposure assessment has not been produced.
Respirator Use
UCD personnel using respiratory protection shall fulfill the following
requirements:
VI.
VII.
1.
Employee shall meet the medical qualification and certification by a
medical physician to be physically fit to wear a respirator in accordance
with all local, state, and federal regulations.
2.
Employee’s initial fit test for respiratory selection shall be at a location
where quantitative fit testing can be conducted to ensure the best respirator
is selected for the individual and a qualitative fit testing at least annually
thereafter.
2.
In use, filters shall be changed when personnel detect an increase in
breathing resistance.
4.
Employees may leave the area and wash their faces and face pieces when
necessary to prevent skin irritation.
Personal Protective Clothing:
The following requirements shall be implemented when: 1) personnel are exposed in
excess of the TWA or Excursion Limit; 2) when a negative exposure assessment cannot
be produced.
A.
Whole-body clothing, head coverings, gloves, and foot coverings shall be worn;
B.
The Competent Person shall examine work suits worn by employees at least once
per shift for rips or tears that may occur during performance of work;
C.
Rips and/or tears shall be immediately mended or the work suit shall be
immediately replaced;
Asbestos in Soil Protocol:
RESERVED
VIII. Hazardous Communications:
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A.
B.
C.
All UCD employees and Contractors performing Class I through Class IV work
on the UCD Campuses shall follow the hazard communication s guide lines in
accordance with all local, state, federal regulations and with this program
document.
All UCD employees and contractors performing Class I through Class VI work on
the UCD Campuses shall be trained in accordance with all applicable local, state,
and federal regulations and this program document.
Facilities Owners and Operations
1.
Installed Asbestos Containing Materials
The University of Colorado Denver (UCD) is required to treat installed
TSI and sprayed-on and troweled-on surfacing materials as ACM in
buildings constructed no later than 1980 for purposes of this program.
These materials are designated and ACM or PACM.
2.
UCD Facilities (Projects & Operations) Management Responsibilities
a.
It is the responsibility of the UCD Facilities Management to
acquire a signed statement from the architect, project engineer or
state certified building inspector that no ACM was specified as a
building material in any construction document for the building or
no ACM was used as a building material in the building in
accordance with AQCC Regulation #8.
b.
As noted in the AQCC Regulation #8, the CDPHE Air
Pollution Control Division recommends that all buildings be
inspected prior to any renovation or demolition activities,
regardless of the date of construction.
c.
UCD Facilities Management shall determine the presence,
location, and quantity of ACM and/or PACM at the work site by
the use of state certified building inspectors and shall inform
employees, and outside contractors of the presence and location of
ACM and PACM.
d.
UCD Facilities Management shall maintain records concerning the
presence, location and quantity of ACM and PACM in the
building/facility. Such records shall be kept for the duration of
UCHSC ownership and shall be transferred to successive owners.
e.
Building and facility owners shall inform employers of employees,
and employers shall inform employees who will perform
housekeeping activities in areas which contain ACM and/or PACM
of the presence and location of ACM and/or PACM in such areas
which may be contacted during such activities.
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f.
3.
UCD Facilities Management shall inform outside contractors who
will perform construction, demolition, and renovation activities on
UCD Buildings which contain ACM and/or PACM of its’ presence
and locations within the project area.
Warning Signs
a.
Warning signs shall be provided and displayed at each regulated
area. In addition, warning signs shall be posted at all approaches
to regulated areas so that an employee may read the signs and take
necessary protective steps before entering the area.
b.
The warning signs shall bear the following information:
DANGER ASBESTOS
CANCER AND LUNG DISEASE HAZARD
AUTHORIZED PERSONNEL ONLY
c.
Where the use of respirators and protective clothing is required in
the regulated areas the warning signs shall include with Item 2 the
following:
RESPIRATORS AND PROTECTIVE
CLOTHING
ARE REQUIRED IN THIS AREA
4.
d.
If applicable, the UCD employer shall ensure that the signs are
posted in foreign languages to ensure employee comprehension of
the signs.
e.
Signs are to be posted just inside the entrance of the mechanical
rooms/areas in which employees reasonably can be expected to
enter and which contain ACM and/or PACM by the UCD Facilities
Management to help ensure that ACM and/or PACM will not be
disturbed.
Warning Labels
a.
Warning labels shall be affixed to all raw materials, mixtures,
scraps, waste, debris, and other products containing concentrations
of asbestos fibers less than one (1) percent.
b. The labels shall comply with the requirements of 29 CFR 1910.1200
(f) of OSHA’s hazard Communications Standard, and shall include the
following information:
DANGER
CONTAINS ASBESTOS FIBERS
AVOID CREATING DUST
CANCER AND LUNG DISEASE HAZARD
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5.
6.
Guidelines to UCD Employees and Outside Contractors after Discovery of
Suspect Asbestos Materials
a.
When employee discovers building materials that look like suspect
asbestos material, they are to stop work immediately before the
material is disturbed.
b.
The employee is to notify the supervisor of the project.Note:
1.
If the project is a Facilities Operation task the supervisor is
to notify the UCD Environmental Health and Safety
Department (EHS) or the supervisor of the UCD Asbestos
Team to identify the material through sampling if there is
no record of the material in the asbestos survey.
2.
If the project is a Facilities Projects/Construction task the
supervisor is to notify the UCD Project Manager and they
are to inform the UCD Health and Safety Division or the
supervisor of the UCD Asbestos Team to identify the
material through sampling if there is no record of the
material in the Project Asbestos Survey.
Criteria to rebut the designation of installed material as PACM
At any time, UCD Facilities Management, and/or outside contractors may
demonstrate that PACM does not contain asbestos by having a completed
building inspection conducted by state certified building inspectors in
accordance with the requirements of AHERA (40 CFR 763, Subpart E)
and AQCC Regulation #8 which demonstrates that no ACM is present in
the material.
D.
Certification and Training Guidelines
1.
Certification and Training
a.
UCD Asbestos Coordinator shall:
1.
Be federally trained and certified in accordance with 40
CFR 763 Subpart E as a Building Inspector/Management
Planner.
2.
Be either a certified industrial hygienist (CIH), have a 4year degree in Industrial Hygiene or Environmental Health,
or attend a state air pollution control division approved air
monitoring specialist course.
3.
Be state certified at least as a Building Inspector.
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b.
c.
d.
e.
f.
Building Inspectors shall:
1.
Be federally trained and certified in accordance with 40
CFR 763 Subpart E as a Building Inspector.
2.
Be state certified as a Building Inspector.
Air Monitoring Specialist shall:
1.
Be federally trained and certified in a building inspector
course, asbestos abatement supervisor course, or asbestos
abatement project designer course State certification in
these disciplines is not required.
2.
Have successfully completed a state air pollution control
division approved air monitoring specialist course.
3.
Have a 4-year college degree in industrial hygiene, a degree
in environment health with a major concentration in
industrial hygiene, or the possession of a certified industrial
hygiene (CIH) certificate given by the ABIH may be
substituted for the above courses.
Competent Person shall:
1.
Be Federally trained and certified in accordance 40 CFR
763, Subpart E, as an asbestos abatement supervisor if
responsible for overseeing the State Permitted Projects
under AQCC Regulation #8, or,
2.
Be trained as a Repair and Maintenance Asbestos Worker
(RMAW) in accordance with the guidance located in 40
CFR 763.92(a)(2) and 29 CFR 1101 (o)(4)(I) if responsible
for overseeing Class III and IV projects.
Asbestos Abatement Supervisor shall:
1.
Be Federally trained and certified in accordance with 40
CFR 763, Subpart E.
2.
Be state certified in accordance with AQCC Regulation #8.
Asbestos Abatement Worker shall:
1.
Be Is to be federally trained and certified as an asbestos
abatement worker.
2.
Be state certified as an asbestos abatement worker.
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g.
2.
Repair and Maintenance Asbestos Workers shall:
Have completed training in accordance with 40 CFR 92(a)(1 and
2). This course will also include “hands-on” training and shall take
at least 16 hours.
Facilities Project Managers:
Required to annually attend the UCD Asbestos Training for Project
Managers. The course will consist of asbestos awareness information in
accordance with AQCC regulation #8 (the control of Asbestos), and have
information located in OSHA 29 CFR 1926.1101(Occupational Exposure
to asbestos in construction), and EPA 40 CFR, Part 61, Subpart M, Section
150 (National Emission Standard for Asbestos).
3.
