Management Plan

How the Asbestos Management Plan is Organized?

The asbestos management plan is made up of much more than just triennial re-inspection reports ("the binder").

[Note: This is a long page with many sections. Keep scrolling down to see all the content.]

Your school's asbestos management plan is located in the administrative office. Employees, parents and the public are entitled to review the plan upon request. As custodians, you are encouraged to locate the asbestos management plan and review the operations and maintenance plan and most recent triennial re-inspection report.

The asbestos management plan has the:

  1. Initial inspection (done in 1989 for schools open then)

  2. Triennial re-inspection reports: 1992, 1995, 1998, 2001, 2004, 2007, 2010, 2013, 2016, 2019

  3. Operations and Maintenance Plan

  4. Designated Person Statement and certifications

  5. Management Planner certifications

  6. Documentation of response actions (removal, enclosure, encapsulation)

  7. Exclusion Statements for new buildings and newly installed suspect ACBM (R&M)

  8. Custodian Training records

  9. Annual Notification letters

  10. Periodic Surveillance Reports

  11. Short-Term Worker Notification

  12. Documentation of any fiber release episodes

  13. School-specific information: Campus map, List of school buildings and their ACBM status, School address, contact information, Principal name, Number of students and staff, grades served.

The Environmental Services Unit (ESU) has created a binder Tab System to organize the Asbestos Management Plan components.

Copies of all management plan instructions and forms are available on the ESU Google Drive. ESU recommends that the Tab System be used to organize Asbestos Management Plan documents.

Management Plan Guidance

  • Instructional Guides and Forms: ESU provides instructions, forms & standardized templates available on the ESU Google Drive.

  • Binder Tab Index System: Assists in organizing management plan contents by topic. The Tab templates are included in the ESU Google Drive. If you have not set up your asbestos management plan using the Tab System, ESU encourages you to do so. If you need assistance, contact Gary Bignami, Program Specialist of the Environmental Services Unit, (gary.bignami@k12.hi.us) (808) 784-5067.

  • ESU Data Repository: ESU maintains copies of each school's asbestos management plan (and other environmental documents) as PDF documents. These are available on Dropbox. (Dropbox link).

  • Meta data tags: Tab indices used as search terms. For example, Tab 3.1 is always associated with an initial inspection

  • DOH Asbestos Rule Guide: Serves as template for tab system

What to Expect When Department of Health Audits the Asbestos Management Plan

The Tab System organizes the management plan documents and facilitates review by the Department of Health.

Continue scrolling down to see all the components of the management plan!

Tab 1. School Information

Tab 1 includes a List of School Buildings, which indicates whether buildings contain any ACBMs. Tab 1 also includes general School Information, such as grades serves, number of students and staff, and contact information. Tab 1 also includes a school map which shows all of the school buildings located on campus.

Tab 2.1/2.2 LEA Designated Person

The LEA-DP information is required to be kept in the management plan. This has contact information for the LEA-DP, in case you need to contact them (such as when there is a fiber release episode). LEA-DP packet is available in Google Docs. It is updated as the LEA-DP asbestos building inspector and asbestos management plan certifications are renewed, annually.

Designated Person training certificate

Asbestos Building Inspector and Management Planner Certification

Designated Person Statement

Tab 2.3/2.4 HAR 11-502 and Department of Health Asbestos Rule Guide

Click on the images, below, to view a copy of HAR 11-502 or the Department of Health Asbestos Rule Guide

Tab 3. Inspection and Re-Inspection

An initial inspection of all school buildings is required prior to occupancy. This includes new construction, moved buildings (portables) and renovation. An exclusion statement can substitute for a physical inspection for HAR 11-502 purposes.

Initial Inspection: 1989

  • Originally in large white, black or yellow binder

  • Contains management plan, operations & maintenance plan, inspection data & diagrams

  • Department of Health considers this the most important document, because it contains the management and O&M plan.

  • Environmental Services Unit has re-created PDF versions of the 1989 Initial Inspection for all schools that had an initial inspection in 1989 (if you no longer have the original binder).

Triennial Re-inspection Reports:

  • 1992, 1995, 1998, 2001, 2004, 2007, 2010, 2013, 2016, 2019 (Oahu completed, Neighbor Island pending as of 5/2020)

  • 2000 initial inspection of building constructed between 1990 & 2000

2016 Re-Inspection Report Cover

Tab 3. Inspection Required for New, Relocated and Renovated Buildings

Exclusion Statement: An architect or project engineer responsible for the construction of a new school building built after October 12, 1988, or a certified inspector signs a statement that no ACBM was specified as a building material in any construction document for the building, or, to the best of that person's knowledge, no ACBM was used as a building material in the building. The local education agency shall submit a copy of the signed statement of the architect, project engineer, or certified inspector to the director and shall include the statement in the management plan for that school.

The exclusion statement exempts a school from periodic surveillance and re-inspection of excluded suspect ACBMs (per HAR 11-502). However, HAR 11-501 requires physical sampling before renovation and demolition. Therefore, any suspect ACBM will be sampled and tested prior to its removal.

