Document nk2G1pVOEw2a6bmzL2obRR9mz

HARVARD UNIVERSITY UNIVERSITY HEALTH SERVICES ENVIRONMENTAL HEALTH AND SAFETY IxBumui Htcilke 46 OrjsrJ Sired Ctnbriigt, tiuttchiartu 021)8 (6)7) 495-2000 ASBESTOS SURVEY Hav - 7984 1) What Kind of Institution? CS (please put appropriate number In box} 1. University .2 Research Laboratory 3. Private Removal Contractor 4. Governnent Agency a. regulatory b. non-regulatory c. other 5. Manufacturing Company a. oil b. chemical c. other .6 Insurance 7. Utility Company 8. Consultant/Consulting Firm 9. Construction .10 Non-profit Organization .11 Transportation 12. Other: (specify) _______ 2) Has youY Institution Issued a formal policy statement concerning asbestos? 1. n 2. (2 NO 3) Have you developed written procedures for: i.0 Asbestos Abatement Personnel 2. Personnel Involved In Routine Maintenance 3. 0 Ou^lde Contractors (Renovations, etc.) 4. Q None 5. Q Other: (specify) ___________________ tua PLAINTIFF'S EXHIBIT ATT-268 LLA 001522 5 0> B B S B B S B B B -2- 4) Who Is responsible for the following: (please fill in appropriate number choice from below) a. Inspection---------- ------- --------- ----------------- ------- -------------------b. Sampling ----------------------------------------------------------------------------c. Analysis of friable material----------------------- --------------------d. Assessment of need for corrective action-------------------------e. Implementation of interim control procedures-------------------f. Evaluation of selection of alternative abatement operation g. Development of a bidding process..................................... ......... h. Directing and monitoring abatement activities ------------1. Evaluation of contractor performance-------------------------------j. Monitoring building maintenance activities on a continual k. Maintaining records of survey results and all remedial actions ------------------------------------------------------------------------------ Choices: 1. No One 2. Safety Office 3. Private Outside Environmental Consultant 4. Maintenance Personnel 5. Other: __________________________________ 5) Have you conducted a survey to identify asbestos? 1. a YES 2. Q NO 5a. If yes, what X age of your buildings have been surveyed? 1. Of 2. Q <50f 3. \3 >501 4. 100S 5b. If yes, what X age of those surveyed were found to have asbestos? 1. OX 2. 0 <S0X 3. >50X 4. 100X 5c. If no survey has been conducted. Is one planned? 1. YES 2. NO LLA 001523 -3- 6) What is the level of concern toward asbestos? (check all that apply) 1. 0 Apathetic 2. 0 Unaware 3. 0 Concerned 4. Actively Involved 5. Frightened (hysterical) 6. Don't Know 7) What type of training or general information programs do you have concern ing asbestos? 1. s Written Handouts 2. 0 Audio-Visual 3. 0 Lecture or Oral Presentation 4. O None 5. Other: (specify) - S) Is there a medical surveillance program for those who work with asbestos? 1. YES 2. 0 NO 8a. Is this program 1. Q Mandatory 2. Voluntary 3. Q Other: _ 8b. If yes, what does it include? (check all that apply) 1. Pulmonary Function Tests 2- General Physical 3. [] X-rays 8c. If X-rays are reconrended, with what frequency are they received? 1. Q Annual 2- D Bi-annual 3. O Only as Required by Physician 4. Q] Other: __ 9) Do you have a specific policy/program to deal with asbestos prior to renovation or building function change? 1- Ret&ve all as part of renovation 2. 0 Evaluate condition and take action as necessary 3. None 4- Other: (specify) LLA 001524 -4- 9a. How many buildings are you responsible for? 1. <10 2. laf lo-ioo 3. Q >100 9b. How many employees? 1. <500 2. Q 500-1000 3. 1000-2000 4. S' >2000 9c. How many students? l- S o 2. Q <1000 3. Q 1000-5000 4. Q >5000 9d. How many maintenance personnel 1. <10 2. Q 10-20 3. 0 >20 10) Have you sampled and analyzed bulk material for asbestos? 1. O' YES 2. HO 10a. If yes, who did sampling? 1. @ Health and Safety Department 2- Outside Consultant 3. Q Other:_____________________ 10b. Where was analysis performed? 1. @ Inhou3e Laboratory 2. Outside Laboratory 10c. What method of analysis was used? 1. 0 PLK 2. PLM with dispersion staining 3. SEK 4. SEM with energy dispersive X-ray fluorescence 5. TEH 6. X-ray diffraction 7. Selective area energy dispersion 8. Colorimetric # ^ U-A 001525 - 5- lOd. What criteria are used to evaluate bulk samples? 