Blank Ohio Hea 5802 PDF Form

What is the purpose of the Ohio HEA 5802 form?

The Ohio HEA 5802 form is designed to report lead inspection, risk assessment, and clearance examination activities conducted in the previous month. This form is essential for tracking lead hazards and ensuring compliance with health regulations aimed at preventing lead poisoning. It provides a structured way to document and communicate findings related to lead hazards in properties, especially those built before 1950.

When is the HEA 5802 form due?

The form must be submitted by the 15th of each month. This deadline ensures that the Ohio Department of Health receives timely information about lead-related activities. If no activities were performed in a given month, the "no activity" box should be checked to indicate that no reportable actions took place.

What information is required on the form?

Completing the HEA 5802 form requires detailed information. Each property address must be listed, along with the activities performed at that location. This includes specifying whether the property was constructed before 1950, whether a lead hazard was found, and the type of activity conducted, such as inspection or clearance examination. Incomplete forms will be returned for additional information.

How should I submit the HEA 5802 form?

The form can be submitted in several ways. You may send it by first-class mail to the Ohio Department of Health, fax it to (614) 752-4157, or email it to [email protected]. Choose the method that best suits your needs, but ensure that it is submitted by the deadline.

What should I do if a property fails the clearance examination?

If a property fails the clearance examination, it is crucial to indicate "Yes" when answering the question regarding whether a lead hazard was found. This documentation is vital for ensuring that appropriate remediation measures are taken to protect the health of occupants and to comply with state regulations.

Can I report multiple activities for a single property on one line?

No, each activity must be reported on a separate line for clarity and accuracy. For instance, if a clearance examination at a property initially fails but passes upon reexamination, both results should be documented on different lines. This allows for a comprehensive overview of the property's lead hazard status.

What happens if I submit an incomplete form?

If any information is lacking on the HEA 5802 form, it will be returned to you for completion. This can delay the reporting process and may impact compliance with health regulations. It is essential to double-check all entries before submission to ensure that the form is complete and accurate.

Who is responsible for filling out the HEA 5802 form?

The form should be completed by a licensed Lead Inspector, Risk Assessor, or Clearance Technician. These professionals are trained to assess lead hazards and are responsible for accurately documenting their findings and activities on the form. Their expertise is vital in protecting public health and ensuring compliance with Ohio's lead safety regulations.

1. Failing to submit the form by the 15th of each month. Timeliness is essential for compliance.

2. Not completing all parts of the form. Incomplete forms will be returned, causing delays.

3. Using a single line for multiple activities. Each property address and activity must have its own line.

4. Incorrectly marking the lead hazard questions. Always indicate “Yes” for failed examinations and “No” for passed ones.

5. Neglecting to check the “no activity” box if no inspections were performed during the month.

6. Submitting the form through the wrong method. Ensure it is sent via first class mail, fax, or email as specified.

7. Forgetting to include contact information. Always provide your name, license number, employer, and contact details.

8. Overlooking the construction year of the property. Clearly indicate if it was built before 1950.

9. Misunderstanding the activity performed. Only select one activity per line to avoid confusion.

10. Not reviewing the completed form for accuracy before submission. Double-checking can prevent costly mistakes.

When dealing with lead poisoning prevention and related inspections in Ohio, several forms and documents accompany the Ohio HEA 5802 form. These documents ensure that all necessary information is collected and reported accurately, contributing to the health and safety of residents. Below is a list of commonly used forms that may be required in conjunction with the HEA 5802.

• Lead Inspection Report: This document details the findings from a lead inspection, including locations of lead hazards and recommendations for remediation. It serves as an official record of the inspection process.
• Risk Assessment Report: This report evaluates the potential risks associated with lead exposure in a property. It outlines the conditions that may lead to lead poisoning and suggests necessary actions to mitigate these risks.
• Clearance Examination Report: After lead hazard control measures are implemented, this report confirms whether the property meets safety standards. It indicates whether lead hazards have been successfully addressed.
• Abatement Plan: This plan outlines the specific steps to be taken to eliminate lead hazards from a property. It includes timelines, methods, and responsible parties for the abatement process.
• Essential Maintenance Practices (EMP) Checklist: This checklist provides guidelines for routine maintenance practices that help prevent lead hazards from developing. It is essential for property owners to follow these practices regularly.
• Owner Notification Form: This form is used to inform property owners about lead hazards found during inspections. It ensures that owners are aware of the risks and necessary actions to take.
• Lead Safe Renovation Certification: This document certifies that renovations were completed using lead-safe practices. It is crucial for contractors and property owners to demonstrate compliance with safety regulations.
• Environmental Lead Investigation Report: This report is generated when a lead exposure incident is suspected. It investigates the source of lead exposure and assesses the environment for potential hazards.
• Monthly Summary Report: Similar to the HEA 5802, this report summarizes activities related to lead inspections and assessments over a month. It is submitted to track ongoing efforts in lead hazard management.

