Blank Ohio Hea 5802 Template

What is the purpose of the Ohio HEA 5802 form?

The Ohio HEA 5802 form is used by licensed Lead Inspectors, Risk Assessors, and Clearance Technicians to report monthly activities related to lead inspections, risk assessments, clearance examinations, and other lead-related activities. Its primary purpose is to ensure accurate and timely reporting in compliance with the Ohio Administrative Code, specifically rule 3701-32-15, to the Ohio Department of Health's Lead Poisoning Prevention Program.

Who needs to fill out this form?

This form must be filled out by professionals licensed in Ohio to conduct lead inspections, risk assessments, and clearance examinations. These include Lead Inspectors, Risk Assessors, and Clearance Technicians who have performed any related activity in the preceding month.

When is the HEA 5802 form due?

The form is due by the 15th of each month. It should include a report of activities conducted in the previous month. For instance, if activities were performed in March, the form reporting these should be submitted by April 15th.

What if no activity was performed in a month?

If no lead-related activities were carried out in a particular month, professionals are still required to submit the form. In this case, they should check the “no activity” box to indicate that there was no reportable activity during that month.

How should the form be submitted?

The form can be submitted using one of three methods. It can be sent via first class mail to the Ohio Department of Health, DQA/Lead Program at the address provided on the form. Alternatively, it can be faxed to (614) 752-4157, or emailed to lead@odh.ohio.gov.

What information is required on the form?

Users must provide detailed information for each property where activities were conducted. This includes the property address, whether the property was constructed before 1950, whether a lead hazard was found, the type of activity performed, and the reason for the activity. Separate lines should be used for different activities at the same property, such as initial failures and reexaminations of clearance examinations.

How should multiple activities at the same address be reported?

If multiple lead-related activities were carried out at the same address, each activity must be reported on a separate line. For example, if an inspection and a clearance examination were conducted at the same property and the clearance initially failed but passed upon reexamination, each of these three activities should have its own line on the form.

What happens if the form is incomplete?

The Ohio Department of Health will return the form if any required information is missing. It is crucial to complete all parts of the form accurately to ensure it is processed efficiently and to remain in compliance.

Should the form be completed if only partial activities were performed, such as a Partial Inspection or Risk Assessment?

Yes, even if only a partial inspection or risk assessment was conducted, the activity must be reported. The form includes options for selecting partial activities, ensuring that any type of lead-related service is accurately documented.

What indicates a lead hazard was found?

When filling out the form, professionals should mark "Yes" to the question "Was a lead hazard found?" if the property failed the clearance examination. Conversely, if the property passed the clearance examination, indicating no lead hazard, "No" should be selected.

When filling out the Ohio HEA 5802 form, commonly made mistakes can lead to the form being returned or processed incorrectly. Identifying these mistakes helps in ensuring that submissions are accurate and complete.

1. Not indicating activity: Failing to check the "no activity" box if no activity was performed that month.

2. Omitting information: Not completing all required parts of the form, leading to the form being returned.

3. Incorrectly listing properties: Listing multiple activities for the same property on a single line instead of separating them into distinct lines for each activity performed and its result.

4. Misinterpretation of lead hazard presence: Incorrectly indicating "Yes" for "Was a lead hazard found" for properties that passed the clearance examination, instead of indicating "No".

5. Incorrect response selection: Selecting multiple activities for the same line instead of choosing only one per line, as required.

6. Submission method errors: Improperly submitting the form by not using one of the specified methods: first class mail, fax, or email.

Avoiding these mistakes ensures that the Ohio Department of Health can effectively process the HEA 5802 form without unnecessary delays.

Completing the Ohio Department of Health's HEA 5802 form, crucial for reporting monthly lead inspection, risk assessment, and clearance examination activities, is a critical task for professionals in the lead poisoning prevention field. Alongside this form, a number of other documents often play a significant role in the effective management and reporting of lead hazards. Understanding these documents can enhance your ability to navigate the regulatory landscape and ensure compliance with health and safety standards.

• Consent to Enter and Inspect Form: This document grants inspectors the permission to enter a property and conduct the necessary lead investigations. It is essential for gaining lawful access to private properties where lead risks may be present.
• Lead Inspection Report: Generated after a thorough examination of a property, this report outlines the findings, including the presence of any lead-based paint or hazards. It is a detailed account that follows an inspection or risk assessment.
• Risk Assessment Report: Focused more narrowly than a general inspection, this document details the specific risks associated with lead in a particular property and proposes measures to mitigate these risks.
• Clearance Examination Report: Following any abatement or remediation work, this report confirms whether the property now meets the safety standards free from lead-based paint hazards.
• Licensing Application for Lead Professionals: Before engaging in lead inspection or remediation work, professionals must be properly licensed. This application is the first step toward obtaining such credentials.
• Training Certificate for Lead Professionals: This document serves as proof that an individual has completed the necessary training to conduct lead inspections, risk assessments, and clearance examinations.
• Tenant Notification Form: Landlords are required to inform tenants about the presence of any known lead paint hazards. This form documents that tenants have been properly notified according to laws and regulations.
• Lead Hazard Control Plan: Once hazards are identified, this document outlines the specific steps and measures that will be taken to address and mitigate the lead hazards found within a property.

