Healthcare Asbestos Inspection Agreement

HEALTHCARE ASBESTOS INSPECTION AGREEMENT

Parties and Effective Date

Client Facility Name:

Effective Date:    Project Reference/PO #:

Scope of Work

The Contractor will perform asbestos inspection services at the Inspection Location described above. Services include identification of suspect asbestos-containing materials, representative bulk sampling where appropriate, visual assessment, photographic documentation, and written reporting. Specific tasks to be performed (select all that apply):

Bulk sampling and laboratory analysis
Air sampling (personal and/or area)
Visual inspection and condition assessment
Clearance inspection and clearance air monitoring
Written survey report with recommendations

Inspection Procedures and Standards

The Contractor shall conduct inspections in accordance with recognized industry practices and applicable regulatory standards. Inspection Start Date: . Estimated duration (days): .

Representative sampling locations will be selected by the Contractor where accessible. The Client acknowledges that concealed materials or inaccessible areas are not included unless explicitly agreed and may require additional investigation if suspected.

Access, Safety, and Patient Impact

The Client shall provide safe access to inspection areas and notify Contractor of any clinical or patient care protocols that may affect work. Contractor will adhere to facility safety rules and use appropriate personal protective equipment. Will inspection enter active patient care areas? Yes No

If patient rooms will be entered or adjacent spaces impacted, Client shall identify affected patients below and provide any required patient-specific precautions or guardian consent.

Confidentiality and HIPAA

Contractor acknowledges that during performance of services Contractor may encounter Protected Health Information (PHI). Contractor agrees to maintain the confidentiality of PHI in compliance with applicable law and to limit access to PHI to personnel with a need to know. Contractor shall implement administrative, physical, and technical safeguards appropriate to the sensitivity of PHI.

Will PHI or patient records be accessed or removed from the facility? Yes No

Deliverables and Reporting

Contractor will deliver a written report including laboratory results, sample locations, conclusions, and abatement recommendations. Number of report copies: . Standard report turnaround time (business days): .

Fees, Payment and Cancellation

Client agrees to pay Contractor fees as follows. Base inspection fee: $. Laboratory fees billed separately based on actual lab invoices.

Payment due within days of invoice. Cancellation by Client requires days written notice; short-notice cancellations may incur a fee.

Insurance, Indemnification and Liability

Contractor represents that it carries commercial general liability and professional liability insurance customary to the industry. Contractor's aggregate liability for claims arising from this Agreement shall not exceed the greater of Contractor's fees for the work performed under this Agreement or the limits of Contractor's applicable insurance coverage. Neither party shall be liable for consequential or punitive damages except in cases of gross negligence or willful misconduct.

Sampling, Chain of Custody, and Laboratory Analysis

Contractor will maintain chain-of-custody documentation for all samples and will submit samples to an accredited laboratory. Laboratory analytical results shall be used to prepare recommendations. Client understands that laboratory turnaround times are dependent on the laboratory and that additional fees may apply for expedited analysis.

Client Responsibilities

Client shall: (a) secure necessary permissions and escorts for Contractor personnel; (b) provide required access and utilities; (c) identify areas requiring special precautions; and (d) notify Contractor of any known hazardous conditions other than asbestos. Client shall ensure patient care is not unreasonably disrupted and shall coordinate any required patient relocations.

Limitations, Assumptions and Warnings

Inspection is a non-destructive assessment unless otherwise agreed. Contractor cannot warrant that all asbestos-containing materials will be identified where materials are concealed or inaccessible. Client acknowledges that disturbance of asbestos may release fibers and that Contractor will take precautions but cannot eliminate all risk. Client assumes responsibility for decisions regarding abatement and any subsequent occupational or environmental controls.

Acceptance and Authorization

By signing below, Client authorizes Contractor to perform the asbestos inspection services described herein, acknowledges the limitations and risks set forth, and agrees to pay Contractor in accordance with this Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior proposals or communications. Amendments must be in writing and signed by both parties.

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