Free Ohio Hea 5802 Template

How to Use Ohio Hea 5802

Filing the Ohio HEA 5802 form is a crucial step towards ensuring compliance with the Ohio Department of Health's Lead Poisoning Prevention Program. This form, used to report monthly summary activities related to lead inspection, risk assessment, or clearance examination, needs to be filled accurately and submitted by the 15th of each month. It's used to document efforts undertaken each month in managing and assessing lead hazards in properties. Whether you conducted activities or had a month without any, reporting is mandatory. Here’s a step-by-step guide to help you through the process of filling out the form correctly.

1. Start by confirming your reporting month and ensure you are filling out the form for activities conducted in the correct month.
2. Mark the “no activity” box if no inspection, risk assessment, or clearance examination activities were conducted during the month. If this is the case, you can skip directly to providing your license information at the bottom of the form.
3. If activities were conducted, begin with the first property you assessed or inspected. Enter the property address, including city, state (OH), and ZIP code.
4. Indicate whether the property was constructed before 1950 by selecting ‘Yes’ or ‘No’.
5. Answer whether a lead hazard was found with a ‘Yes’ or ‘No’. Remember, if the property failed the clearance examination, you should always indicate ‘Yes’, and if it passed, select ‘No’.
6. For the Activity performed section, choose only one activity per line that accurately describes the work done, such as Inspection, Risk Assessment, Clearance Examination, etc.
7. Next, specify the reason for the activity, such as Owner Requested, Lead Safe Renovation, Hazard Control Order, etc.
8. If a Clearance Examination was performed, indicate whether the clearance area passed by selecting ‘Yes’ or ‘No’.
9. Repeat steps 3 to 8 for each property you need to report on. Ensure each property and its related activity are reported on separate lines as instructed.
10. Once all properties and activities for the month are reported, provide your name, license number, employer’s name, phone number, and address (including city, state, ZIP)
11. Fill in your email address and the month and year of the reported activities at the bottom of the form.
12. Review the form to ensure all information is complete and accurate. Missing or incorrect information may result in the form being returned to you.
13. Finally, submit the completed form by the 15th of the month. You can choose to send it via first-class mail, fax, or email as provided in the form’s instructions.

Properly filling out and timely submission of the HEA 5802 form are essential steps in documenting and reporting lead control activities. This not only ensures compliance but also plays a significant role in the ongoing efforts to manage lead hazards and protect public health within Ohio communities.

What is the Ohio HEA 5802 form used for?

The Ohio HEA 5802 form is a document required by the Ohio Department of Health's Lead Poisoning Prevention Program. It serves as a monthly summary report for licensed Lead Inspectors, Risk Assessors, and Clearance Technicians to record their lead inspection, risk assessment, and clearance examination activities. This form helps in tracking and managing lead hazards in properties across Ohio, ensuring public health safety and compliance with state regulations.

Who is required to fill out this form?

Licensed Lead Inspectors, Risk Assessors, and Clearance Technicians are required to complete the Ohio HEA 5802 form. These professionals must report their activities related to lead-based paint inspections, risk assessments, and clearance examinations for each property they evaluated within the previous month. If no activity was performed in the given month, they must still submit the form, indicating that there was no activity.

By when should the Ohio HEA 5802 form be submitted?

The form must be submitted by the 15th of each month. It covers activities performed in the previous month, ensuring timely reporting and efficient monitoring of lead hazards in Ohio properties. This deadline helps the Ohio Department of Health to maintain up-to-date information and take necessary actions when required.

How can the Ohio HEA 5802 form be submitted?

There are three methods for submitting the Ohio HEA 5802 form: by first-class mail, fax, or email. To mail the form, it should be sent to Ohio Department of Health, DQA/Lead Program, at the provided Columbus address. If faxing, use the provided fax number. Alternatively, the form can be emailed to the specified email address. This flexibility ensures convenience for professionals in fulfilling their reporting obligations.

What information is required on the Ohio HEA 5802 form?

