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The Project Notification form, managed by the New York State Department of Labor's Division of Safety and Health, plays a crucial role in asbestos removal projects within New York State. Specifically, this form must be completed if a project involves the removal, encapsulation, or disturbance of more than 260 linear feet or 160 square feet of asbestos-containing material. Notably, contractors are required to notify the Asbestos Control Board at least 10 calendar days prior to the start of any project. This form includes categories for initial notifications, renewals, amendments, cancellations, and emergency notifications, ensuring appropriate communication regarding the project status. Contractors must provide detailed information about the project's scope, including the project's location and type of asbestos work planned. Additionally, the form requires documentation of contractor information and relevant insurance policies, ensuring compliance with worker safety regulations. It is vital to understand that failure to properly notify may have repercussions, hence, timely submission is necessary. The comprehensive nature of the Project Notification form reflects the seriousness of asbestos management protocols, and it aims to safeguard public health while ensuring legal compliance throughout the construction process.

Project Notification Example

New York State Department of Labor

Division of Safety and Health

Asbestos Project Notification

Building 12, Room 161B

State Office Campus

Albany, NY 12240

(518) 485-9263

Asbestos Project Notification

To file an asbestos project notification

Who must provide asbestos project notification

If the asbestos removal project is:

•located within New York State

•involves more than 260 linear feet or 160 square feet of asbestos or asbestos-containing material in a building

you must notify the Asbestos Control Board before starting work on the removal, encapsulation, enclosure or disturbance of friable asbestos, or before handling material containing asbestos that may result in the release of asbestos fiber.

 

 

 

 

 

 

 

 

 

 

Method of notifying

 

 

 

 

 

 

 

 

 

 

Written

Phone

 

 

 

 

 

 

 

 

 

Initial

At least 10 calendar days prior to project

Does not apply

 

 

 

start date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Renewal

Within the last 30 days of a project that

Does not apply

 

 

 

will extend beyond 12 months

notificationofType

 

 

 

 

 

 

 

 

 

 

Amended

 

At least 3 calendar days prior to new start

At least 1 calendar day prior to

 

 

 

 

 

 

 

Postponed

date and at least 1 calendar day prior to

 

 

 

initial notification start date

 

 

 

 

initial notification start date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cancelled

At least 1 calendar day prior to initial

At least 1 calendar day prior to

 

 

 

notification start date

initial notification start date

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Amended phone notification requires written follow-up within 5 working days.

 

 

 

You cannot change the completion date beyond one year from the start date.

 

 

 

 

Within 3 working days of telephone

 

 

 

 

Emergency

notification and approval of emergency

As emergency situation arises

 

 

 

 

status by the Asbestos Control Bureau

 

 

 

 

 

 

 

When to file a notification

You must send a new notification and project fee if any of the following occur:

•A different contractor becomes responsible for the project (excluding sub-contractors)

•The location of the project changes

•The completion date on the initial notification has passed and no amendment has been filed

For a postponed project with an unknown starting date, you must file an amendment within the period specified above. Once a starting date is determined, you must file another amendment at least 3 calendar days prior to that date.

If any of the information contained in the previous notification changes, you must send an amended Asbestos Project Notification form. If the amount of asbestos increases, you must send an additional fee with the amended notification.

How to file a notification

•Send the completed, signed form to:

New York State Department of Labor

Division of Safety and Health, Asbestos Project Notification

Building 12, Room 161B

State Office Campus

Albany, NY 12240

•Keep a copy for your records

•Include a check or money order, payable to the Commissioner of Labor, for the fee due based on the project size as shown in item 19. The notification is not complete until the non-refundable fee is received by the Department of Labor.

For additional information see Part 56, Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York (12 NYCRR Part 56). You can see a copy on line at www.labor.ny.gov.

SH 483 (08/11)

New York State Department of Labor

Asbestos Project Notification

Building 12, Room 161B

State Office Campus

Albany, NY 12240

A. Type of notification

Check only one type of notification below.

Initial

Complete all sections. We must receive this notification and fee at least 10 days before the

 

project starts.

 

Renewal

Complete all sections. Submit with fee within the last 30 days of a project that will extend

 

beyond 12 months.

 

Amended

Submit amended notification with all sections completed and amended item(s) circled.

Cancelled

Complete Section G and attach copy of initial notification or complete all sections.