New Buildings:

  • Must be inspected PRIOR to occupancy to identify suspect ACBM (and either test or assume the material is ACBM)

~ OR ~

  • Exclusion statement indicating no asbestos used in construction can serve as “inspection.” Provided by architect or project engineer.

Relocated Buildings:

  • Inspection data and/or exclusion statements should accompany move, or…

  • New inspection required before occupancy

Renovated Buildings:

  • Inspection data and/or exclusion statement covering scope of work required before occupancy

Examples of Exclusion Statements

Tab 3. Response Actions

Documentation of response actions is required under HAR 11-502. Abatement documents demonstrate that all necessary precautions were taken during abatement activities. Failure to include complete abatement documentation in the management plan can create the perception that required procedures were not followed (whether true or not). The Environmental Services Unit usually receives environmental reports for CIP and Major R&M jobs. Jobs initiated by schools or the community are not exempt from HAR 11-501 and HAR 11-502. All abatement activities must be properly designed, executed and documented. ESU should receive copies of all abatement documentation.

HAR 11-502 requires response action documents to be kept in the management plan for 3 years after the most recent re-inspection (equivalent to a maximum of 6 years).

Response Action:

  • A method, including removal, encapsulation, enclosure, repair, operations and maintenance that protects human health and the environment from friable asbestos.

  • Removal actions are typically called asbestos abatement.

R&M Projects:

  • Often include removal of ACBM (abatement).

  • Greater than 3 square feet qualifies as “other than small scale, short-duration”

  • Thorough documentation essential for compliance, safety & health

  • All abatement documents become part of the asbestos management plan

Required Response Action Documentation (for jobs > 3 square feet)

  • Abatement work plan (prepared by certified Asbestos Project Designer)

  • Project monitoring (by certified Asbestos Project Monitor)

  • Air monitoring report (during project and at close**)

  • Details of the location, duration and timing of the abatement

  • Visual clearance and air clearance (Required prior to re-occupancy for each functional space undergoing abatement)

  • Waste Disposal records

  • Certifications for all Designers, Monitors, Abatement Workers & Supervisors

Tab 4. Annual Notification to Parents, Teachers and Employee Organizations

The Annual Notification Letter notifies parents, teacher and employee organizations that an asbestos management plan is available for review in the school's administrative office. The letter may also indicate when periodic surveillance was done and if there have been any response actions or fiber release episodes.

Template and instructions available in Google Drive

  • ACM schools

  • ACM-free schools (Still Required!)

Template based on DOH Asbestos Rule Guide

  • Notification may be included in school newsletters or posted on website

  • Annual memo from Superintendent notifying Principals of notification requirement

Tab 5.3 2 Hour Asbestos Awareness Training

HAR §11-502-11(a) requires school custodial and maintenance staff to receive 2 hours of asbestos awareness training within 60 days of hire. 2 hour asbestos awareness training satisfies the training requirement for staff that encounter but does not disturb asbestos-containing building materials (ACBMs). Although the EPA/DOH training requirement is for a 1-time training, OSHA/HIOSH have an ANNUAL retraining requirement of the same 2 hour asbestos awareness training curriculum.

Three ways to get trained:

  1. This website.

  2. Video training: https://sites.google.com/k12.hi.us/asbestos-training-videos.

  3. In person training by LEA-DP. Usually arranged by Administrative Services Assistants.

Regardless of which method you use to get trained, it is important that you complete the TRAINING RECORD and keep a copy in the asbestos management plan, as well as send a PDF copy to gary.bignami@k12.hi.us.

Tab 5.4 Periodic Surveillance Reports

What is Periodic Surveillance?

  • Periodic Surveillance Reports (PSRs) are an essential component of a school’s asbestos Operations and Maintenance program.

  • Periodic surveillance involves visual inspection of all areas that are identified in the management plan as ACBM or assumed ACBM. It is not necessary to touch ACBMs.

  • Periodic surveillance looks for damage to ACBM such as:

    • Delamination

    • Flaking

    • Blistering

    • Crumbling

    • Scrapes, gouges, mars

    • Asbestos debris

    • Torn, crushed, or missing TSI

Why is Periodic Surveillance Necessary?

  • Safety: Primary means to ensure that existing ACBM is in good condition.

  • Identify areas requiring a “response action” (repair, replacement, encapsulation or enclosure).

  • Required by law to be conducted every six months, if the school has any assumed or known ACM. DOE does this in June and December.

  • Hawaii Administrative Rules (HAR) 11-502-11(d):

“At least once very six months after a management plan is in effect, the local education agency shall conduct periodic surveillance in each building that it leases, owns, or otherwise uses as a school building that contains ACBM or is assumed to contain ACBM.”

Who can Perform Periodic Surveillance?

  • Anyone who has received 2 hour asbestos awareness training.

    • Head Custodian, Principal or Vice Principal, ASA

  • Periodic surveillance includes a visual inspection of the previously identified confirmed and assumed ACBMs to detect any changes in the conditions of the materials.

    • Surveyor should be familiar with the management plan including most recent re-inspection report.

    • Surveyor should be familiar with and have access throughout campus.