The form requires detailed information about each property inspected, including the property address, whether the property was constructed before 1950, and the outcome of any lead hazard findings. It also asks for the specific activity performed (e.g., inspection, risk assessment, clearance examination), the reason for the activity, and the results of clearance examinations if applicable. Additionally, the licensed professional must provide their name, license number, employer, contact information, and the month and year of the reported activity. Complete and accurate reporting on this form is crucial for effective lead hazard management in Ohio.

1. Filling out the form without confirming the details of each property's lead inspection or risk assessment activities can lead to inaccuracies. For instance, not specifying whether a lead hazard was found in a manner that aligns with the outcome of the clearance examination reflects a significant misunderstanding. Users must remember to mark "Yes" when a hazard is identified following a failed clearance examination and "No" if the property passes. Failure to do so may result in sending mixed messages to the Ohio Department of Health.

2. Another common mistake involves not accurately reporting the property's construction date. Given that properties constructed before 1950 are likely to present different risk levels for lead presence, accurately indicating this can significantly impact the assessment's context and the urgency of any required action. Misreporting or overlooking this detail undermines the accuracy of the state's lead hazard database and can delay appropriate interventions.

3. Individuals often select multiple activities for a single property address without creating separate entries for each. As the form dictates, each activity—whether it be an inspection, abatement, or clearance examination—should be documented on its line. This error can cause confusion and misinterpretation of the data, complicating the Ohio Department of Health's efforts to track and mitigate lead hazards effectively.

4. Lastly, not utilizing the "no activity" checkbox for months when no relevant actions were taken is a frequently seen oversight. This checkbox provides critical data regarding periods of inactivity, which can be just as informative for tracking trends and understanding periods of low reporting or inspection activity. Neglecting to indicate "no activity" improperly suggests a constant level of intervention that does not accurately reflect reality.

Completing and submitting the Ohio HEA 5802 form is an important step in ensuring properties comply with lead safety regulations and helps keep communities safe. However, this form is often just one part of a larger documentation process involving several other forms and documents that provide additional details or comply with other aspects of lead hazard control and prevention. Here are some of the commonly used forms and documents alongside the Ohio HEA 5802 form.

• Lead Inspection Report: This document provides detailed findings from a lead-based paint inspection, including the presence, type, and location of lead-based paint in a property.
• Risk Assessment Report: A report that assesses the potential risk of lead exposure from lead hazards in a property and recommends ways to control such risks.
• Clearance Report: After lead hazard control work, this report confirms whether the property meets state and federal standards for lead safety, ensuring it is safe for occupancy.
• Tenant Notification Forms: These forms are used to inform tenants about the presence of lead hazards, the results of lead inspections, or risk assessments, and actions taken to address lead hazards.
• Owner Authorization Form: This form is required when an inspection, risk assessment, or abatement activity is conducted, indicating the property owner's consent for such actions.
• Lead Abatement Plan: A detailed document outlining the methods, practices, and timelines for lead hazard control activities in a property.
• Lead Safe Work Practice Certification: A certification form that contractors need to complete, affirming that lead-safe work practices were followed during renovation or repair work in pre-1978 housing.
• Essential Maintenance Practices Documentation: This document outlines routine maintenance activities performed to manage lead-based paint and ensure ongoing lead safety in properties.
• Employee Training Records: Records proving that individuals performing lead hazard control activities are properly trained and certified, as required by state or federal regulations.
• Lead Hazard Screen Report: A report that details findings from less comprehensive evaluations than full risk assessments, used in some circumstances to identify potential lead hazards.

Gathering and properly managing these documents ensures compliance with regulations, helps in preventing lead exposure, and contributes to the overall well-being of occupants and workers involved in property maintenance and renovation. Remember, these documents not only serve regulatory compliance but also act as a record of due diligence and commitment to public health and safety.

The Ohio HEA 5802 form, crucial in documenting lead-related activities in properties, bears a resemblance to the Environmental Protection Agency's (EPA) Lead-Based Paint Activity Form. Both serve a vital public health function by tracking the existence and remediation of lead hazards in environments where people live and work. They require detailed reporting on the inspections conducted, areas examined, and the subsequent findings, ensuring a thorough record of actions taken to mitigate lead risks. This documentation helps in maintaining public health records and ensuring compliance with safety regulations.