Facilities Operations/Projects Personnel shall:
Be annually trained on asbestos awareness in accordance with 29 CFR
1926.1101(j)(7).
4.
UCHSC Environmental Services Personnel shall:
Be trained on asbestos awareness annually in accordance with 29 CFR
1926.1101(j)(7).
IX.
Standard Pre-Abatement Protocol:
A.
B.
Asbestos abatement projects are divided into four classes in accordance with 29
CFR 1926.1101 (OSHA- Occupational Exposure to Asbestos).
1.
Class I Asbestos Work - Activities involving the removal of TSI and
Surfacing ACM and PACM.
2.
Class II Asbestos Work – Activities involving the removal of ACM, which
is not thermal system insulation, or surfacing material. This includes, but
is not limited to, the removal of asbestos-containing wallboard, floor tile
and sheeting, roofing and siding shingles, and construction mastics.
3.
Class III Asbestos Work – repair and maintenance operations, where
“ACM” including TSI and surfacing ACM and PACM likely to be
disturbed.
4.
Class IV Asbestos Work – maintenance and custodial activities during
which employees contact but do not disturb ACM and PACM and
activities to clean up dust, waste, and debris resulting from class I, II and
III activities.
The following procedures are to be implemented for all routine abatement
projects, whether conducted by the UCD abatement staff or by an outside
Contractor:
- 19 -
1.
Notification to the UCD Asbestos Coordinator or designee, Facilities
Operations Representative, and Client shall be made in advance as much
as possible by the project manager in writing (Appendix A-1).
2.
Signs shall be posted restricting access to the regulated area and providing
emergency contact telephone numbers.
3.
The Facilities Project Manager shall coordinate the scheduling of
abatement work to accommodate the time needed for notifying the proper
regulatory authorities of the project, for submission and approval of the
asbestos abatement applications from CDPHE (if needed), and provide
adequate and appropriate safeguards to help prevent the potential of
asbestos spills during the project.
4.
For internal asbestos projects on the UCD Campus that involve 160 square
feet, 260 linear feet or an equivalency of a 55-gallon drum, the UCD
Asbestos Team Supervisor shall submit to the UCD Asbestos Coordinator
or designee a CDPHE Asbestos Abatement Application at least 15 days
prior to the project planned start date. This is to ensure that necessary
monitoring arrangements are scheduled, proper control procedures are
planned and implemented, and appropriate permits, permit modifications,
notifications, waivers, variances, etc., are filed with the appropriate
regulatory agencies such as CDPHE and EPA.
5.
Outside asbestos contractors are responsible for processing their own
asbestos notice and permit applications, permit modifications,
notifications, waivers, variances, etc., as required by regulatory agencies
of work being performed on our property to the Colorado Department of
Public Health and Environment, Air Pollution Control Division. When
not contracted by the Health Sciences Center, the outside abatement
contractors is then responsible for supplying an air monitoring specialist,
who is independent of the contractor, to perform visual inspections of the
contained area and final air samples for clearances as well as ambient air
samples around the contained area. The outside abatement contractor is
responsible to ensure the UCD Asbestos Coordinator or designee receives
a copy of all paperwork, such as permits, notifications, final clearances
and the visual inspection report, etc.
6..
For Small Scale Projects that involve friable asbestos-containing material
less than 160 square feet, 260 linear feet, or an equivalency of a 55-gallon
drum, OSHA 29 CFR 1926.1101 (Occupational Exposure to Asbestos)
shall be followed and the AQCC Regulation # 8, Appendix A should be
used as a guide for the project. Contact the UCD Asbestos Coordinator
for guidance.
- 20 -
7.
All Class II projects
Class II Projects that involve wall board, resilient floor tile, mastics and
sheet vinyl flooring and containing more than one percent asbestos, friable
or not, in any amount that exceeds 160 square feet or the volume
equivalent of one 55-gallon drum shall apply for a notice with CDPHE in
accordance with AQCC Regulation # 8, paragraph III.B.1.
Floor Tile Abatement shall be performed in accordance with AQCC
Regulation # 8 Appendix B (Recommended Work Practices for the
Removal of Resilient Floor Coverings). If using Appendix B for the
removal of sheet vinyl flooring, any workers removing the flooring must
have successfully completed an 8-hour course, which meets the training
requirements in AQCC Regulation # 8, Appendix C.
X.
8.
In accordance to OSHA 29 CFR 1926.1101 and AQCC Regulation # 8,
prior to conducting an asbestos response action in and area of public
access, an inspection must be conducted by a certified building inspector
and an assessment report made to the UCD Project Manager and a copy
provided to the UCD Asbestos Coordinator or the designee. Bulk samples
must be collected in accordance with the Colorado Air Quality Control
Commission (AQCC) Regulation No.8 and in accordance with EPA
recommended bulk sampling procedures to identify any affected ACM.
9.
Pre-abatement inspections must be arranged with the UCD Asbestos
Coordinator or designee. The Facilities Project Manager is responsible for
scheduling the pre-abatement inspection. The containment shall meet all
criteria in the AQCC Regulation 8 and OSHA 29 CFR 1926.1101. Any
deficiencies noted by the Air Monitoring Specialist shall be corrected
before abatement can begin.
Standard Asbestos Abatement Protocol:
All asbestos work performed on the UCD Campus shall be conducted in accordance with
all applicable local, state, and federal regulations and with Appendix D and Appendix E
located in this document.
A.
Class I, II, III Projects involving permitted quantities greater than or equal to 160
square feet, 260 linear feet or an equivalency of a 55-gallon drum must meet the
following requirements:
1.
Personal air monitoring shall be representative of the workers shift during
large-scale projects requiring containment facility. Periodic personal air samples
will be collected for glove bag removals per the air monitoring specialist’s
recommendations. Air monitoring will be conducted by an air-monitoring
specialist. A copy of the air monitoring results will be sent to the UCHSC
asbestos coordinator. Abatement workers must be informed of these results as
soon as possible following receipt of results.
- 21 -
2.
Area air monitoring will be conducted outside of the containment facility
at potential leakage points during the abatement period in accordance to the
AQCC Regulation #8 and OSHA 29 CFR 1926.1101. Samples will be analyzed
as quickly as possible to identify any leakage problems and so that appropriate
corrective measures may be implemented.
3.Asbestos abatement work practices shall be in accordance with paragraph III.C2
of the AQCC Regulation No. 8, OSHA 29 CFR 1926.1101, and with EPA Worker
Protection Rule 40 CFR Part 763.120.
B.
4.
Abatement of asbestos-contaminated soil must be conducted in accordance
with subparagraph III.C.3.b. and paragraph III.C.5 of AQCC Regulation
No. 8.
5.
Negative pressure air filtration units equipped with HEPA filters must:
a.
Exhaust to outdoors, away from air intakes, windows, pedestrian
traffic, etc., unless length of exhaust duct required doing so would
overburden the filtration unit. If exhausted to the interior of the
building, daily air samples must be collected and analyzed daily.
b.
Be used in conjunction with a manometer that has a strip chart
recorder or its equivalent, and alarms when the pressure
differential between inside and outside the containment barrier
drops below 0.02 inches of static water pressure.
c
Be provided for mini-containment barriers and for evacuating
glove bags prior to removing. A HEPA filter-equipped vacuum
cleaner may be used for these
purposes, but in the case of
the mini-containment barrier, the air-monitoring specialist must
confirm a negative pressure differential by smoke tube test and/or
pressure meter.
d.
Provide a minimum of one complete air change of the containment
facility every 15 minutes. The static pressure differential for the
containment facility shall be recorded through the duration of the
project.
Class I, II, Projects involving quantities less than 160 square feet and/or 260
linear feet and less than a 55-gallon drum which is not considered amounts
enough to be permitted with CDPHE:
1.
Small scale short-duration abatement projects shall be performed
according to Appendix A of AQCC Regulation No. 8, OSHA 29 CFR
1926.1101, and EPA Worker Protection Rule 40 CFR Part 763. Use of
glove bags shall be in accordance with subparagraph III.C2.f. of AQCC
Regulation No. 8, and OSHA 29 CFR 1926.1101.
- 22 -
C.
D.
2.
Area monitoring shall be in accordance with local, state, federal
regulations and Section XI located in this document.
3.
Personal air monitoring will be conducted periodically to ensure the
workers are within the federal personal exposure and excursion limits.
Abatement workers must be informed of these results as soon as possible
following receipt of results.
Class III (Repair and Maintenance)
1.