Emergency

You must first call 518-485-9263 for prior approval of emergency status, then

 

complete and return this form including:

 

 

Emergency reference # __ __ __ __ __ __ __ __

 

 

B. Contractor information

 

 

 

Provide all information requested below.

 

1. FEIN

--

2. Asbestos license number __________________

3. Contractor name and address

4. Mailing address (if different)

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

5.Workers’ Compensation Policy #____________________ or WC Exemption Certificate

#____________________

Number of your employees you expect to be on project: _____________

NOTE: If you intend to have employees at the site, you must have proper workers’ compensation before the

start of the project.

 

 

Will temporary workers be used?

Yes

No. If yes, name of temporary agency: ___________________

C. Project site information

Provide all information requested below for the building/site where the asbestos project will be conducted.

6.Project dates: Starting date _______________________ Completion date ____________________________

If amended: Starting date _______________________ Completion date ____________________________

7.Project location: County _____________________________________________________________________

Name of building ___________________________________________________________________________

Room or other specific location ______________________________________________________________

Bridge Projects only. Bridge ID Number:

Street address _____________________________________________________________________________

City, Town or Village ________________________________ State ___________ Zip Code _______________

8.Building information

Current use _________________________________________ Year built ______________________________

Prior use ___________________________________________ Building size _______________________sq. ft.

Is this a Federal building?

No

Yes

9.Building representative/site contact: Name __________________________ Phone number (____) ____________

Supply all of the information requested below about the specifics of asbestos removal.

10. Is this a phased project?

No

Yes

If yes, list scope, location and start and end dates for each phase below. If there are more than 4 phases, please use Section F to continue.

Start date End date

Location

Scope

10. Will sub-contractor(s) be used:

No

Yes (If yes, complete lines below.)

Name __________________________________________________Asbestos Lic. No._______________________

Name __________________________________________________Asbestos Lic. No._______________________

11. Do you anticipate doing:

Night work

Weekend work

Shift work

Days/hours_____________________________________________________________________________

______________________________________________________________________________________

12.The party you are doing the work for: Name ____________________________________________

Address __________________________________________

City, Town or Village _______________________________

State _____________________ Zip Code _______________

13.Dollar amount of contract between parties named in Item 3 and Item 12. $ __________________

14.If work is being conducted under a variance, check appropriate box and supply variance number.

Note: Forms AV 86 through AV 120 can no longer be used. Please refer to Part 56 of Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York (12 NYCRR Part 56).

Applicable variance number: ____________

Individual variance petition number: ____________

15.Procedures and type of equipment and ventilation system used (attach more sheets, if necessary.)

a)Type of equipment and ventilation systems used: ___________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

b)Name of air monitoring firm: ___________________________________________________________

Asbestos license number:_____________________

c)Name of laboratory performing the analysis: _______________________________________________

ELAP Registration number: ____________________________________

2

16.Type of asbestos work (check all that apply)

Pipe related

Roofing/flashing

Caulking/Mastic

Clean up

Vessel covering

Siding

VAT

Sprayed on insulation

Other (specify) ______________________________________________________________________________

Demolition: if site survey was previously submitted, provide the reference: ______________________

17.Waste transporter name: _____________________________________________________________________

NYS DEC permit number: _______________________________________________________________

Address: _____________________________________________________________________________

City, Town or Village: __________________________________________________________________

State: __________________________________ or Province: ___________________________________

Zip Code: _______________________________

Phone number: _____________________________

18.Waste disposal site

Name _______________________________________________________________________________

Address: _____________________________________________________________________________

City, Town or Village: __________________________________________________________________

State: __________________________________ or Province: ___________________________________

Zip Code: _______________________________

Phone number: _____________________________

19. Type and amount of asbestos-containing material involved

Friable linear feet

 

 

Friable square feet

 

 

 

 

 

 

 

 

Non-Friable linear feet +

 

Non-Friable square feet +

 

 

 

Total linear feet

=

 

Total square feet

=

 

 

 

 

 

 

 

 

 

E. Fee schedule

This fee is non-refundable. Refer to Item 19 to calculate your required fees.

Check one box for linear feet and one box for square feet.

20. Fee schedule:

a) Linear feet

b) Square feet

 

0 – 259 ………..….…($0)

0 – 159 ………………($0)

 

260

– 429 ………….. ($200)

160 – 259

……………($200)

 

430

– 824 ………….. ($400)

260 – 499

…………… ($400)

 

825

– 1649 …………. ($1,000)

500 – 999

…………… ($1,000)

 

1650 or more ………. ($2,000)

1000 or more ……… .($2,000)

21. Total fee due for project $ ____________________________ (add 20a and 20b)

3

F. Remarks

Use this area to provide details. Attach more sheets, if necessary.

