Free Rhode Island Asb 22 Form Access This Document Now

Free Rhode Island Asb 22 Form

The Rhode Island ASB 22 form is a crucial document for notifying the state about planned asbestos-related work. It must be submitted at least 10 working days before any on-site activities begin, ensuring that all safety regulations are followed. For those preparing for asbestos abatement, it’s essential to complete this form accurately and submit it to the Rhode Island Department of Health.

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The Rhode Island Asb 22 form serves as a critical tool in the management of asbestos-related activities, particularly in the context of construction and renovation projects. This form must be submitted to the Rhode Island Department of Health at least ten working days prior to the commencement of any on-site work involving asbestos. Its purpose is to ensure that proper notifications are made and that safety protocols are observed. The form captures essential information about the facility owner, the asbestos contractor, and the specific details of the work to be undertaken. Key sections include the type of notification—whether original, revised, or cancelled—and a comprehensive description of the facility, including its size, age, and current use. Additionally, the Asb 22 requires information on the type and quantity of asbestos materials to be removed, as well as the methods employed for detection and analysis. A detailed schedule for asbestos removal, along with descriptions of work practices and engineering controls designed to mitigate emissions, is also mandated. For projects ordered by a government agency or those classified as emergency renovations, further documentation is necessary. Ultimately, the Asb 22 form not only facilitates compliance with state regulations but also underscores the importance of safety in environments where asbestos may pose significant health risks.

How to Use Rhode Island Asb 22

Completing the Rhode Island ASB 22 form is an essential step for anyone planning to conduct work involving asbestos. This form must be submitted at least ten working days before the commencement of any on-site activities. After filling out the form, you will need to submit it to the Rhode Island Department of Health. This can be done in person, via fax, or through email. Ensuring accuracy and completeness in your submission will help facilitate the review process.

  1. Begin by indicating the type of notification at the top of the form. Check the appropriate box for Original, Revised, or Cancelled.
  2. Fill in the Owner Information section with the facility owner's name, street address, city, state, zip code, and phone number. Include the contact name and their phone number.
  3. Provide the Asbestos Contractor Information. Include the contractor's name, street address, city, state, zip code, phone number, and Rhode Island license number.
  4. In the Type of Operation section, check one of the following options: Demo, Ordered Demo, Renovation, or Emergency Renovation.
  5. Describe the facility in the Facility Description section. Include the building name, street address, city, state, zip code, site location, building size in square feet, number of floors, age in years, present use, and prior use.
  6. Indicate the Asbestos Detection Procedure / Analytic Method by checking all applicable options: PCM, PLM, TEM, or Other.
  7. Detail the Asbestos Quantity section. Specify the non-friable asbestos materials to be removed, including quantities for RACM, Category I, and Category II, as well as pipes (linear feet) and surface area (square feet).
  8. Outline the Asbestos Removal Schedule by providing the start and end dates for the removal.
  9. If applicable, provide the start and end dates for Non-Asbestos Renovation / Demolition and a description of the planned work.
  10. Explain the Description of Work Practices / Engineering Controls that will be implemented to prevent emissions of asbestos during the demolition or renovation.
  11. Fill in the Waste Transporter Information for two waste transporters, including their names, addresses, contact names, and phone numbers.
  12. Provide the Waste Disposal Site information, including the name, address, and phone number of the disposal site.
  13. If applicable, check the box for Asbestos Abatement / Demo Ordered by Government Agency and provide the agency name, person issuing the order, title, date the order was issued, and final compliance date required by the order.
  14. If the work involves emergency renovations, provide the date and description of the sudden event, along with an explanation of how it caused unsafe conditions.
  15. Describe the Unexpected Asbestos Procedures to be followed if unexpected asbestos is found or if previously non-friable asbestos becomes crumbled.
  16. In the Certifications section, print your name, sign, and include your Rhode Island license number and the date.

Documents used along the form

The Rhode Island Asb 22 form is essential for notifying the Department of Health about asbestos-related work. Along with this form, several other documents may be required to ensure compliance with state regulations. Below is a list of commonly used forms and documents that complement the Asb 22 form.

