Adm. Code ASBESTOS OCCUPANT PROTECTION PLAN This occupant protection plan is mandatory for asbestos abatement in an occupied or furnished facility and shall remain posted for the duration of the asbestos project. DEPARTMENT OF HEALTH SERVICES Division of Public Health F-44016 Rev* 1/13 Page 1 of 1 STATE OF WISCONSIN Bureau of Environmental and Occupational Health DHS 159 Wis. Only certified persons using appropriate personal protection may enter regulated work areas. Contractor - Describe the actions taken to ensure the health and safety of building occupants during this project in space below. If handwritten write clearly and legibly. Post this plan in plain view outside the regulated area for the project. Occupants Asbestos is a hazardous substance. The actions described below are meant to protect you and others nearby during this asbestos removal project. It is important to stay out of work areas while work is in progress and until permission is given to re-enter upon completion* T....
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How to fill out the WI DHS F-44016 online
The WI DHS F-44016 is an essential document for ensuring the safety of building occupants during asbestos abatement in occupied facilities. This guide provides step-by-step instructions to help users complete the form accurately and effectively.
Follow the steps to complete the WI DHS F-44016 online.
- Click the ‘Get Form’ button to access the form and open it in the designated editor.
- Fill in the company information section, including the company name, address, city, state, zip code, DHS company number, contact person, and telephone number. Ensure that all information is accurate and clearly presented.
- In the asbestos project information section, provide the property type or property name, address, city, and the property contact person's telephone number. Be specific about the project work shifts and enter the project start and end dates in the required format (mm/dd/yy).
- Describe the project in detail, including the type and amount of asbestos-containing material being disturbed or removed. This section is critical for understanding the scope of work being conducted.
- Outline the protective measures that will be taken to ensure occupant safety. Include information on containment systems, ventilation shutdowns, and work practices pertaining to asbestos removal. If more space is needed, you can attach an additional sheet.
- Detail the final cleaning and clearance measures to be utilized, which could include air scrubbing, HEPA vacuuming, and air sampling protocols.
- Once all sections are completed, review the information for accuracy. You can then save your changes, download, print, or share the form as needed.
Complete the WI DHS F-44016 online today for compliance with safety regulations.
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