G. Signature

I certify that the information specified on this notification is true and accurate and that the project will be conducted in compliance with the requirements of Code Rule 56. (no cosigns or stamps)

Signature of the Contractor or Duly Authorized Representative

 

Date

 

 

 

Print name of the Contractor or Duly Authorized Representative

 

Date

4

Get Project Notification PDF Form

Form Characteristics

Fact Name Details
Governing Agency The New York State Department of Labor oversees the Asbestos Project Notification process.
When to Notify You must notify the Asbestos Control Board at least 10 calendar days before starting any asbestos project involving over 260 linear feet or 160 square feet of asbestos.
Types of Notifications There are several notification types: Initial, Renewal, Amended, Cancelled, and Emergency. Each has specific filing requirements and procedures.
Amendments If any project details change, such as contractor or location, an amended notification is required within 3 calendar days of the new start date.
Notification Fees The project requires a non-refundable fee based on the amount of asbestos involved. Different fee brackets apply depending on the linear and square feet of asbestos.
Emergency Situations In emergencies, you need to call the provided number for prior approval before submitting the notification form.
Legal Reference The Asbestos Project Notification is governed by Part 56 of Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York (12 NYCRR Part 56).

Guidelines on Utilizing Project Notification

After completing the Project Notification form, it is important to ensure that all information is accurate and submitted correctly. Following these steps will help facilitate the approval process and compliance with safety regulations.

  1. Begin by selecting the type of notification in Section A. Check the appropriate box for 'Initial,' 'Renewal,' 'Amended,' 'Cancelled,' or 'Emergency.'
  2. Provide all requested information about the contractor in Section B, including the FEIN, asbestos license number, contact details, and workers' compensation information.
  3. In Section C, fill in the project site information. Include project dates, the specific location of the asbestos project, and details about the building, such as its current use, year built, and contact person.
  4. Answer all questions about the project specifics, such as phased work, subcontractors, anticipated working hours, and contract amounts. Sections 10 to 14 should be completed thoroughly.
  5. Specify details regarding equipment and ventilation systems used in the work. Attach additional sheets if more room is needed.
  6. Indicate the type and amount of asbestos material involved in Section 19 by entering the linear and square footage of both friable and non-friable materials.
  7. Calculate the required fee based on the amounts indicated in Section 20 and enter the total amount due in Section 21.
  8. In the remarks section (F), provide any additional information necessary for your notification.
  9. Finally, ensure that the contractor or duly authorized representative signs and dates the form in Section G, certifying that all information is accurate.

Once completed, submit the form to the New York State Department of Labor along with the required payment. Ensure a copy of the form is kept for your records. Following these steps will help in the smooth processing of the notification and facilitate compliance with legal requirements.

What You Should Know About This Form

What is the purpose of the Project Notification form?

The Project Notification form serves as a formal communication tool for notifying the Asbestos Control Board about any asbestos removal projects taking place in New York State. If the project involves removing, encapsulating, enclosing, or disturbing friable asbestos—and experiences certain thresholds of asbestos material—this notification is mandatory before the project begins. It ensures that relevant authorities are aware of potential health hazards and can monitor compliance with safety regulations.

Who is required to submit a notification?

Any contractor planning to start an asbestos project that meets specific criteria must submit a notification. This applies to projects located in New York State that involve more than 260 linear feet or 160 square feet of asbestos or asbestos-containing material. The contractor is responsible for this notification, and it must be filed before any work begins to ensure compliance with state regulations.

When should the notification be filed?

The timing of the notification is critical. For an initial project notification, it must be filed at least 10 calendar days before the project start date. In cases of renewal, the notification should be submitted within the last 30 days of a project that extends beyond 12 months. For amended notifications, it must be submitted at least 3 calendar days prior to the new start date, while cancellations need at least 1 calendar day’s notice. Emergency situations require immediate phone notification, followed by the completed form within a specific timeframe.

How do you file a notification?

To file a notification, complete the required form thoroughly and send it, along with any necessary fees, to the New York State Department of Labor. The mailing address is listed on the form. It is crucial to keep a copy for your records. Include a check or money order made payable to the Commissioner of Labor for any applicable fees based on the size of the project. Remember, the notification is not considered complete until the Department of Labor receives the fee.