Together, these documents contribute to a comprehensive approach to lead hazard management – from identifying potential risks and obtaining consent for inspections, through to reporting findings, ensuring professional qualifications are up to date, and ultimately, keeping tenants informed and properties safe. By familiarizing yourself with these documents and utilizing them in conjunction with the HEA 5802 form, you are taking significant steps to protect individuals and communities from the dangers of lead poisoning.

The Ohio HEA 5802 form shares similarities with the HUD-1012 Clearance Examination Report due to both documenting inspections and assessments related to lead-based paint hazards. The HUD-1012, used in federally-assisted housing, requires detailed reporting on the presence of lead hazards and the completion of clearance examinations after lead hazard control activities. Like HEA 5802, it mandates clear documentation of the property address, the examination results, and specifics about the location and nature of lead hazards if found, ensuring properties meet safe living standards.

Comparable to the HEA 5802, the EPA Renovation, Repair, and Painting (RRP) Rule Documentation Form is utilized to confirm compliance with safety standards concerning lead containment and cleanup. The form meticulously records the use of lead-safe work practices and verification of compliance with EPA standards during renovation projects. Both forms play crucial roles in protecting public health by ensuring rigorous assessments and corrective measures are documented following specific guidelines, thereby minimizing exposure to lead hazards.

The OSHA Form 300, a workplace injury and illness recordkeeping document, resembles the HEA 5802 in its function of logging specific incidents related to health and safety, though in a broader occupational context. This form requires detail about the nature of work-related injuries or illnesses, mirroring the HEA 5802's detailed logging of lead hazard findings and remediation activities at specific properties. Both documents serve as essential tools in their respective fields for the monitoring and improvement of health and safety standards.

The Lead-Based Paint Activity Notification Form, used by various state health departments, shares its core objective with the Ohio HEA 5802 form. Both mandate the proactive documentation of activities related to the identification and elimination of lead-based paint hazards. This notification form typically requires information about the property, the nature of the activity (inspection, risk assessment, or abatement), and the firm or individual conducting the work, paralleling the HEA 5802’s comprehensive approach to tracking lead hazard control efforts.

Another relevant document is the Local Health Department Environmental Health Inspection Form, which, akin to the HEA 5802, is geared towards ensuring public health through property assessments. While it covers a broader range of environmental health concerns, including but not limited to lead hazards, the structure of these inspections and the detailed reporting required align closely with the HEA 5802’s focus on lead risk assessments and abatement verification.

The Property Condition Report, often utilized during real estate transactions, similarly documents the physical state of a property, including environmental hazards like lead-based paint. While its scope is broader, encompassing all aspects of a property's condition, the portion of the report concerning lead hazards demands an inspection and documentation process akin to that of the HEA 5802. Both forms serve as crucial documents for ensuring the safety and compliance of residential properties with health regulations.

Finally, the Childhood Lead Poisoning Prevention Program Screening Data Form, which collects information on children's blood lead levels, indirectly mirrors the intention behind the HEA 5802. By capturing data pertinent to lead exposure risks, this form contributes to a broader public health effort aimed at identifying, controlling, and preventing lead poisoning in communities, much like the property-focused efforts documented by the HEA 5802. Despite targeting different subjects, both forms emphasize the critical nature of documentation and intervention in lead hazard management and prevention.

Filling out the Ohio HEA 5802 form, an essential task for licensed Lead Inspectors, Risk Assessors, or Clearance Technicians, requires meticulous attention to detail and a clear understanding of the guidelines. To facilitate accurate and efficient completion, here are several critical dos and don’ts:

• Do ensure that the form is submitted by the 15th of the following month to report the activities of the previous month. Timeliness is crucial to comply with the regulation.
• Do not leave any section of the form incomplete. An incomplete form is subject to being returned, leading to possible delays in processing and compliance issues.
• Do report each property address and each activity separately. For instance, if multiple examinations were conducted at the same property but had different outcomes, each should be entered individually for clarity and accuracy.
• Do not forget to mark the “no activity” box if no lead-related activity was performed during the month. This acknowledgment is important to maintain accurate and consecutive monthly records.
• Do indicate “Yes” to “Was a lead hazard found” for properties that failed a clearance examination. This distinction is crucial for record-keeping and future reference.
• Do not indicate “Yes” for properties that passed the clearance examination in the “Was a lead hazard found” section. Correctly marking “No” is essential for accurately documenting the safe status of the property.
• Do consider all available submission methods (mail, fax, or email) and choose the one that is most reliable and convenient for your circumstances to ensure timely delivery.
• Do not input multiple activities for a single property on one line. This can lead to confusion and inaccuracies in the reporting process. The form is designed to capture detailed information about each specific activity.
• Do double-check all entries for accuracy before submission. Ensuring that all information is correct and complete can help avoid the need for additional corrections or clarifications later.