Similarly, the Occupational Safety and Health Administration's (OSHA) Hazard Communication Standard (HCS) Safety Data Sheets (SDSs) share objectives with the Ohio HEA 5802 form. While SDSs focus on informing about the risks of chemical products used in the workplace, including lead, they also necessitate detailed reporting on hazardous ingredients, protective measures, and emergency procedures. Both documents play a crucial role in safeguarding public and worker health through informed risk management and prevention strategies.

The U.S. Department of Housing and Urban Development's (HUD) Lead Safe Housing Rule Compliance Report is another document similar to the Ohio HEA 5802 form. This report tracks compliance with lead safety regulations in federally-assisted housing, detailing inspection and remediation activities similar to those in the HEA 5802. Both are instrumental in ensuring safe living environments free from lead hazards, particularly for vulnerable populations in older housing stock.

The Public Health Management Corporation's Environmental Health Services report, used for recording inspections and interventions in various environmental health hazards, including lead, echoes the purpose of the HEA 5802 form. Both forms are tools in the broader public health effort to identify, catalog, and mitigate environmental risks to community health, underscoring the collaborative effort between different health services and regulatory agencies.

State and local health departments often employ their specific forms for reporting infectious diseases, which, like the Ohio HEA 5802 form, serve a key epidemiological function. Though focused on infectious diseases rather than environmental hazards like lead, these forms similarly gather detailed information on exposures, outcomes, and interventions to monitor public health risks and coordinate responses effectively.

Building permit applications, required for renovations or demolitions that may disturb lead-based paint in older buildings, share goals with the Ohio HEA 5802 form. These permits necessitate the disclosure of potential hazards and plans for their management, ensuring that any work conducted minimizes the risk of lead exposure to occupants and workers, thus aligning with the preventative and safety aims of the HEA 5802.

Finally, the comparison can be drawn with the Centers for Disease Control and Prevention's (CDC) Blood Lead Level Reporting Form, which collects individual blood lead level test results. By aggregating data on lead exposure incidents, it similarly contributes to public health efforts aimed at lead poisoning prevention and intervention. While the CDC form focuses on the health outcomes of lead exposure in individuals, the Ohio HEA 5802 form concentrates on the environmental assessment and management of lead hazards, together painting a comprehensive picture of both the sources and effects of lead exposure.

When completing the Ohio HEA 5802 form, it is essential to provide accurate and thorough information to the Ohio Department of Health's Lead Poisoning Prevention Program. Below are tips to ensure the form is filled out correctly and efficiently.

Do:

1. Ensure that each activity conducted in the previous month is reported accurately on a separate line.
2. Verify the property address, including the city, state, and ZIP code for accuracy.
3. Check the correct box to indicate whether the property was constructed before 1950.
4. Select the specific activity performed from the list provided on the form.
5. Clearly indicate whether a lead hazard was found following the conducted activity.
6. Submit the form by the 15th of the month following the reportable activities.
7. If no activities were performed in the month, mark the “no activity” box accordingly.
8. Choose the appropriate method of submission (mail, fax, or email) as detailed on the form.
9. Include the name, license number, phone number, employer address, and email of the licensed Lead Inspector/Risk Assessor/Clearance Technician.
10. Specify the month and year of the reportable activity to ensure timelines are accurately tracked.

Don't:

1. Omit any property address or activity details, as incomplete forms will be returned.
2. Report activities for more than one month on a single form—it is one form per month.
3. Forget to indicate the result of the clearance examination accurately. Always mark “Yes” for a failure and “No” for a pass.
4. Ignore the requirement to report each activity on a separate line for clarity and organization.
5. Assume all properties were constructed before 1950—verify and check the appropriate box.
6. Mix up the method of submission. Choose one and ensure it’s correctly addressed and sent.
7. E-mail the form without ensuring that the lead@odh.ohio.gov address is correctly typed.
8. Leave the license number or contact information section blank. This information is crucial for validation.
9. Submit the form late. Timeliness is key to compliance with the Ohio Administrative Code.
10. Derive from providing a clear reason for each activity selected, as ambiguity can lead to unnecessary queries or form return.