The UCD repair and maintenance program is in place to repair damaged
asbestos material and remove asbestos material only if it is damaged
beyond repairing in order to reduce the health risk to building occupants,
UCD employees, contractors and the general public visiting our facilities.
2.
Employees involved in repair and maintenance are limited to working with
friable or non-friable asbestos material quantities of three (3) linear feet or
three (3) square feet or less.
3.
Area monitoring shall be in accordance with local, state, federal
regulations and Section XI located in this document.
4.
Periodic personal air monitoring may be conducted on the employees to
ensure that they are within the federal personal exposure and excursion
limits. Abatement workers must be informed of these results as soon as
possible following receipt of results.
Vinyl Asbestos Tile (VAT) Removal
1.
VAT and sheet vinyl flooring will be removed in accordance with 29 CFR
1926.1101(Class III work) and CDPHE Regulations No. 8. subparagraph
III.3.a. (Resilient Floor Tile and Sheet Vinyl Flooring).
2.
VAT can be removed at any time provided the affected department wishes
to do so and is willing to pay for the removal.
3.
Floor mastic can remain on the floor as long as the building inspector has
record of the material remaining, and there are no plans for grinding,
sanding, bead blasting, sandblasting, mechanically powdering the material
or otherwise damaging the material.
4.
Important Note:
For floor tile abatement projects on the UCD 9th Avenue and Colorado
Blvd Campus involving the use of combustible liquids. As of September
8, 1999, the Denver Fire Department implemented a policy for cleaning
floors (mastic removal) with combustible liquids. The use of a
combustible liquid for the cleaning and removal of floor covering mastic
must be approved in advanced by the Denver Fire Department. Also, the
- 23 -
use of flammable liquids for this purpose is prohibited, unless a permit
from the City and County of Denver is obtained prior to the beginning of
any work.
XI.
5.
Personal exposure monitoring shall be in accordance with OSHA 29 CFR
1926.1101.
6.
Carpeting:
a.
Carpeting can be placed over VAT if the VAT is in good condition
b.
Clients that opted to place carpeting over VAT will be responsible
for the cost of removing the carpet. During the removal of the
carpet it the VAT is damaged, or the mastic sticks to the carpet
backing the client will be responsible for the paying for the VAT
and/or mastic removal and disposal of the carpet as asbestos
contaminated waste.
Emergencies and Unexpected Discovery of ACM:
All Emergencies and unexpected discovery of ACM must be reported to the UCD
Asbestos Coordinator immediately at 303-724-0345.
A.
If an emergency asbestos spill occurred at the UCD Anschutz Medical Campus,
the UCD Downtown Campus (DDC), or the UCD Ninth Ave and Colorado Blvd
the UCD Campus Police (303-724-4444) shall be notified and they will contact
the Environmental Health and Safety Department Emergency Response On-Call
Representative.
B.
All emergency response work conducted under this section will be performed in
accordance with all local, state, federal regulations and with Appendix F located
in this document.
NOTE
All emergencies and unexpected discoveries of disturbed ACM must be reported to
the UCHSC Project Manager and the UCHSC Asbestos Coordinator immediately at
303-315-5890.
If after hours the UCD 9th Avenue Campus Police (303-315-8888), shall be notified
and they will contact the Health and Safety Division Emergency Response On-Call
Person.
If the emergency spill occurred at the UCD Fitzsimons Campus, the UCHSC
Fitzsimons Campus Police (303-724-4444) shall be notified and they will contact the
Health and Safety Division Emergency Response On Call Person.
- 24 -
C.
Important Notifications
1.
When an emergency event occurs involving damaged ACM, asbestos
abatement work must commence as soon as possible. The Colorado
Department of Public Health and Environment (CDPHE) must be notified
by the UCHSC Asbestos Coordinator or designee (i.e. the HSD On-call
Person) as soon as possible after discovery of the event by telephone. A
written notification explaining the event must be filed at the start of the
next regular business day.
An emergency event is defined as an unexpected situation or sudden
occurrence of a serious and urgent nature that demands immediate action
and that constitutes a threat to life, health or that may cause major damage
to property. Delay of work does not constitute an emergency.
The address to send this information to is:
Colorado Department of Public Health and Environment
Air Pollution Control Division
APCD-SS-B1
ATTN: Asbestos Coordinator
4300 Cherry Creek South
Denver, CO 80222-1530
Phone # (303) 692-3182
D.
2.
When undisturbed ACM is discovered, but requires immediate abatement,
the Colorado Department of Public Health and Environment must be
notified and a request made to waive the 15-day notification requirement.
3.
Any emergency release of friable ACM involving three (3) linear feet
and/or three (3) square feet or more must be reported to the U.S.
Environmental Protection Agency, Region VIII, Asbestos Coordinator
within 48 hours after the clean-up begins.
Major Release:
In the event of an asbestos fiber release incident involving 260 linear feet on pipes
or 160 square feet on other surfaces or an equivalent of a one 55-gallon drum, the
following procedures shall be followed per AQCC Regulation No. 8, paragraph
III.C.5.
1.
Restrict access to the area and post warning signs to prevent entry to the
area by persons other than that necessary to respond to the incident.
2.
Coordinate with a Facilities Construction/Operations representative to shut
off or temporarily modify the air handling systems to prevent the
distribution of asbestos fibers to other areas.
- 25 -
E.
3.
Notify the UCD Asbestos Control Program Coordinator who will
immediately contact the Colorado Department of Public Health and
Environment by telephone.
4
Notify the UCD Asbestos Control Program Coordinator who will contact
the U.S. Environmental Protection Agency, Region VIII, Asbestos
Coordinator within 48 hours after the project begins.
5.
Using certified asbestos abatement supervisors and certified asbestos
abatement workers, seal all openings between the contaminated and
uncontaminated areas. This is to be accomplished using polyethylene
sheeting to cover areas such as doorways, windows, elevator openings,
corridor entrances, grills, drains, grates, diffusers, and skylights.
6.
HEPA vacuum or steam clean all carpets, drapes, upholstery, and other
non clothing fabrics in the contaminated area, or discard these materials.
7.
Discard contaminated clothing in accordance with Section XII ( Asbestos
Waste Disposal) of this program document.
8.
HEPA vacuum or wet clean all non-fabric surfaces in the contaminated
area.
9.
Discard all materials in accordance with Section XII (Asbestos Waste
Disposal) of this program document.
10.
Following completion of steps a through i above, the air monitoring
specialist will conduct air monitoring as described in Section XI of this
program document.
11.
Comply with any other measures deemed necessary by the Colorado
Department of Public Health and Environment to protect public health.
Minor Release
In the event of an asbestos fiber release involving less than 260 linear feet on
pipes or 160 square feet on other surfaces, the following procedures should be
followed per CDPHE Regulation No. 8, paragraph III.C.5.
1.
Restrict access to the area and post warning signs to prevent entry to the
area by persons other than that necessary to respond to the incident.
2.
Shut off or temporarily modify the air handling system to prevent the
distribution of asbestos fibers to other areas.
3.
In the case of an emergency abatement involving ACM in the amounts
exceeding three (3) linear feet or three (3) square feet, notify the UCD
- 26 -
Asbestos Control Program Coordinator who will notify the U.S.
Environmental Protection Agency, Region VIII, Asbestos Coordinator
within 48 hours after the project begins.
F.
4.
Seal all openings between the contaminated and uncontaminated areas.
This can be accomplished by using polyethylene sheeting to cover all
areas such as windows, doorways, elevator openings, corridor entrances,
drains, grills, grates, diffusers and skylights.
5.
HEPA vacuum or steam clean all carpets, draperies, upholstery and other
non-clothing fabrics in the contaminated area or discard all contaminated
materials in accordance with paragraph III.C.8. (Handling Waste
Materials).
6.
HEPA vacuum or wet clean all non-fabric surfaces in the contaminated
area.
Vinyl Asbestos Tile (VAT) Removal
If resilient floor tile, sheet vinyl flooring, or gross amounts of mastic is being
pulled up during carpet replacement projects, the employee or contractor
performing the task must stop work immediately and inform the UCD project
manager of the situation who will inform the UCD Asbestos coordinator or
designee who will assess the situation.
G.
Post Abatement Visual and Final Clearance Protocol:
1.
The air monitoring specialist and the asbestos abatement competent person
and/or supervisor shall visually inspect the abatement area to determine whether
all dust and debris has been removed.
2.
Final clearances samples will be collected inside the containment facility
or regulated area per CDPHE Regulation #8.
