Safeguarding Vacant Buildings and Structures. Application to Vacate a Facility

Transcription

1 and Structures Form Application to Vacate a Facility Date: College or Unit: Building Name: Facility Code: 911 Street Address: Brief narrative explaining the reason for the application: Unit Facility Director: (Please print legibly) Maintenance Planner: (Responsible for Annual Property Maintenance Inspections) Unit Facility Director Signature: Building History Date Constructed: Construction Type: Describe what the building is/was used for: Were Hazardous Materials used or and being stored in this building or support structures?: Yes Type of Heating System: Current Utilities: No Fire Alarm & Sprinkler Systems: Yes No Can the structure be occupied: Yes No Is the structure considered to be unsafe: Yes No

2 Facility Closure Plan for Hazardous Materials, Non Hazardous chemicals, Radiological and Biological Materials **IMPORTANT NOTE: The storage, movement and disposal of Hazardous Materials, Non Hazardous chemicals as well as Radiological and Biological materials along with the associated waste from each is often regulated by RCRA, DOT or local Regulations. Guidance from EHS and R5 Operations must be sought out prior to moving or disposing of chemicals or the above materials. EHS Hazardous Waste EHS DOT EHS Environmental Compliance R Research and Academic Materials All Chemicals (including gas tanks) used in research and academics as well as all of the associated Chemical waste, been removed from the facility Yes NA AHJ All Radiological Material used in research and academics and associated radiological waste, been removed from the facility and has EHS Radiation Safety Group has given approval to vacate? Yes NA AHJ AHJ column Official use ONLY All Biological Material used in research and academic as well as the associated waste, been removed from the facility? Yes NA AHJ Facility Specific Use Materials All Facility Specific Use: Chemical, biological, equipment maintenance/use chemicals been removed from the facility? (Example: Animal care, farming, shop supplies, Art / theatre supplies Animal Care: (Examples: syringes, cleaning, sanitizing, medical) Yes NA AHJ Farming: (Examples: pesticides, insecticides, fertilizers, shop supplies) Yes NA AHJ Maintenance supplies: (Examples: solvents, oils, fuels, paints, welding/soldering supplies Yes NA AHJ Art supplies: (Examples: solvents, paints, sharps, film, developer) Yes NA AHJ Support Infrastructure Have all septic systems, wells, fuel tanks etc. that support the function of this facility been removed or decommissioned appropriately. Yes NA AHJ

3 Building Care Cleaning Supplies All Chemicals used for Building Care purposes been removed from the facility? (Examples: toilet bowl cleaner, window cleaner, floor wax, aerosols, surface cleaners) Yes NA AHJ Facility Maintenance Supplies All chemicals used for maintenance purposes (facility and general maintenance) been removed? (Example: Spray lubricant, spray paints, solvents, paint, dish soap, aerosols, oils, Glycol, Spent Lamps, Batteries) Yes NA AHJ Other Hazards to Address All Hazardous Materials from in and around the building and support structures been removed? Examples: Fuel Tanks, Spray tanks, Neutralization Tanks, gas Cylinders, Refrigerant Containing Equipment such as air conditioners, dehumidifiers, chillers Yes NA AHJ Chemicals needed to Maintain Utilities during Closure Structures or areas that are vacated that require temporary utilities in order to maintain the fire protection systems or the structure, then a limited inventory of required chemicals may be allowed. These chemicals must be inventoried and stored in a manor acceptable to the AHJ for Contract College Facilities or the Chemical Amount Use where stored AHJ approval EXAMPLE: Motor oil 1 qt Compressor MR cabinet

4 Required Actions of Unit Facility Director Code Enforcement or Fire Official Use Only Building Name: Facility Code: 911 Street Address: Contact: IFC Section & Requirements: Safeguarding vacant premises; Temporary unoccupied buildings, structures, premises or portions thereof shall be secured and protected with Sections through Security: Exterior and interior openings accessible to other tenants, or unauthorized persons shall be boarded, locked, blocked or otherwise protected to prevent entry by unauthorized individuals. The fire code official is authorized to placard, post signs, erect barrier tape or take similar means necessary to secure public safety. (may consider staged lock changes to prevent unauthorized entry during cleanout process) Fire Protection: Fire Alarm, sprinkler and standpipe systems shall be maintained in an operable condition at all times. Exceptions: 1. Where the premises has been cleared of all combustible materials and debris and, in the opinion of the fire code official, the type of construction, fire separation distance and security of the premises does not create a fire hazard 2. Where approved, buildings that will not be heated and where fire protection systems will be exposed to freezing temperatures, fire alarm and sprinkler systems are permitted to be placed out of service and standpipe systems are permitted to be maintained as dry systems (without an automatic water supply), provided the building has no contents or storage, and windows, doors and other openings are secured to prohibit entry by unauthorized persons Fire Separation: Fire-resistance-rated partitions, fire barriers, and fire walls separating vacant tenant spaces from the remainder of the building, shall be maintained. Openings, joints and penetrations in fire-resistance-rated assemblies shall be protected in accordance with Chapter Removal of combustibles: Persons owning, or in charge or control of a vacant building or portion thereof, shall remove therefrom all accumulations of combustible waste or rubbish and shall securely lock or otherwise secure doors, windows and other openings to prevent entry by unauthorized persons. The premises shall be maintained clear of waste or hazardous materials Removal of hazardous materials: Persons owning or having charge or control of a vacant building shall comply with the Facility Closure Plan to prevent the spill of any material to the environment, the injury to people, or contamination to the facility, it is important to empty vacant facilities of materials which hold the potential to harm people or environment and to do so in a compliant manor. Chemicals, containers and labels deteriorate over time which is why proper and timely management of them is critical. In order to obtain approval to vacate a facility the owner must ensure the removal or disposal of all chemicals, radiological material, biological material used in research, academics, maintenance, and housekeeping including any associated wastes. This list is all inclusive of not only hazardous chemicals and substances but non-hazardous as well. Official Determination:

5 Required Actions of Owners Agent cont d Code Enforcement or Fire Official Use Only Building Name: Facility Code: 911 Street Address: Contact: IFC Section & Requirements: Placards: Any vacant or abandoned buildings or structures determined to be unsafe pursuant to Section 110 of this code relating to structural or interior hazards shall be marked as required by Sections through Placard location: Placards shall be applied on the front of the structure and be visible from the street. Additional placards shall be applied to the side of each entrance to the structure and on penthouses Placard size and color: Placards shall be 24 inches by 24 inches minimum in size with a red background, white reflective stripes and a white reflective boarder. The stripes and boarder shall be a minimum of 2-inches Placard date: Placards shall bear the date of their application to the building and the date of the most recent inspection Placard symbols: The design of the placards shall use the following symbols: Official Determination: 1. This symbol shall mean that the structure had normal conditions at the time of marking. 2. This symbol shall mean that the structure or interior hazards exist and interior fire-fighting or rescue operations should be conducted with extreme caution. 3. This symbol shall mean that structural or interior hazards exist to a degree that consideration should be given to limit firefighting to exterior operations only, with entry only occurring for known life hazards. 4. Vacant marker hazard identification symbols: The following symbols shall be used to designate known hazards on the vacant building marker. They shall be placed directly above the symbol R/O = Roof Open 4.2 S/M = Stairs, steps and landing missing 4.3 F/E = Avoid fire escapes 4.4 H/F = Holes in floors Print Signature Date