What happens if project details change after filing the notification?

If any project details change, such as a new contractor taking over, changes in project location, or adjustments to the completion date, an amended notification must be filed. If the amount of asbestos increases, additional fees will also need to be submitted with the amended notification. Keeping the notification updated is essential for continued compliance with regulations.

Where can you find more information about asbestos regulations?

For more comprehensive information regarding asbestos regulations, individuals can refer to Part 56, Title 12 of the Official Compilation of Codes, Rules, and Regulations of the State of New York. This information is available online at the New York State Department of Labor’s website. It is advisable to review these regulations to understand all responsibilities and requirements fully.

Common mistakes

Filling out the Asbestos Project Notification form can be straightforward, but there are common mistakes that often occur. Being aware of these can help ensure a smooth submission process.

One frequent error is missing the deadline for initial notifications. Notifications must be sent at least 10 calendar days before starting any work. Incomplete forms that are submitted late can delay the project and attract penalties.

An additional mistake involves not providing complete contractor information. This section requires precise details, including the Federal Employer Identification Number (FEIN) and the asbestos license number. Omitting this information can lead to complications in verification and processing.

Using the wrong type of notification is another issue that people often face. There are several types, like initial, renewal, and amended. Selecting the wrong option can complicate matters, leading to unnecessary delays.

Additionally, many individuals fail to include the appropriate project fee. The notification is not considered complete unless this fee is received by the Department of Labor. Neglecting this can hinder the processing of the notification.

Another common oversight is not providing details of the project site. It's crucial to fill out information about the job location, including the county, building name, and address. Incomplete site information can prevent approvals.

Some people forget to mention subcontractors, which can lead to confusion about who is responsible for the work. If subcontractors will be involved, their information must be clearly stated in the form.

Many applicants also neglect to check if workers' compensation insurance is in place. This can result in legal issues and additional fines, as proper coverage is a requirement for conducting any project.

People sometimes fail to accurately indicate the amount of asbestos material involved. This is essential for determining the appropriate fee and ensuring compliance with safety regulations.

Finally, signatures from authorized representatives are often missing. The form must be signed and dated by the contractor or a duly authorized representative to validate the information provided. A missing signature could render the entire notification invalid.

By being mindful of these common mistakes, individuals can improve their chances of a smooth and successful notification process when dealing with asbestos projects.

Documents used along the form

When preparing to undertake an asbestos removal project, the Project Notification form is only one of several essential documents you may need. Each document plays a critical role in ensuring compliance with regulations while safeguarding the health and safety of workers and the public. Below, you’ll find a brief overview of six other forms and documents that are often used in conjunction with the Project Notification form.

  • Asbestos Management Plan: This document outlines strategies for managing asbestos-containing materials in buildings. It typically includes details about the location, types of asbestos materials, and procedures for handling, removal, and monitoring. Having a clear management plan is crucial for ensuring everyone's safety.
  • Permits: In many cases, obtaining specific permits may be necessary before commencing work on asbestos projects. These local, state, or federal permits verify that the project meets all regulatory standards, providing legal authorization for handling hazardous materials.
  • Worker Training Records: Workers involved in asbestos removal must complete specialized training to manage asbestos safely. Keeping records of training can ensure compliance and demonstrate the competency of your team's handling procedures.
  • Health and Safety Plan: This plan provides guidance on how to maintain the safety and health of workers during the project. It includes risk assessments, protective measures, and emergency protocols to follow in case of exposure or accidents.
  • Air Monitoring Reports: Regular air quality monitoring is essential before, during, and after asbestos abatement projects. These reports document the air quality levels, ensuring compliance with safety regulations and verifying that asbestos fibers are not released into the environment.
  • Waste Disposal Documentation: This documentation tracks the disposal of asbestos waste. It should include receipts and permits from designated waste disposal sites that comply with environmental regulations, confirming that all materials have been handled responsibly.

Each of these documents complements the Project Notification form, helping to facilitate a smooth and compliant asbestos removal project. Ensuring all forms are completed accurately and submitted on time is critical to the success and legality of the undertaking.