  • Asbestos Abatement Plan: This document outlines the specific procedures and methods that will be used during the asbestos removal process. It includes details on the type of asbestos present, the planned work practices, and engineering controls to minimize exposure.
  • Lease Agreement Form: For those entering rental agreements in Florida, the comprehensive Lease Agreement documentation outlines the responsibilities of both landlords and tenants, ensuring clarity in rental terms.
  • Waste Transporter Information: This form provides details about the companies responsible for transporting asbestos waste. It includes the names, addresses, and contact information of the waste transporters, ensuring that proper disposal methods are followed.
  • Waste Disposal Site Information: This document specifies the location where the asbestos waste will be disposed of. It includes the name and address of the disposal site, as well as contact details to confirm compliance with disposal regulations.
  • Emergency Renovation Notification: In cases where unexpected asbestos is found during a renovation, this notification must be submitted. It provides information about the sudden event and outlines the procedures to be followed to ensure safety and compliance.

These documents work in conjunction with the Rhode Island Asb 22 form to facilitate safe and compliant asbestos abatement and renovation activities. Proper preparation and submission of these forms help protect public health and the environment.

Crucial Queries on Rhode Island Asb 22

What is the purpose of the Rhode Island ASB 22 form?

The Rhode Island ASB 22 form serves as a notification for asbestos-related work. It must be submitted to the Rhode Island Department of Health at least 10 working days before any on-site work begins. This form ensures that the department is aware of the planned asbestos abatement, renovation, or demolition activities, allowing them to monitor and enforce safety regulations effectively.

How do I submit the ASB 22 form?

You can submit the ASB 22 form in several ways. It can be delivered in person to the Rhode Island Department of Health, sent by fax to 401-222-2456, or emailed to asbestos@health.ri.gov. Choose the method that is most convenient for you, but ensure it is submitted at least 10 working days prior to the start of any work.

What information is required on the ASB 22 form?

The form requires various details, including owner information, asbestos contractor information, facility description, and specifics about the type of operation (e.g., demolition or renovation). You must also provide information about the quantity and type of asbestos materials to be removed, the removal schedule, and details about waste transporters and disposal sites. Accurate completion of this form is crucial for compliance with state regulations.

What happens if I submit the ASB 22 form late?

If the ASB 22 form is submitted less than 10 working days before the planned start date, it may result in delays or complications. The Rhode Island Department of Health may not be able to process the notification in time, which could halt your project until proper notification is received. To avoid this, plan ahead and submit the form on time.

What should I do if unexpected asbestos is found during work?

If unexpected asbestos is discovered, or if previously non-friable asbestos material becomes crumbled or pulverized, specific procedures must be followed. The ASB 22 form includes a section for detailing these procedures. It is essential to halt work immediately and notify the appropriate authorities to ensure safety measures are implemented. Following proper protocols is critical to protect workers and the public from asbestos exposure.

Dos and Don'ts

When filling out the Rhode Island ASB 22 form, it is crucial to follow specific guidelines to ensure compliance and avoid delays. Here is a list of things to do and not to do:

  • Do submit the form at least 10 working days before the start of on-site work.
  • Do provide accurate and complete information for all required sections.
  • Do check the appropriate type of notification (Original, Revised, or Cancelled).
  • Do include details about the asbestos contractor, including their RI license number.
  • Do describe the planned demolition or renovation work clearly.
  • Don't submit the form without confirming that all sections are filled out correctly.
  • Don't neglect to include the contact information for waste transporters and disposal sites.
  • Don't skip the section on unexpected asbestos procedures if applicable.
  • Don't forget to sign and date the form to certify the information provided.

Key takeaways

The Rhode Island ASB 22 form is essential for notifying the Department of Health about asbestos-related work. Here are some key takeaways regarding its use:

  • Submission Timeline: The form must be submitted at least 10 working days before any on-site work begins.
  • Submission Methods: You can submit the form in person, by fax, or via email to the designated addresses.
  • Type of Notification: Clearly indicate whether the notification is original, revised, or canceled.
  • Accurate Information: Ensure all sections, including owner and contractor details, are filled out accurately to avoid delays.
  • Emergency Renovations: If unexpected conditions arise, provide a detailed explanation of the event and how it affects safety and operations.
  • Certifications Required: The building owner or representative must certify that a trained individual will be present on-site during the work.