Each of these documents plays a vital role in ensuring compliance with health regulations and protecting the well-being of individuals, particularly children, who may be at risk of lead exposure. Proper documentation not only aids in effective communication among stakeholders but also supports public health initiatives aimed at reducing lead poisoning incidents.

• Lead Inspection Report: Similar to the Ohio HEA 5802 form, a Lead Inspection Report details the findings of a lead inspection. It includes property addresses, the presence of lead hazards, and the inspector's conclusions. Both documents aim to ensure that properties are safe from lead exposure, particularly in homes built before 1950.
• Risk Assessment Report: This report assesses the potential for lead exposure in a property. Like the HEA 5802, it requires detailed information about the property and the activities performed. Both documents serve to identify and mitigate lead hazards, ensuring the safety of occupants.
• Clearance Examination Report: After remediation efforts, a Clearance Examination Report confirms whether lead hazards have been effectively addressed. This document parallels the HEA 5802 in its focus on documenting the outcomes of inspections and ensuring compliance with safety standards.
• Monthly Activity Log: A Monthly Activity Log tracks all activities related to lead inspections and assessments. It shares the same goal as the HEA 5802, which is to maintain a record of activities and findings over time. Both forms are crucial for ongoing monitoring and compliance with health regulations.
• Abatement Completion Report: This document outlines the completion of lead hazard abatement activities. It is similar to the HEA 5802 in that it provides a summary of actions taken to eliminate lead hazards, ensuring that properties meet safety standards and protecting public health.

When filling out the Ohio HEA 5802 form, there are several important guidelines to follow. Here’s a list of things you should and shouldn't do:

• Do submit the form by the 15th of each month to report previous month’s activities.
• Do complete all parts of the form to avoid it being returned.
• Do enter each property address and activity on a separate line.
• Do indicate “Yes” if a lead hazard was found during a clearance examination.
• Do indicate “No” if the clearance examination passed without any lead hazards.
• Don't forget to check the “no activity” box if no activities were performed that month.
• Don't leave any sections incomplete, as this will delay processing.

Understanding the Ohio HEA 5802 form is crucial for compliance with lead inspection and risk assessment regulations. However, several misconceptions can lead to confusion. Here are five common misconceptions about the form:

• Misconception 1: The HEA 5802 form is optional.

This form is mandatory for reporting monthly activities related to lead inspections and assessments. Failure to submit it may result in penalties.

• Misconception 2: You can submit the form at any time during the month.

The form must be submitted by the 15th of each month for the previous month’s activities. Late submissions can lead to complications.

• Misconception 3: Only one line is needed for multiple activities at the same property.

Each activity at a property must be reported on a separate line. This ensures clarity and accuracy in reporting.

• Misconception 4: If no lead hazard is found, the form does not need to be submitted.
• Misconception 5: The form can be submitted only by mail.

The HEA 5802 form can be submitted via mail, fax, or email, providing flexibility in how you report your activities.

The Ohio HEA 5802 form is essential for documenting lead inspection and risk assessment activities. Below are key takeaways regarding its completion and use:

• Timeliness is crucial. The form must be submitted by the 15th of each month to report the previous month’s activities.
• Complete all sections. Incomplete forms will be returned, so ensure every part is filled out accurately.
• Separate entries for each activity. Each property address and activity must be listed on a separate line to maintain clarity and accuracy.
• Indicate lead hazards correctly. If a property fails a clearance examination, mark "Yes" for the presence of a lead hazard. Conversely, mark "No" if it passes.
• Submission methods are flexible. The form can be sent via first-class mail, fax, or email, allowing for various ways to ensure timely submission.
• Identify properties accurately. Include the complete address, construction year, and whether a lead hazard was found for each property listed.
• Use designated activity codes. Select only one activity type per line to avoid confusion and ensure proper categorization of the activities performed.