1. * 2. (5J Type 3. Q Both REMOVAL 11) How much asbestos has been removed In the past year (yd3)? 1. Q None 2. <50 3. Q 50-500 . QJ >soo lla. If removal has been done, who conducted most of the removal? 1. Q Don't Know 2. Q Own Staff 3. Unlicensed Removal Contractor 4. 0" Licensed Removal Contractor 5. O Other: (specify) - 12) Is there a cutoff point beyond which Inhouse staff are not allowed to do renovals and outside contractors are called in? 1. 0 YES 2. NO 12a. If yes, what is this cutoff point? 1. Q ERA Guidelines (160 linear feet, 260 ft2) 2. Q 9 linear feet 3. Q Glove Bag Limits 4. jjjfl Other: (specify) - CftnwA i2b. Hhatis your or your office's role during asbestos removals? 1. O Contractor selections 2. Unite work specifications 3. Air sampling inside work area 4. 0 Air sampling outside work area 5. n Random visual monitoring . & Continuous visual monitoring 7. Other: (specify) - ____________________________________ LLA 001526 .6- 13) What is your preferred practice? 1. Q Encapsulation 2. Q Only removal 3- Enclosure 4. 0 Depends on condition and location 5. 0 Other: fe'sWitY Atc^s ^ AAw'rftuWjji> V^t\e fiacKos 14) If you choose not to remove, how do you treat the following? (please fill In appropriate number choice from below) a. Trowelled on surfaces -----------------------b. Sprayed on surfaces --------------------------c. Friable pipe coverings ----------------------d. Air cell pipe coverings --------------------e. Cementitious (e.g. transite, shingles) Choices: 1. 2. 3. 4. 5. 6. Wet wrap PVC sleeves Aluminum sleeves Latex Liquid encapsulant Double insulation with FG 15) Is air sampling conducted during removal? 1. ST YES 2. NO 15a. Is air sampling conducted during encapsulation 1. YES 2. NO 16) If yes, who conducted air sampling? 1. Safety Office 2. Private outside environmental health consultant 3. QJ Renova1 contractor 4. Regulatory agency 5. Other:________________________________________ LLA 001527 -7- 17) Who conducted analysis of air samples? 1. 0 Safety Office 2- Private outside environmental health consultant 3- Removal contractor 4. Regulatory agency 5. Q Other:______ ___________________________________ 18} What is the analytic method used? 1. 0 FAH (GCA or other) 2. (3 PCM (NIOSH, A. old method) 3< O PCM (NIOSH. B. new method) 4. 0 TEM (EPA) 5. 0 SEM 6. 0 Other:______________ _____ 19) a. What Is the maximum airborne level allowed outside work area? -- 0 (Choose number from below which corresponds to appropriate level) If other, specify:O b. What level Is permissible after removal to allow reoccupancy? -- 0 If other, specify:&05________________________________________0 c. What Is maximum allowable level before respirators are required' In the work area?---------------------------------------------------------------------- 0 If other, specify: EAuMy fcyad FT) 1. <0.01 f/cc 2. 0.01 f/cc 3. 0.04 f/cc 4. 0.10 f/cc 5. 0.50 f/cc 6. 2.00 f/cc 7 Other: 20) What Is your average sampling time? 1. 0 <1 hour 2. 0 1-3 hours 3- 0 3-8 hours 4. 0 >8 hours LLA 001528 -8- 21) What Is your average sampling volume (liters)? 1. <200 2. Q 200-400 3. Q 400-600 4. Q 600-800 5. 800-1000 6. Q >1000 22) How are swipe tests taken? 1. 0 Not done 2. Manual with filter 3. Manual with tape FIIter/surface vacuum 5. Q Other: 23) How are swipe samples analyzed? 1. PLM 2. PCM 3. SEM 4. Q Other: 24) How arr swipe samples evaluated? 1. Q Qualitatively 2. Quantitatively 25) If qualitative, your action levels are? 1. None established 2. Q 1-10 fibers 3. 10*100 fibers 4. >100 fibers 26) Do you have a database of sampling results you are willing to share? 1. Q 2. NO 27) Do you have any control measures for fiberglass? 1. YES 2. E) HO 1-LA 001529 -9- If yes, what Is your action level? 1. 0.1 f/cc 2. 3 f/cc 3. Q Other: ____________________ 28) Do you OOP test the HEPA air handlers used during removal? 1. YES 2. ST NO 29) What negative pressure system do you use? 1. (3 Microtrap 2. ET 3- Custom made 4. Q Other:_______________________________________ 30) Do you always use negative pressure? 1. VES 2. 0 NO, Only when: QatiVU 3. Q NEVER , v. U u><Aoia 31) Do you have a policy concerning translte? 1. 0 YES 2. Q NO 31a. What Is It? 1. Q Removal 2. T&T No action 3. Local exhaust when drilling or sawing 4. Q None 5. Q Other: (specify) -___________________ fitftg, 32) Conments/Suqqestlons/Questlons: ^S) frA ~ ` ^ ` ` " G 0*0V Thank you LLA 001530