TABLE 1
INDIVIDUAL WORK TASK DATA ELEMENTS
Sheet_____ of _____
There is a separate data sheet for each individual work task.
1.
WORK TASK DESIGNATION NUMBER
_______
2.
LOCATION OF WORK TASK__________________________________________
_______________________________________________________________
3.
BRIEF DESCRIPTION OF MATERIAL TO BE ABATED:____________________
_______________________________________________________________
a.
Type of Asbestos _____________________________
b.
Percent asbestos content ____________________%
4.
ABATEMENT TECHNIQUE TO BE USED_________________________________
5.
OSHA ASBESTOS CLASS DESIGNATION FOR WORK TASK__________________
6.
EPA NESHAP FRIABILITY DESIGNATION FOR WORK TASK
Friable _____ Non-friable Category I _____
Non-friable Category II_____
7. FORM _____ and CONDITION OF ACM: GOOD_____ FAIR_____ POOR_____
8. QUANTITY: METERS__________________, SQUARE METERS_____________
8a. QUANTITY: LINEAR FT.______________, SQUARE FT._______________
9. RESPONSE ACTION DETAIL SHEET NUMBER FOR WORK TASK______________
10. SET-UP DETAIL SHEET NUMBERS
FOR WORK TASK
__________, __________, __________, __________,
__________, __________, __________, __________.
NOTES:
(1) Numeric sequence of individual work tasks (1,2,3,4, etc.) for
each regulated area. Each category of EPA friability/OSHA class has
a separate task.
(2) Specific location of work (building, floor, area,
e.g., Building 1421, 2nd Floor, Rm 201)
(3) A description of material to be abated (example: horizontal pipe,
cement wall panels, tile, stucco, etc.) type of asbestos (chrysotile,
amosite, crocidolite, etc.); and % asbestos content.
(4) Technique to be used: Removal = REM; Encapsulation = ENCAP;
Encasement = ENCAS; Enclosure = ENCL; Repair = REP.
(5) Class designation: Class I, II, III, or IV (OSHA designation).
(6) Friability of materials: Check the applicable EPA NESHAP friability
designation.
(7) Form: Interior or Exterior Architectural = IA or EA;
Mechanical/Electrical = ME.
Condition: Good = G; Fair = F; Poor = P.
(8) Quantity of ACM for each work task in meters or square meters.
(8a) Quantity of ACM for each work task in linear feet or square feet.
(9) Response Action Detail Sheet specifies the material to be abated
and the methods to be used. There is only one Response Action Detail
Sheet for each abatement task.
(10) Set-up Detail Sheets indicate containment and control methods used
in support of the response action (referenced in the selected
Response Action Detail Sheet).
SECTION 13280A
Page 55
Previous Page
