Appendix 1

Forms Used in the WSU Asbestos Management Program

WSU Facilities Operations No Log Work Order Form
WSU Facilities Operations Safety Hazard Checklist
WSU Housing and Dining Services Safety Hazard Checklist
Asbestos Project Daily Log
Reasonable Certainty of Non-Disturbance of Asbestos
Asbestos Bulk Sample Form
Asbestos Air Sampling Data Sheet
EPA Notification Form
Asbestos Waste Shipment Record Form
Employee Exposure Monitoring Form
Environmental Hazards Services, L.L.C. Chain of Custody Form

Appendix 2

Exposure Assessments for Asbestos Abatement Tasks

Appendix 3

Exposure Assessments for Maintenance Work

Negative Exposure Assessments
Positive Exposure Assessments

Appendix 4

Exposure Assessments for Construction Work

Negative Exposure Assessments
Positive Exposure Assessments

Appendix 5

Good Faith Inspections

Good Faith Inspection Criteria
Roster of Persons Authorized to Perform Good Faith Inspections at WSU

Appendix 6

Third Party Oversight

Third Party Oversight Criteria
Roster of Persons Authorized to Perform Third Party Oversight at WSU

Appendix 7

Asbestos Abatement Contracts

General Duties of Asbestos Abatement Contractors
Specification for Asbestos Abatement Work at WSU

Appendix 8

Waste Disposal Records

Appendix 9

Abatement Notices

Appendix 10

Applicable Regulations