XIII. Asbestos Waste Disposal:
All disposal of asbestos waste will be conducted in accordance with this document.
A.
General Information for Asbestos Waste Handlers at UCD.
Each UCD Facilities Projects/Operations Manager or outside asbestos contractor
whose project generates asbestos waste at any UCD building must follow the
following guidelines.
1.
Asbestos waste will be disposed only at the Denver Arapahoe Disposal
Site (DADS). Asbestos waste must be sent to the DADS asbestos landfill
by the use of a hazardous waste manifest under a DADS approved waste
profile. Asbestos waste generated at this campus cannot be sent to other
- 27 -
disposal facilities because we want to limit the possibility of our campus
being required to pay for the clean up of contaminated landfills.
2.
UCD approved asbestos disposal site:
Denver Arapahoe Disposal Site (DADS)
3500 South Gun Club Road
Aurora, CO 80013
(303) 690-4303
3.
Use only UCD approved asbestos waste transporter:
Waste Management, Inc.
2090 East 104th Avenue, Suite 300
Denver, CO 80233
(303) 280-9336
4.
Asbestos projects that generate limited amounts (less than full roll-off) of
asbestos waste at the UCD 9th avenue campus will be collected in the
UCD asbestos trailer. Contractors will need to provide their own 55gallon drums (if necessary) for collecting asbestos waste.
5.
If an asbestos contractor uses the UCD asbestos waste trailer, the
contractor is responsible for using their own account number and profiles
numbers for DADS on the hazardous waste manifest (for both friable and
non-friable asbestos). The contractor will be responsible for paying for
the disposal of asbestos waste. DADS will bill the contractor directly for
the disposal of asbestos waste. UCD will pay the transportation fees
associated with transporting the asbestos waste to DADS. If the asbestos
abatement contractor does not have an account with DADS, it is their
responsibility to get an account set up before the abatement project begins.
6.
Asbestos projects located off the 9th avenue campus must have a plan
developed for disposing of the asbestos waste. For large projects, an
asbestos waste roll-off may need to be supplied by Waste Management,
Inc. at the cost of the asbestos abatement contractor. For smaller asbestos
projects, the waste may be transported by the contractor back to the UCD
asbestos waste trailer located in the School of Medicine horseshoe.
Contractors must contact the UCD Asbestos Program Coordinator (303315-5890) prior to transporting the asbestos waste to the UCD asbestos
waste trailer. A hazardous waste manifest must be completed prior to
transporting the asbestos waste to the trailer.
7.
Small quantities of asbestos waste, generated at the Fitzsimons campus
may be collected, bagged and stored at the Fitzsimons hazardous waste
room.
8.
The Environmental Protection Agency (EPA) requires a hazardous waste
manifest to be made out for each permit number. Asbestos abatement
- 28 -
contractors must keep track of the number of barrels of asbestos waste
(and other volumes of asbestos waste) generated for each permit number.
Abatement contractors must report the quantity of asbestos waste
generated for each permit number to the UCD Project Manager.
B.
9.
If a project on campus generates a limited amount of asbestos waste that
does not require a permit in accordance with AQCC Regulation #8, but
involves an outside asbestos contractor, the contractor must fill out a
hazardous waste manifest with both the contractor’s account number and
asbestos waste profile numbers.
10.
The UCD Facilities Projects/Operations Manager must report the quantity
of asbestos waste generated along with permit number or the project
location if a non-permitted project to the UCD Asbestos Program
Coordinator (303-315-5890) so that the proper hazardous waste manifest
can be prepared and/or reviewed.
11.
Important note: Every completed hazardous waste manifest must be
signed by the contractor generating the asbestos waste. Copies of the
manifests must be maintained by the Health and Safety Division. Contact
the UCD Asbestos Program Coordinator (303-315-5890) to supply the
manifest or if you have any questions or concerns regarding asbestos
waste disposal.
12.
Once the asbestos waste trailer is full, the asbestos contractor must notify
the UCD Asbestos Program Coordinator or designee 24 hours prior to
scheduling an asbestos waste pick-up by Waste management. It is at the
discretion of the UCD Asbestos Waste Manager or designee to check the
asbestos waste trailer before it is picked-up and transported to DADS.
Guidelines for Collecting Asbestos Waste
1.
Asbestos Waste must be properly prepared prior to being transported to
DADS. Many types of waste are prohibited from being placed into
asbestos landfills. (See Items 7-10)
2.
UCD Operations personnel are responsible for lining the UCD asbestos
waste trailer with two layers of 6 mil polyethylene sheeting or greater. If
the asbestos waste trailer is not double lined with polyethylene sheeting,
all friable asbestos waste must be stored in strong outside containers (55gallon drums).
3.
All asbestos waste must be double wrapped and sealed with 6 mil of
polyethylene sheeting or greater (or 3 layers of 4 mil).
4.
If the asbestos waste trailer is not double lined with polyethylene sheeting,
the friable asbestos waste must be placed into 55-gallon drums or other
strong outside containers.
- 29 -
5.
Friable asbestos waste that is too large to fit into drums must be double
wrapped in polyethylene sheeting. A strong secondary container is
required for all friable asbestos if the asbestos waste trailer is not double
lined with polyethylene sheeting. Non-friable asbestos items must be
double wrapped in polyethylene sheeting, however secondary containers
are not required.
6.
Every friable asbestos waste container must be labeled with the following
labels:
a.
b.
c.
d.
e.
7.
TSCA asbestos warning;
UCD Address;
DOT shipping name and Identification number;
Place DOT class nine label within six inches of the DOT shipping
name and identification number; and
Outside contractors will also mark the outside of the asbestos
waste container with their company name and address.
Every non-friable asbestos waste container must be labeled with the
following labels:
a.
b.
c.
d.
TSCA asbestos warning label;
UCD address label;
marked as non-friable asbestos; and
Outside contractors will also mark the outside of the asbestos
waste container with their company name and address.
8.
Asbestos waste containers cannot contain free standing liquids of any kind
including water. Care must be taken when removing friable asbestos so
excessive amounts of wetting agents are not used.
9.
Asbestos waste containers cannot contain free standing liquid wastes
which are flammable, corrosive, reactive, or toxic. Flammable liquids
include any materials that have a flashpoint of less than 140 degrees
Fahrenheit (xylene, toluene, etc.). Corrosive materials include acids
(hydrochloric acid) and bases (sodium hydroxide, caustic soda). Toxic
wastes may also include materials such as lead sheeting, lead based paint,
PCB oil from outdated fluorescent light ballast’s, and metallic mercury in
switches, thermostats or thermometers.
10.
Do not discard aerosol cans (full, partially full, or empty) into any asbestos
waste containers. Do not discard free flowing chemical solvents or
chemical containers into asbestos waste containers.
11.
Whenever chemical solvents or removal products are to be used in an
asbestos abatement project (i.e. mastic remover) the contractor must
provide two current copies of the material safety data sheets (MSDS) for
every chemical product to be used. The copies of the MSDS’s must be
provided along with the bid when it is submitted. The UCD Project
- 30 -
Manager will forward one set of the MSDS’s to the UCD Asbestos
Program Coordinator (Box C-275) for approval. Due to land ban
restrictions, some organic solvents cannot be buried in more than a few
parts per million concentration. No chemical product can be used in an
asbestos abatement project without approval from the UCD Asbestos
Waste Manager (303-315-5890).
12.
Important Note for Floor Tile Projects on the UCD 9th Avenue
Campus: The Denver Fire Department implemented a policy for cleaning
floors (mastic removal) with combustible liquids. The use of a
combustible liquid for the cleaning and removal of floor covering mastic
must be approved in advanced by the Denver Fire Department. Also, the
use of flammable liquids for this purpose is prohibited, unless a permit
from the City and County of Denver is obtained prior to the beginning of
any work.
XIV. Record Keeping:
UCD will conduct record keeping practices in accordance with all local, state, federal
regulations and this program.
A
Building Inspections/Surveys
University of Colorado Denver (UCD) is required to keep building Inspections
records and surveys performed by certified inspectors for the buildings that are
owned and/or leased by the UCHSC.
1.
2.
B
All asbestos surveys are to be conducted by using the Sampling forms
located in Appendix A-1 and Appendix A-2.
a.
The original sampling forms are to be kept by the asbestos
coordinator (and designees) at the Environmental Health and
Safety Department (EHS).
b.
Copies of the sampling forms may be kept with the project file if
applicable.