Similar forms

  • Construction Project Notification: Similar to the Asbestos Project Notification form, this document outlines essential details regarding the upcoming construction project. It includes information about the project location, contractor details, and types of construction activities planned, ensuring that necessary safety regulations are met.
  • Hazardous Materials Notification: Like the asbestos form, this notification helps in alerting authorities about hazardous materials that will be used or removed during a project. It requires information about the type and quantity of hazardous materials, establishing accountability and safety measures during project execution.
  • Environmental Assessment Notification: This document is akin to the Asbestos Project Notification form as it initiates an assessment of potential environmental impacts for a specific project. It mandates details about the project scope, location, and timelines, contributing to more effective planning and compliance with environmental regulations.
  • Job Start Notification: Much like the asbestos form, this notification informs local officials about the commencement of a job. It typically includes project duration, scope, and contact information, ensuring that all involved parties are aware of the project schedule.
  • Demolition Notification: This notification parallels the Asbestos Project Notification as it serves to inform regulatory bodies about planned demolition work. It requires project specifics, including location and contractor information, ensuring safe practices are followed and public safety is prioritized during demolition activities.
  • Excavation Notification: Similar to the asbestos notification, this form is used to inform local authorities about planned excavation activities. It includes necessary project details and serves to ensure compliance with safety regulations, minimizing risks associated with ground disturbances.

Dos and Don'ts

When filling out the Project Notification form, here are seven important dos and don’ts to keep in mind:

  • Do submit your notification at least 10 calendar days before the project starts.
  • Do include the correct fee based on project size, as detailed in the fee schedule.
  • Do ensure all sections of the form are completed before submission.
  • Do keep a copy of the completed form for your records.
  • Don’t forget to file an amended notification if any information changes.
  • Don’t miss the deadlines for renewal or cancellation notifications.
  • Don’t assume the notification is complete without confirming receipt of the fee by the Department of Labor.

These guidelines will help you navigate the Project Notification form process effectively and ensure compliance with state regulations.

Misconceptions

Understanding the Project Notification form can be challenging, particularly when it comes to the rules surrounding asbestos project notifications. Here are some common misconceptions that may create confusion:

  1. Only large projects require notification. Many people believe that only extensive asbestos removal projects necessitate a notification. In reality, any project involving more than 260 linear feet or 160 square feet of asbestos material needs to be reported to the Asbestos Control Board regardless of the project's size.
  2. Phone notifications are sufficient. Some individuals think that making a phone call is enough to inform the proper authorities about an asbestos project. However, a written notification is mandatory. The project cannot officially start until the notification form is submitted and the required fee is paid.
  3. You can file notifications at any time. A common misunderstanding is that notifications can be submitted at any point before the project begins. In fact, the initial notification must be submitted at least 10 calendar days before the project start date, while other types of notifications have different timeframes.
  4. Only the contractor needs to file. Many believe that the primary contractor is the only party responsible for filing the notification. While the contractor must complete the form, any change in contractor responsibilities—such as a new main contractor—requires an additional notification to be submitted.
  5. Amended notifications are optional. Some assume that amended notifications are not always necessary when details change. This is a misconception. If any information from the initial notification changes, including project scope or completion date, an amended notification is required to keep the records accurate.
  6. The fee is refundable if the project is canceled. It's a common belief that the project fee can be refunded if the project does not proceed. However, the notification fee is non-refundable, which means that once it has been submitted, it cannot be reclaimed regardless of the project's outcome.

Recognizing accurate information about the Project Notification form is crucial for ensuring compliance and avoiding unnecessary legal consequences. Always seek clarification on any uncertainties regarding the notification process.

Key takeaways

Filing the Project Notification form is crucial for compliance when dealing with asbestos removal projects in New York State. Here are key takeaways to ensure proper completion and submission:

  • The Asbestos Control Board must be notified if projects involve more than 260 linear feet or 160 square feet of asbestos-containing material.
  • Notifications must be submitted 10 calendar days before the project start date for initial notifications.
  • For renewals of projects exceeding 12 months, file within 30 days of the original project end date.
  • The form requires specific information, including contractor details and project site information.
  • Notify the Department of Labor if a new contractor takes over, the project location changes, or significant project details alter.
  • All amendments must be submitted 3 calendar days prior to changes in project dates or conditions.
  • A non-refundable fee based on project size must accompany the form to validate your notification.
  • Keep a copy of the completed form for your records to ensure you have a reference in case of future inquiries.
  • In emergencies, initial approval via phone must be obtained before filing the form; complete the emergency section afterward.

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