By following these guidelines, professionals can ensure their submission of the Ohio HEA 5802 form is complete, accurate, and adherent to the requirements set forth by the Ohio Department of Health's Lead Poisoning Prevention Program.

When it comes to the Ohio HEA 5802 form, a key document for reporting lead inspection, risk assessment, and clearance examination activities, there are many misconceptions that need clarification to ensure accurate and effective use. Here are nine common misconceptions:

1. The form is optional for lead-related activities: In reality, the Ohio Department of Health mandates the completion and submission of the HEA 5802 form for documenting all specified lead activities conducted each month, making it a necessary part of compliance.

2. It only needs to be submitted if lead hazards are found: Every activity, regardless of whether a lead hazard was identified or not, must be reported. Even if no activity was performed in a given month, the "no activity" box must be checked and the form submitted.

3. A single form can cover multiple months: The form is designed to report activities for one month only. If activities span multiple months, a separate form for each month is required.

4. You can omit your license number if your employer is submitting the form: The licensed lead inspector, risk assessor, or clearance technician’s license number must always be included, regardless of who submits the form.

5. All sections of the form are not mandatory: Every part of the form must be completed. Incomplete forms will be returned, delaying the documentation process and potentially leading to non-compliance issues.

6. The form can only be sent via mail: Though mailing is an option, the form can also be faxed or emailed to the Ohio Department of Health, providing multiple submission methods to accommodate different preferences and ensuring timely submission.

7. Only one property address can be reported per form: Separate lines are provided for different activities or re-examinations at the same property address. The form is designed to report multiple properties and activities as long as each is documented on a separate line as instructed.

8. Clearance examination results do not need to be detailed if a property passes: Both the initial results and the final outcome of a clearance examination, whether pass or fail, must be recorded to provide a complete history of the examination.

9. The form is only for properties built before 1950: While there is a section to indicate whether a property was constructed before 1950, the form itself is used for all lead activity reporting, no matter the age of the building.

Correcting these misconceptions ensures that the HEA 5802 form is used effectively and in compliance with Ohio's lead prevention program requirements, facilitating a safer environment by accurately tracking and addressing lead hazards.

Filling out and using the Ohio Health Department's HEA 5802 form, also known as the Lead Monthly Summary, is a crucial process for lead inspectors, risk assessors, and clearance technicians in Ohio. Here are key takeaways to ensure completeness and compliance:

• The form is mandated by the Ohio Administrative Code to report activities related to lead inspection, risk assessment, and clearance examination on a monthly basis. It's designed to track efforts in lead poisoning prevention.
• Submission of the form is due by the 15th of each month. In instances where no activity occurred in the previous month, there is a specific option to report "no activity," highlighting the necessity of consistent reporting regardless of the volume of inspections or assessments conducted.
• Accuracy is paramount when completing the HEA 5802 form. Each property address undergoing a particular activity—be it inspection, partial inspection, abatement, among others—must be listed independently. This detail ensures precise tracking and assessment of lead hazards within the state.
• Clearance examinations play a significant role in this reporting process. The form requires explicit indication of whether a lead hazard was identified. If a property fails its clearance examination, it's imperative to mark "Yes" under the question of whether a lead hazard was found. Conversely, a successful clearance examination should result in a "No" response, aiding in the clear documentation of property status concerning lead safety.
• The form can be submitted through various channels: via first-class mail, fax, or email to the Ohio Department of Health. This flexibility in submission methods is designed to accommodate different preferences and ensure that reporting is as convenient as possible.
• Every section of the form, including contact information of the licensed professional and detailed activity records for each property inspected or assessed within the month, must be filled out comprehensively. Incomplete forms will be returned, delaying the reporting process and potentially impacting lead poisoning prevention efforts.

Taking these points into account will streamline the reporting process and support the Ohio Department of Health's Lead Poisoning Prevention Program's objective of safeguarding public health against lead hazards. It's not just about compliance; it's about taking active steps in preventing lead poisoning in our communities.