An asbestos survey is not needed if the architect or project engineer
responsible for the construction of a new state building built after October
12, 1988, or a certified inspector signs a statement that no ACM was
specified as a building material in any construction document for the
building, or, to the best of his/her knowledge, no ACM was used as a
building material in the building. A copy of the signed statement shall be
kept on file at the Environmental Health and Safety Department (EHS).
Response Actions
1.
For each response action taken (i.e. removal, encapsulation, enclosure,
repair, operations and maintenance), the Asbestos Coordinator (and
designee) shall document and keep on file a detailed written description of
- 31 -
the measure or action on the form located in Appendices D 1-4, which
includes the following:
2.
C.
D.
a.
Methods used,
b.
The location where the measure or action was taken,
c.
Reasons for selecting the measure or action,
d.
Start and completion dates of the work,
e.
Names and addresses of all contractors involved and certification
numbers, and
f.
If ACM is removed, the name and location of storage or disposal
site of the ACM.
For each response action conducted by an outside contractor, Appendices
D 1-4 should be used to document the above information. The form is to
be provided to the UCHSC- EHS.
Air Monitoring
1.
Any air monitoring conducted as required by this program shall be
documented using the air monitoring forms located in Appendix E-1
and/or E-2.
2..
The original air monitoring form is to be kept by the UCD-EHS, when
monitoring is conducted by UCD. Copies of area air monitoring results
conducted by contractors are to be forwarded to UCD-EHS.
3.
UCD-EHS shall maintain this record for at least thirty (30) years.
Medical Surveillance
1.
UCD shall establish and maintain an accurate record for each employee
subject to medical surveillance as required by this program. The record
shall include the following:
a.
The name and social security number of the employee,
b.
Physician’s written opinions,
c.
Any employee medical complaints related to exposure to asbestos,
d.
A copy of the information provided to the physician as required in
Section IV, the medical surveillance section of this document .
- 32 -
2.
E.
UCD shall ensure that this record is maintained for the duration of
employment plus thirty (30) years.
Training Documents
Training documents for all employees trained shall be maintained for one (1) year
beyond the last date of employment of that employee. Generally such training
records are to be kept by the employee’s supervisor.
F.
Asbestos Waste Records
1.
The Environmental Protection Agency (EPA) requires a hazardous waste
manifest to be made out for each permit number and /or project assigned.
Asbestos contractors must keep track of the number of asbestos waste (and
other volumes of asbestos waste) generated in accordance with Asbestos
Waste Disposal Section XIII. Abatement contractors must report the
quantity of asbestos waste generated for each project to the UCHSC
Project Manager.
2.
If UCD does not receive the waste manifest with in 35 days from the time
the waste was transported, the UCD Environmental Health and Safety
Department (EHS) will contact the landfill operator.
3.
If the waste manifest is not received by UCD-EHS within 45 days,
Environmental Health and Safety will report the issue in writing to the
EPA Regional Office administering the NESHAP program. The address
to send the information is:
United States Environmental Protection Agency
Region 8
Mail Code: 8ENF-T
999 18th Street/ Suite 500
Denver, CO 80202
4.
G.
UCD shall retain a copy of all waste manifests records to include the
signature of the landfill operator for at least two (2) years.
Record Accessibility
UCD shall make the records available to applicable regulatory agencies as
required for examination and copying.
- 33 -
Appendix A(1): University of Colorado Denver
Asbestos Bulk Sampling Data Sheet
I.
A.
B.
C.
D.
E.
F.
General Information:
Project:__________________________________________________
Location:_________________________________________________
Building:_________________________________________________
Room Number:______________________
Sampling Date:_____________________________________
a. Sample Number:_______________ b. Lab Results:___________________
II.
Location of Sample:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________
III.
Type of Material:
G. Surfacing:_____
H. TSI:_____
I. Misc.:_____
J. Description:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________
IV.
Condition:
K. Friability:
1. Friable:_____
2. Nonfriable:_____
L. Percent Damage:__________ %
1. Localized:_____
2. Distributed:_____
M. Type of Damage:
1. Deterioration:____
2. Water:____
3. Physical:____
4. Description:
________________________________________________________________________
________________________________________________________
5. Overall Rating:
a. Good:____
b. Damaged:____
c. Sig. Damaged:____
V.
Inspector information:
Print Inspector Name:______________ Inspector Signature:____________________
Insp. Accreditation No.:_____________ Insp. Affiliated Company:_______________
- 34 -
GUIDANCE INFORMATION ON THE CATEGORIES LISTED ON FRONT PAGE
I.
General Information:
A. Write the Project Name if there is a project associated with the survey.
B. The location is the address where the survey is being performed.
C. Write the name of the building where the survey is being conducted.
D. Functional Space Room Number is the actual room number of the space where the survey is
being conducted.
Functional space such as Hallways, lobbies, crawl spaces and stairway will be assigned a
functional space room number by the Asbestos Manager or representative.
E. Functional space is the defined as room, or homogeneous area (including crawl space or
between dropped ceiling and the floor or roof deck above) such as a class room, laboratory,
or office designated by a person certified to prepare management plans, designed abatement
projects, or conduct response actions.
F. Write the date the survey took place.
II.
Location of Sample: The actual point where the sample is taken. The point should be
determined by recording the distance the sampling point was from fixed building
structures such as from walls, floors or support columns.
III.
Type of Material:
G. Surfacing: Material that is sprayed on, troweled on, or otherwise applied on surfaces.
H. TSI: Thermal System Insulation found on pipes.
I. Misc: Interior material on structural components, structural members or fixtures, such as
floor and ceiling tiles, and does not include surfacing materials or thermal system insulation.
J. Briefly describe what the material is.
IV.
Condition:
K. Friability:
1. Friable: Material when dry can be crumbled, pulverized, or reduced to powder by
hand pressure and contains more than one percent asbestos by weight.
2. Nonfriable: Material when dry may not be crumbled, pulverized, or reduced to
powder by hand pressure.
L. Percent Damage: The amount of damage noted on the material being sampled.
- 35 -
1. Localized: Damage noted concentrated in one area of the material being sampled.
2. Distributed: Damage noted spotted throughout the material being sampled.
M. Type of Damage:
1. Deterioration: Material integrity falls from high quality to a state of disrepair.
2. Water: The cause of the damage is from water.
3. Physical: The damage is caused from continual impact from employees (an example
would be workers hammer continually hitting an asbestos fitting causing damage).
4. Describe the damage.
5. Overall Rating:
a. Good: Material with no or very limited visible damage or deterioration.
b. Damaged: The surface crumbling, water stain, blister, marred or otherwise
abraded over less than one-tenth of the surface (damage is evenly distributed), one
quarter (damage is localized).
c. Significantly Damaged: The surface crumbling, water stained, blister, marred or
otherwise abraded over equal to or greater than one-tenth of the surface (damage
is evenly distributed), one quarter (damage is localized).
V.
Inspector Information:
Information on the individual Asbestos Building Inspector performing the building
inspection in order to identify different projects with the inspection survey forms in case
there are questions on the survey.
- 36 -
Appendix A(2)
University of Colorado Denver
Recording Form for Asbestos Physical Assessment Data
I.
General Information:
A. Building:__________________________________________________________
B. Functional Space Room Number:________ Functional Space Type:___________
C. Reason for Survey: (1) Initial:____(2) Routine:____(3) Before Renovation:____
(4) After Renovation:____(5) Other:____
(6) Comments:________________________________________________________
II.
Asbestos Details:
D. Type of Material: (1) Surfacing:_______(2) TSI:_______(3) Misc:___________
(4)Discription:_______________________________________________________________
____________________________________________________________
E. Asbestos Percent Content:____________________ %
F. Approximate Amount of Material (linear, square, or cubic ft.):_______________
G. Condition
1. Friability: (a) Friable:____ (b) Nonfriable:____
2. Percent Damage:_____ % (a) Localized:_____ (b) Distributed:_____
3. Type of Damage: (a) Deterioration:____(b) Water:____(c) Physical:____
(d)Description:______________________________________________________________
____________________________________________________________
(e) Overall Rating: (1) Good:___(2) Damaged:___(3) Sig. Damaged:___
H. Potential for Disturbance
1. Frequency of Potential Contact: (a) High:____(b) Moderate:____(c) Low:___
(d)
Description:____________________________________________________________
_____________________________________________________________
2. Influence of Vibration: (a) High:____ (b) Moderate:____ (c) Low:____
(d) Description:____________________________________________________
______________________________________________________________
3. Potential for Air Erosion: (a) High:____ (b)Moderate:____ (c)Low:____
(d) Description:__________________________________________________
______________________________________________________________
III.