Document Preview Example

ASBESTOS START WORK NOTIFICATION

ThisThisformformmust be submitted 10 working days before on-site work begins. Submit to the Rhode Island Department of Health in person, by fax (401-222-2456), or through email to asbestos@health.ri.gov

Asbestos Abatement Plan #

Type of Notification (check one)

Original Revised

Cancelled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Information

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

 

 

Phone

 

 

 

 

Contact Name

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asbestos Contractor Information

 

 

 

 

 

 

 

 

 

 

 

 

 

Contractor Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

City, State, Zip Code

 

 

 

 

 

Phone

 

 

 

RI License # LAC -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Operation (check one)

Demo

Ordered Demo

Renovation

Emergency Renovation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility Description

 

 

 

 

 

 

 

 

 

 

 

 

 

Building Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

City, State, Zip Code

 

 

 

 

 

Site Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building Size (square feet)

 

 

 

Number of Floors

 

 

Age in Years

 

 

Present Use

 

 

 

Prior Use

 

 

 

 

 

Asbestos Detection Procedure / Analytic Method (check all that apply)

PCM PLM TEM Other

 

Asbestos Quantity

 

 

Non-Friable Asbestos Materials to be Removed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RACM to be Removed

Category I

Category II

 

 

 

 

 

 

 

 

 

 

Pipes (linear feet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surface Area (square feet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility Components (cubic feet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asbestos Removal Schedule

Start Date

 

 

End Date

 

 

 

 

 

 

 

 

 

Non-Asbestos Renovation / Demolition

 

 

 

 

 

Not Applicable (skip to next section)

Start Date

 

End Date

 

 

 

 

 

 

 

 

 

 

Description of Planned Demolition / Renovation Work and Methods

Description of Work Practices / Engineering Controls to Prevent Emissions of Asbestos at the Demolition / Renovation Site

FORM ASB-22 (02/11)

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Waste Transporter #1

Name

Street Address

 

City, State, Zip Code

 

 

Contact Name

 

Phone

 

 

 

 

 

 

 

 

 

 

 

Waste Transporter #2

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

Street Address

 

City, State, Zip Code

 

 

Contact Name

 

Phone

 

 

 

 

 

 

 

 

 

 

Waste Disposal Site

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

Phone

 

 

Government Agency Information

In accordance with the Rhode Island Rules and Regulations for Asbestos Control [R23-24.5-ASB] Paragraph A.4.2 (c)

Asbestos Abatement / Demo Ordered by Government Agency

Not Applicable (skip to next section)

Agency Name

 

 

 

 

 

 

Person Issuing Order

 

 

Title

 

Date Order Issued

 

 

Final Compliance Date Required by Order

 

Emergency Renovations

In accordance with R23-24.5-ASB Section A.4.2

Sudden, unexpected event took place on: Date

Event Description

Not Applicable (skip to next section) Time

Explanation of how event caused unsafe conditions or would cause equipment damage or unreasonable financial burden

Unexpected Asbestos Procedures Description of procedures to be followed in the event that unexpected asbestos is found or previously non-friable asbestos material becomes crumbled, pulverized, or reduced to powder

Certifications

As building owner/representative, I certify that an individual trained in the provisions of this regulation [Code of Federal Regulations, 40 CFR Part 61, Subpart M] will be on site during the demolition or renovation and evidence the required training has been accomplished will be available for inspection during normal business hours. I further certify that the above information is correct.

Print Name

Signature

RI License #

Date

 

 

 

FORM ASB-22 (02/11)

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Misconceptions

Understanding the Rhode Island ASB 22 form is essential for anyone involved in asbestos-related work. However, several misconceptions can lead to confusion. Here are eight common misunderstandings about this form:

  • It can be submitted at any time. Many believe that the ASB 22 form can be submitted whenever they wish. In reality, it must be submitted at least 10 working days before any on-site work begins.
  • Only contractors need to fill it out. Some think that only asbestos contractors are responsible for this form. In fact, the facility owner must also provide detailed information, ensuring all parties are informed.
  • Emergency renovations do not require notification. There is a misconception that emergency renovations are exempt from notification. However, even in emergencies, the form must be completed and submitted, detailing the unexpected event.
  • All types of asbestos must be reported. People often assume that all asbestos materials must be listed. The form specifically requires reporting only regulated asbestos-containing materials (RACM) that will be removed.
  • Once submitted, the form cannot be changed. Some believe that once the ASB 22 form is submitted, it cannot be altered. In fact, if there are changes to the work plan, a revised notification can be submitted.
  • Only one waste transporter needs to be listed. There is a belief that listing a single waste transporter is sufficient. However, the form allows for multiple waste transporters to be listed to ensure proper disposal.
  • Training certifications are optional. Many think that having a trained individual on-site is not mandatory. This is incorrect; the form requires certification that a trained individual will be present during the demolition or renovation.
  • It is not necessary to describe work practices. Some individuals think that they can skip the section on work practices. This is a misconception, as the form requires a description of methods to prevent asbestos emissions during the project.

Addressing these misconceptions can help ensure compliance with the regulations and promote safety during asbestos-related work in Rhode Island.