  • You do not have to touch ACBMs during periodic surveillance.

  • Periodic Surveillance Report must be submitted to the Designated Person (currently via Lotus Notes application).

Lotus Notes periodic surveillance application

  • Current system uses a Lotus Notes application. If you no longer have access to Lotus Notes contact the Environmental Services Unit for an alternative method (gary.bignami@k12.hi.us) (808) 784-5067.

  • Link to instructions for the installing and using the Lotus Notes

  • ESU pre-populates the Lotus Notes PSR form with the most recent triennial re-inspection information.

  • Note that the field "person performing surveillance" requires anyone that needs access to the form to include their Lotus Notes username (email address XXX_YYY@notes.k12.hi.us).

  • If you cannot open the form or if you submitted a form and need to re-open it, contact ESU.

Once the top portion of the form is complete, assess the condition changes of the listed ACBMs.

  1. Print a copy of the PSR form for annotating during the survey.**

  2. Conduct the survey, taking note of any changes in condition to ACBM or assumed ACBM materials.

  3. Add comments, as needed, to note specifics of damage (location, amount of material involved) and possible remedy (e.g. submit work order for floor tile replacement).

  4. Enter the data into the Lotus Notes PSR database using the annotated printed copy for reference.

  5. CALL THE ESU for assistance if significantly damaged, friable ACBM is found!

** Be sure to use “Print Preview” to select how many pages to print; default is 12 pages!

Conducting the Periodic Surveillance survey

  • Visually inspect all areas that are identified in the management plan as ACBM or assumed ACBM.

  • Record the date of the survey, the surveyor's name, and any changes in the condition of each ACBM or assumed ACBM material.

  • Record recommended follow on action, as necessary:

    • e.g. “submit Maximo work order for repair” or “call ESU.”

Note that ESU cannot follow up on recommended actions. These are "notes to self" for follow up by school staff.

Examples of How ACBMs Can Be Damaged

Air erosion: the passage of air over asbestos–containing material causing fibers to be released, such as a fan eroding a popcorn ceiling

Vibration/movement

Water intrusion causes discoloration, stains, buckling and material separation


Submitting the PSR

Once the condition of the various homogeneous materials (also called Uniform Sampling Areas "USA") has been assessed and entered into the form, the following options are available:

Create a Follow on Report

To create a follow on report, highlight your most recent completed submission, go to the menu at the top of the page and click "Create Follow up Report".

Note that ESU has been creating follow up reports for schools and you should not have to do this; an up to date template will be available for the next surveillance period.

Tab 5.5 Short-Term Worker Notification

The short term worker notification is used to inform outside workers (telephone, termite, plumbers, etc.) that ACBMs are present at the school and they are entitled to review the asbestos management plan.

It is recommended that the most recent triennial re-inspection report be made available, upon request. Most outside workers will not be qualified to properly disturb ACBMs, so if ACBM is present where work needs to be performed, they may need to consider a "work around." The goal is to prevent outside workers from causing fiber release episodes that expose themselves and school students and staff.

  • Notification and sign-in sheet must be kept in school administrative office

  • Dual purpose:

–Inform short-term worker on availability of management plan (i.e. location of ACBM)

–Protects students and school staff from inadvertent asbestos exposure

  • Short-Term Worker Notification template available on in ESU Google Drive.

  • Notifications archived in school’s Management Plan and ESU data archive.

Tab 5.6 Fiber Release Episodes

"Fiber release episode" is any uncontrolled or unintentional disturbance of ACBM resulting in visible emission.

Major fiber release:

  • 3 square or linear feet of friable ACBM

  • Limit access

  • Close windows, turn off AC, as applicable

  • DO NOT CLEAN UP

  • Call ESU (808)784-5067

Minor fiber release:

  • < 3 square or linear feet of friable ACBM

  • 16 hour training required for clean up

  • RESPIRATOR TRAINING , MEDICAL SURVEILLANCE

  • Call ESU

  • ALL FIBER RELEASE EPISODES MUST BE DOCUMENTED

  • Forms available through ESU Google Drive

Because nobody in DOE currently has 16 hour training to enable use of a HEPA respirator, school staff should NOT clean up asbestos spills. Inform the school administration, and have them call ESU.

Tab 5.7 Regulatory Documents

Correspondence with the Hawaii Department of Health should be kept in the asbestos management plan. Examples shown below include a Notice of Inspection, an Advisory Notice, an Advisory Notice Response from HIDOE, and a No Further Action letter, indicating the "case has been closed."

Notice of Inspection

Advisory Notice

Advisory Notice Response

No Further Action Letter

Warning Labels

Why:

  • Signs intended to limit disturbance or damage to friable ACBM – avoid health risks

Where:

  • Adjacent to friable ACBM in maintenance areas identified during initial inspection, triennial re-inspection or periodic surveillance.

  • These are typically found in heater or boiler areas where ACBM pipe or boiler insulation is present.

Who:

  • Custodians usually post signage, with direction from school administration, ESU or ASAs.

Sign can be downloaded from ESU Google Drive, printed and place in a page protector for posting.