Overall Disturbance Potential Rating: (a) Damage:____ (b) Sig Damage:____
(c) Minimal or No Damage:_____
(d) Comments:__________________________________________________
______________________________________________________________
Inspector Information:
Inspector Signature: _______________________________________________
Print Inspector Name: _____________________________________________
Inspection Date: _________________________________________________
Inspector Accreditation Number: ____________________________________
Inspector’s Affiliated Company: _____________________________________
GUIDANCE INFORMATION ON THE CATEGORIES LISTED ON FRONT PAGE
- 37 -
I.
General Information:
A.
Write the name of the building where survey is being conducted.
B.
Functional Space Room number is the actual room number of the space where survey is being conducted.
Functional space such as Hallways, Lobbies, crawl spaces, and Stairways will be assigned a functional space room number by the
Asbestos Manager or representative.
Functional space is the defined as room, group of rooms, or homogeneous area (including crawl space or between dropped ceiling and
the floor or roof deck above) such as a class room, laboratory, office designated by a person certified to prepare management plans,
design abatement projects, or conduct response actions.
C.
Check the appropriate identifier that would best explain the reason for the survey.
II.
Asbestos Details:
D.
Check the space that best identifies the material being surveyed and give a description of the material:
1.
2.
3.
Surfacing: Material that is sprayed on, troweled on, or otherwise applied on surfaces.
TSI: Thermal System Insulation found on pipes.
Misc: Interior material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not
include surfacing materials or thermal system insulation.
E.
Annotate the asbestos percent content of the sample taken. If multiple samples were taken list the highest percent content identified
from the samples.
F.
Identify the approximate amount of material in which the samples were found in the functional space.
G.
Describe the condition, percent damage and type of damage found on the material that was sampled.
1.
Friability:
a.
Friable: Material when dry can be crumbled, pulverized, or reduced to powder by hand pressure and that contains more
than one percent asbestos by weight.
b. Nonfriable: Material when dry may not be crumbled, pulverized, or reduced to powder by hand pressure.
2.
Percent damage: The amount of damaged noted on the material being sampled.
a.
Localized: Damage noted concentrated in one area of the material being sampled.
b. Distributed: Damage noted spotted through out the material being sampled.
3.
Describe the type of damage noted on the material being sampled.
a.
Deterioration: Material integrity falls from high quality to a state of disrepair.
b. Water: The cause of the damage is from water
c.
Physical: The damage is caused from continual impact from employees (an example is a workers tool keeps hitting an
asbestos fitting causing damage).
d. Describe the damage.
e.
Overall rating:
1. Good: Material with no or very limited visible damage or deterioration.
2. Damaged: The surface crumbling, water stained, blistered, marred or otherwise abraded over less than one-tenth of
the surface (damage is evenly distributed), one quarter (damage is localized).
3. Significantly Damaged: The surface crumbling, water stained, blistered, marred or otherwise abraded over equal to or
greater than one-tenth of the surface (damage is evenly distributed), one quarter (damage is localized).
H.
Potential for Disturbance: The potential for the material being sampled to be influenced or effected by the potential for contact,
influence of vibration (i.e. mechanical, sound, etc.), potential for air erosion (i.e. supply grills, fan units, etc.), and the overall
disturbance potential rating of that material.
III.
Inspector:
Information on the individual Asbestos Building inspector performing the building inspection in
order to identify different projects with the inspection survey forms in case there are questions on
the survey.
- 38 -
Appendix B: Air Monitoring Contractor Requirements
UNIVERSITY OF COLORADO DENVER
All Air Monitoring Contractors bidding for University of Colorado Denver (UCD) Asbestos Jobs
are to be certified by the Colorado Department of Public Health and Environment for Building
Inspector, Project Manager, and Air Monitoring Specialist.
The contractor may be called upon to conduct asbestos inspections in areas where demolitions
are planned. The inspections are to be conducted and documented in accordance with the
Asbestos Control Program. The asbestos inspection must be conducted prior to providing a firm
estimate for the project. A report of findings will be furnished to the UCD-EHS Industrial
Hygienist, UCD Asbestos Team Supervisor, and the UCD Project Manager for that project.
UCD-EHS and the Air Monitoring Contractor shall be notified of all projects involving asbestos
abatement in the planning stages. Asbestos Projects that are permitted with CDPHE will require
a preliminary abatement plan describing how containments will be constructed in the area
affected, where decontamination facilities, negative air discharge from the containment, dressing
rooms, and clean and dirty equipment areas will be located. The plan will also identify what
asbestos containing material (ACM) will be removed and what ACM, if any will remain.
Information on the method of removal and the occupancy of the surrounding areas will also be
supplied in the plan.
The UCD FACILITIES PROJECT MANAGER for the project shall be responsible for
supplying the Air Monitoring Contractor of information and any help needed during the project.
The Air Monitoring Contractor is to conduct a pre-abatement visual, to inspect the adequacy of
the construction of the containment facility and provisions for containment control and
decontamination prior to the commencement of gross asbestos removal. This inspection may not
be conducted at the discretion of the Air Monitoring Contractor.
A representative of the Air Monitoring Contractor will be present on the job site at all
times while abatement of asbestos is in process.
Personal and ambient air monitoring, conducted in accordance with 29 CFR 1926.1101 and
Colorado Air Pollution Regulation 8, shall be performed for every project. A copy of the results
will be furnished to the UCD-EHS Industrial Hygienist.
The Air Monitoring Contractor, under the guidance of UCD-EHS, must inspect the adequacy of
ACM removal by visual inspection prior to the application of encapsulant for any removal
project. The Air Monitoring Contractor will provide written documentation of that
inspection to the UCD-EHS Industrial Hygienist. Any deficiencies must be corrected to the
satisfaction of the Air Monitoring Contractor before encapsulant can be applied and clearance
monitoring can be performed.
Final Clearance Monitoring shall be performed by the Air Monitoring Contractor under the
guidance of UCD-EHS in accordance with Colorado Air Pollution Regulation 8 and procedures
approved by UCD-EHS. A report of the sampling results will be furnished to the UCD-EHS
Industrial Hygienist.
- 39 -
Appendix C: UCD Building Inspector Requirements
All building inspector contractors bidding for University of Colorado Denver asbestos survey
projects are to be certified by the Colorado Department of Public Health and Environment for
performing Building Inspections. The Building Inspector may also be required to identify other
potential environmental safety and health hazards to include but not limited to lead-containing
paint and shielding in walls, PCB ballasts and mercury-containing fluorescent light bulbs, and
alkaline and nickel-cadmium batteries found in emergency lighting in accordance with the
UCHSC guidelines.
The contractor may be called upon to conduct asbestos inspections in areas where demolitions
and renovations are planned. The contractor(s) bidding for the contract will be given a
specification document and a set of drawings for that project. The inspections are to be
conducted and documented in accordance with all applicable federal standards, Colorado
Department of Public Health and Environment Regulation # 8 and guidelines approved by the
UCHSC Health and Safety Division. Asbestos inspections must be conducted prior to providing
a firm estimate for the project. A report of findings will be furnished to the UCD-EHS
Industrial Hygienist, UCD Asbestos Team Supervisor, and the UCD Project Manager for
that project.
- 40 -
Appendix D: FACILITIES PROJECTS-SCOPE OF WORK
Proposed modifications resulting in the addition of or change in space configurations; the change
in mechanical, electrical or plumbing service; or any exterior alterations requires the initiator to
submit a Project Request Form to the UC DENVER Facilities Projects Department. It is the
responsibility of an assigned UCD Project Manager to ensure appropriate review of the proposed
alterations and facilitate either 1) management of the design and construction of the UCD
occupied project or 2) provide oversight to ensure that all UCD policies, procedures, standards
and guidelines are adhered to where a facility is leased from the UCD.
- 41 -
Facilities Projects Project Request Form and Scope of Work Questionnaire
UC DENVER PRF Project #
Project Manager Assigned:
Project Location (Campus, Building, Room Number, Area)
Brief Description:
Client Contact:
Operations Representative:
Transmittal/Routing
This form is to be initiated by the Project Manager.
The completion is mandatory prior to the distribution of the scope of work.
Distributed from Project Manager to PRF Review Group
Date:
After completing this form, Project Manager is to submit copies to the following. It is the responsibility of the
individuals listed below to distribute to the appropriate person(s) in their department.
