Local Educational Agency	State Project No.	Phase
School	Architect	Date

DAS - OFFICE OF SCHOOL CONSTRUCTION GRANTS & REVIEW (OSCG&R) PLAN REVIEW CHECKLIST

ASBESTOS / HAZARDOUS MATERIALS ABATEMENT PHASE OR PROJECT

FORM SCG-3011

Do not use Not Applicable (N/A). Use “None”, “NPS” (Not in Project Scope), or explain condition.

Submit completed Pre-Bid Conformance Review (PCR) Checklist with this completed form.

Status column (by SCG staff): Accepted Open Item

Status
Document	Notes
01.	Abatement plan preparer identified and certified by Department of Public Health (DPH)
02.	Abatement plan coordinator identified and certified by DPH
03.	Type(s) and amount(s) of asbestos containing material (ACM) / hazardous materials (Haz-Mat) to be abated
04.	Notification of demolition and renovation to DPH
05.	Proper worker protection (OSHA requirement)
06.	Licensed air sampling professional employed by LEA
07.	Pre-abatement meeting
08.	All ACM / hazmat locations identified
09.	Employees' decontamination system
10.	Waste disposal system (ACM / Haz-Mat removal from contaminated area)
11.	Negative air pressure system
12.	Proper worksite preparation
13.	Re-occupancy clearance standards
14.	Replacement materials specified
15.	DPH-approved project designer
16.	Mini-containment -"Alternative Work Practice" approved by DPH