 Health & Safety –Christina Aguilera
 SAM - Paul Fass
 Operations – Mike Boroviak
 Operations – Dave Turnquist
 Major Projects – Mike Barden
 Construction Services – Don Taipalus
 Telecommunications – Rob Lee
 Code Official – Henry Dietz
 Project Manager Supervisor – Sharon Anthony
 Architect (Design Review Board) – Noel Copeland
 Finance & Administration – Diana Taipalus
 Division of Infrastructure – Ken Neeper
 Space & Property Acquisitions – Melissa Kelley
 AVC Facilities Projects – John Allison
 Facilities Director SOM - Don Aldrich
 Client:
 Other:
 University Police – Chief Doug Abraham
 Security – Robin Brown
 Institutional Planning – Jerry Scezney
Date Distributed:
Response from PRF Review Group to the Project Manager
Response will be anticipated within five (5) working days once received by the reviewer.
Response Instructions:
• Each comment should correspond to its respective question on the form provided.
• Responses should be sent back electronically using form provided.
• Enter your name and date on the bottom of THIS page.
Will a Certificate of Occupancy be required?
Yes
Responder:
No
Date:
- 42 -
Appendix D-1: Class I-Class III Asbestos Work Request Form
Name:
______________________________Date:
__________________________
Telephone No. ______________________ Job Request No.
Requested starting date:
_______________________
__________ Anticipated finish date:
_________________
Address, Building, and Room Number(s) (or description of area) where work is to be performed:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Description of Work:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Description of any asbestos-containing material being affected (include location and type, if
known):
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Name and telephone number of requestor:
________________________________________________________________________
______________________________________________________________________________
Name and Telephone number of supervisor:
________________________________________________________________________
______________________________________________________________________________
Submit this application to:
UCD Environmental Health and Safety
1784 Racine Street, Room 202, Bldg 401
Aurora, CO 80045
Ph #: (303) 724-0345
Fax #: (303) 724-0388
E-mail: Christina.Aguilera@UCDenver.edu
- 43 -
Appendix D-2: Class I-Class III Asbestos Work Request Form
Authorization:
Authorization is given to proceed with the following (Class I, Class II, and Class III) work:
__________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_________________________________________________________________________
Type of asbestos-containing material(s):
1. Sprayed- or Troweled-on ceiling or walls
2. Sprayed- or Troweled-on structural members
3. Insulation on pipes, tanks, or boiler
4. Other (describe):
______________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Work Practices and procedures for the response action taken:
The following work practices shall be employed to avoid or minimize an asbestos spill or
contamination.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Personal Protection Equipment required for the Response Action:
The Following equipment/ clothes shall be used/ warn during the work to protect the UCD
employees:
______________________________________________________________________________
______________________________________________________________________________
Special Practices and/ or Equipment Required:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Signed: ___________________________________ Date:_______________________________
(Asbestos Coordinator)
- 44 -
Appendix D-3: Class I-Class III Asbestos Work Evaluation Form (non-permit)
Location of Response Action (address, building, room number(s), or general description):
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Date(s):
_________________________________________________________________
Description of work:
_______________________________________________________________________
______________________________________________________________________________
Evaluation of work practices employed to minimize disturbance of asbestos:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Evaluation of work practices employed to contain released fibers and to clean up the work area:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Evaluation of equipment and procedures used to protect workers:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Handling or Storage of ACM Waste:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Personal air monitoring results; (in-house worker or contract?)
Employee Name _____________________Results:______________________________
Employee Name _____________________Results:______________________________
Signed: _____________________________ Date: _______________________________
(Asbestos Coordinator)
- 45 -
Appendix D-4: UCD Asbestos Abatement Evaluation Form (State Permit Work Only)
Type of work activity:____________________________________________________________
Reason for selecting the measure or activity:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Location where measure or activity was taken:
______________________________________________________________________________
Project(s) start date: __________________ Project(s) Completion Date: ___________________
Current Abatement Phase: Pre _________ Active _________ Post ________ More than one
project? Y
N
Comments:____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Type(s) and *total quantity of ACM removed/to be removed * as reported by the abatement
contractor:
Pipe insulation __________ Spray on __________ Fireproofing __________
Ceiling Tile __________ Boiler Insulation __________ VAT __________
Transite __________ Other (describe)_______________________________________
*Pipe insulation is reported in lineal feet, all other materials including ductwork are reported in
square footage regardless of the thickness of the ACM.
PART I – SECTION A – Outside the work area(s)
Certification and Permit/Notification Requirements, etc.
Pg # Citation
Description of Citation
17
II.A.1.a
On site supervisor state certified?
18
II.A.1.c
All workers on site trained/certified?
8
II.A.S./&
6.
II.B.1.g.
All training certs/documents on site – and
photo Ids?
Air Monitoring Spec. trained/qualified
(NOTE – this requirement may apply during
pre or active abatement phases, e.g. monitoring
NAM exhaust inside a building or checking for
the “MAAL”)?
19
- 46 -
OK
V
N/A RG
110
110
1-4
6
Pts
32
III.C.1.
Permit valid (i.e. start/stop dates)?
410
1
33
III.C.1.d.
Original permit posted at work site?
47
III.C.4.
310
57
III.C.9.
20
II.B.1.d.
34
III.C.1.h.
If a variance has been granted for any work
practice(s), are the conditions of this variance
being followed?
Project Manager/Design required (>1,000 lin. /
3,000 sq. ft.)?
Project Manager-credentials ok (certified as
proj. designer, completed AMS training, HS
diploma, 1 yr. Experience, independent)?
Permit signed by project manager?
58
30
III.C.9.b.
III.B.1.a.(
I)
Project design on site
No false, inaccurate, misleading information?
1-4
110
110
110
1
List of all abatement workers in containment today:
NAME
SSN
EXP. DATE
- 47 -
COMMENTS
Total number of persons performing active abatement today: __________
Comments:
______________________________________________________________________________
______________________________________________________________________________
PART I – SECTION B – OUTSIDE WORK AREA (cont.)
Pg # Citation
Description of Citation
35
III.C.2.a. View port present (12” x 12”)?
III.C.2.a.
36
37
III.C.2.b.
III.C.2.b.
(I) (B)
OK
V
N/A RG
3
Negative Air Machines (NAMs) – operating
continuously?
110
NAMs – monitored if exhausted inside
building?
4-6
Decon Unit – 3 stages?
Clean room – adequately sized?
110
1-4
Shower – hot and cold at the tap?
3-6
Shower – waste water filtered to 5 microns,
sanitary sewer discharge?
Shower – leakage?
6
Shower and Clean room – ACM debris
present?
Entry and exit procedures ok?
110
110
1-5
“
“
“
“
“
40
III.C.2.b.
(ii)
III.C.2.h.
“
“
.02” H2O or better on Manometer?
“
Continuous readout on Manometer?
“
“
Air flow – outside to inside ok?
44
III.C.2.s.
Waste load out separate from Decon?
110
1-3
36
III.C.2.b.
Self closing flaps/doors?
3
“
“
2 chambers separated by airlocks?
1-3
Manometers and smoke tubes present?
- 48 -
1-6
110
3
Pts
Miscellaneous Comments – Part I, Section B:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
PART II – SECTION A – INSIDE WORK AREA
Pg # Citation
Description of Citation
34
III.C.2.a. Critical barriers – 1 layer 6 mil?
OK
V
N/A RG
310
110
110
1-5
35
“
Floors – 2 layers 6 mil?
“
“
Walls – 2 layers 4 mil?
“
“
Fixed objects – 1 layer 6 mil?
36
“
Ceilings – 1 layer 4 mil?
3-5
35
“
1-5
37
“
No seams present (wall/floor, wall/ceiling, 12”
overlap)?
6 mil disposal bag present in Dirty room?
38
III.C.2.c.
Pre-Cleaning – Neg. Air established, criticals
and decon, HEPA Vacs, wet cleaning, proper
disposal?
110
“
“
38
III.C.2.e.
110
1-5
39
III.C.2.f.
38
“
39
“
“
“
Movable objects pre-cleaned before removal
from the work area?
All contaminated surfaces wet-wiped prior to
disassembly of containment barriers?
Glovebags – secondary containment(s) in place
if removal > 3 lin./sq. feet?
Glovebags – proper useage (useable without
causing fiber release)?
Glovebags – propersly sealed to the area, no
bottom seam?
Glovebags – smoke tested prior to use?
38
“
Glovebags – pipes cooler than 150 degrees?
1-3
39
“
Glovebags – material in bags adequately wet?
“
“
Glovebags used only once?
110
1-6
39
“
Glovebags – evacuated w/HEPA Vac prior to
removing the bag?
- 49 -
2
1-6
1-5
1-5
1-3
1-3
Pts
“
“
Glovebags – “rough edges” encapsulated?
1-3
40
III.C.2.g.
1-3
40
III.C.2.i.
“
“
“
“
Airless sprayers used for applying amended
water or encapsulant?
Amended water being used (surfactants) before
ACM is removed?
Material adequately wet and/or kept wet ;until
bagged for disposal?
Are the surfactants a commercial product
designed specifically for ACM removal?
41
“
Disposable clothing worn by workers?
5
41
III.C.2.n.
1
III.C.2.n.
110
110
43
III.C.2.r.
43
“
Facility component removal – w/o
containment, material well adhered to surface?
Facility component removal – adequately wet
and wrapped in 6 mil poly prior to removal
from the work area?
Air cleaning equipment – HEPA filters
properly installed, equipment operating,
maintained adequately, etc.?
Adequate equipment in place to ensure 4 air
changes per hour?
1-5
110
3
110
110
Miscellaneous Comments – Part II, Section
A:____________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
PART II – SECTION B – WASTE HANDLING REQUIREMENTS (Waste storage area)
Pg # Citation
Description of Citation
OK V
N/A RG Pts
40
III.C.2.j.
6 mil bags?
1-6
56
III.C.8.
Containers – material adequately wet in bags?
56
“
No breakage, rupture or leakage?
56
III.C.8.d.
Visible emissions – anywhere on job site?
“
III.C.8.b.
Proper warning labels on bags?
57
III.C.8.f.
“
III.C.8.g.
All waste water filtered to 5 microns AND
discharged to a sanitary sewer?
Are ACWM bags labeled w/ generator labels
in accordance w/40 CFR 61.150?
110
1-4
“
“
Transport to a proper disposal site?
10
- 50 -
110
110
110
1-3
“
“
“
“
Waste storage vehicles placarded during
loading/storage at job site?
Are appropriate waste shipment records being
maintained (40 CFR 61.150)?
1
310
Miscellaneous Comments – Part II, Section B:
______________________________________________________________________________
______________________________________________________________________________
Name and Location of Storage or Disposal Site of the ACM:
PART III – POST ABATEMENT REQUIREMENTS
Pg # Citation
Description of Citation
51
III.C.7.a. Work area reduced to only critical barriers in
(i)
place?
OK
V
N/A RG
1-6
51
III.C.7.a.(
i)
Has all dust and debris been cleaned/removed
from the work area, including areas behind the
critical barriers?
110
“
III.C.7.a.
(i) (A)
Aggressive sampling conducted pursuant to 40
CFR Part 763 Appendix A?
410
53
TEMs – Lab properly accredited (by NIST)?
10
55
III.C.7.c.
PCMs – Lab successfully participating in the
AIHA PAT program?
Is the Air Monitoring Specialist properly
trained pursuant to Section II.B.1.g. (NOTE:
this requirement also pertains to “background
air sampling” and sampling conducted near
NAM exhausts if the NAMs are exhausted
inside a building, i.e. sampling for the
MAAL.)?
MAAL, sample(s) outside containment >.01
f/cc, PCM?
10
19
III.C.7. (i)
(B)
III.C.7. (i)
(C)
II.B.1.g.
55
“
52
III.C.7.a.
110
10
52
“
MAAL, if yes to above, re-analyzed TEM
within 24 hours and/or area treated as a spill?
Satellite labs – proper prodedures (NIOSH
7400 method) followed, and is the analyst
properly trained pursuant to Section II.B.1.g.?
Satellite labs – directly under the control of
properly accredited “parent” lab pursuant to
53
- 51 -
6
10
Pts
53
III.C.7.a.
(iii)
52
III.C.7.a.
(iv).
51
III.C.7.d.
subclause III.C.7. (i) (B)?
“TEM air sampling – 1,199 Liters of air drawn
(25 mm cassette) and average of the required 5
samples is below 70 structures/mm2?”
*PCM air sampling – 1,199 Liters of air drawn
(25 mm cassette) and each sample of 5
required samples is below 0.01 f/cc?*
Is the air monitoring specialist performing the
final clearance procedures completely
independent of the asbestos contractor?
1-5
110
10
*There are 2 possible exceptions to these rules – see page 8.117 for details*
Miscellaneous Comments – Part III:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Comments - General:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
- 52 -
Appendix E1: AIR SAMPLING DATA SHEET
PROJECT
LOCATION
AREA
DATE
EMPLOYEE
SSN
DESCRIPTION
COMPOUNDS SAMPLED
SPECIAL CONDITIONS
INSTRUMENT
POST-SAMPLE
AVG
CAL
TIME OFF
TOTAL TIME VOLUME
SAMPLE #
PRE-SAMPLE
AVG
CAL
TYPE
TIME ON
AREA
DATE
EMPLOYEE
SSN
DESCRIPTION
COMPOUNDS SAMPLED
SPECIAL CONDITIONS
INSTRUMENT
POST-SAMPLE
AVG
CAL
TIME OFF
TOTAL TIME VOLUME
SAMPLE #
PRE-SAMPLE
AVG
CAL
TYPE
TIME ON
- 53 -
Appendix E2: ASBESTOS CLEARANCE DATA SHEET
(Required for Permitted work)
PROJECT
LOCATION
CONTAINMENT DESCRIPTION
VISUAL INSPECTION BY:
COMMENTS:
INSTRUMENT
SAMPLE#
TYPE
TIME ON
PRE-SAMPLE CAL.
/
/
TIME OFF
/
/
/
POST-SAMPLE CAL.
/
/
TOTAL TIME
/
VOLUME
LOCATION OF SAMPLE
AIR CONCENTRATION:
INSTRUMENT
SAMPLE#
TYPE
TIME ON
PRE-SAMPLE CAL.
/
/
TIME OFF
/
/
/
POST-SAMPLE CAL.
/
/
TOTAL TIME
/
VOLUME
LOCATION OF SAMPLE
AIR CONCENTRATION:
INSTRUMENT
SAMPLE#
TYPE
TIME ON
PRE-SAMPLE CAL.
/
/
TIME OFF
/
/
/
POST-SAMPLE CAL.
/
/
TOTAL TIME
/
VOLUME
LOCATION OF SAMPLE
AIR CONCENTRATION:
INSTRUMENT
SAMPLE#
TYPE
TIME ON
PRE-SAMPLE CAL.
/
/
TIME OFF
/
/
/
POST-SAMPLE CAL.
/
/
TOTAL TIME
/
VOLUME
LOCATION OF SAMPLE
AIR CONCENTRATION:
INSTRUMENT
SAMPLE#
TYPE
TIME ON
PRE-SAMPLE CAL.
/
/
TIME OFF
/
/
/
POST-SAMPLE CAL.
/
TOTAL TIME
/
/
VOLUME
LOCATION OF SAMPLE
AIR CONCENTRATION:
BLOWER
ON:
OFF:
BLANKS:
LOCATION:
SAMPLES CONDUCTED
BY:
SENT TO:
- 54 -
Appendix F: Asbestos Buildings Materials Evaluation Form
(Non-mandatory)
Locations of asbestos-containing material (address, building, room, or general description):
______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________________
Type of asbestos-containing material(s):
1. Sprayed- or Troweled-on ceilings or walls
2. Sprayed- or Troweled-on structural members
3. Insulation on pipes, tanks, or boiler
4. Other (describe):
____________________________________________________________________________
Evaluation Status:
1. Evidence of physical damage:
_____________________________________________________________________________
______________________________________________________________________________
2. Evidence of water damage:
______________________________________________________________________________
__________________________________________________________________________
3. Evidence of delamination or other damage
_________________________________________________________________________
____________________________________________________________________________
4. Degree of accessibility of the material
______________________________________________________________________________
_____________________________________________________________________________
5. Degree of activity near the material
______________________________________________________________________
6. Location in an air plenum, air shaft, or airstream:
__________________________________________________________________________
______________________________________________________________________
- 55 -
6. Other observations (including the condition of the encapsulant or enclosure, if any):
Recommended action:
____________________________________________________________________________
_____________________________________________________________________________
_______________________________________________________________________
Signed: _____________________________________________
(Evaluator)
Date: _______________________________________________
- 56 -