SCOPE STAGE CHECKLIST
Date:
Project Name:
Environmental Y N
1. Does the site have any historical or archaeological significance that might interfere with
the project?    
2. Are there existing structures on the site that must be demolished?    
A permit from the local building official may be required. If Asbestos, Lead Based Paint, or PCB Transformers
 are involved, additional permits will be required. If in doubt, contact the responsible Environmental Department.
3. Will a sanitary lift station be required?    
If yes, contact the responsible legal department concerning the requirement for a permit.
4. Are there concerns arising from the prior use of the property?    
Previous manufacturing and/or disposal activities may give rise to environmental liabilities. The responsible
Environmental Department should be contacted to determine whether an environmental assessment must be
undertaken at the site to avoid potential liability.
5. Are there surface or subsurface soil conditions, such as organic or saturated layers,
which might affect construction?    
6. Will the project impact Wetlands or Navigable Waters?    
If yes, contact the responsible Legal and Environmental Departments for a determination of what additional
requirements that must be met. These may include special permits and/or design considerations.
7. Has Erosion and Sediment Control been considered?    
If a Land Disturbing Permit is required, this plan must be a part of the application.
8. Will the completed project require any of the following environmental permits:
Air? (PSD or Nonattainment)    
Water? (NPDES or Discharge)    
RCRA?    
Stormwater?    
Solid Wastes?    
Hazardous Wastes?    
If the answer to any of the above questions is yes or unknown, the responsible Environmental Department
must be contacted regarding the potential for permits.
9.  Has the local regulatory agency been contacted concerning the possible requirement for
separating air and/or water streams for compliance measurement?    
10. Will the project require installation of:
Environmental equipment    
Aboveground Storage Tanks    
Underground Storage Tanks    
Facilities to handle Hazardous Substances    
Facilities to handle petroleum products    
If the answer to any of the above is yes, the responsible Environmental Department must be contacted to
determine what permits are required.
11. Will this project be subject to the requirements of the "Green Lights" Program?    
If yes, contact the division "Green Lights" Coordinator for specifications.
12. If the project involves renovation of the existing facilities, have the facilities been
surveyed for the presence of asbestos and/or lead based paints?    
If the answer is no or unknown, contact the responsible Environmental Department for guidance.
13. If the project involves renovation of existing facilities, have Indoor Air Quality (IAQ) issues
been considered?    
14. Will (company) be required to dispose of solid waste for the Contractors during
construction?    
15. Is there a sales tax break for the installation of pollution control equipment?    
Ergonomics Y N
1. Will the quality of light be adequate for the task performed in each area?    
2. Will material handling devices be provided for repetitive lifts of greater than 30lb.?    
3. Is the equipment layout such that employees will not be required to regularly twist, bend,
or stretch to operate the system?    
4. Will the noise level at all workstations be below 85 db?    
If the noise level cannot be maintained below 85 db., then consideration should be given to providing sound-
proofing or soundproof enclosures at the workstations.
5. Has consideration been given to ventilation, heating/cooling, and humidity control?    
6. Have operations and/or maintenance personnel been consulted on the concept of this
project?    
7. Will this project be subject to the requirements of the Americans With Disabilities Act?    
Safety Y N
1. Does the operations of the completed facility involve any special processes that give rise
to safety concerns?    
If the answer is yes, contact the Division Safety Coordinator for guidance.
2. Have the appropriate design and construction codes (ASME, ANSI, etc.) been researched?    
3. Will the design of the building include permanent attachment points for fall protection devices
to be used during the construction and/or later for maintenance and operations?    
4. Have code requirements with regard to firewalls and fire detection/suppression systems
been considered in this project?    
5. Are eye washes and/or safety showers required?    
6. Has a formal Preliminary Assessment of the project team been completed by the Project
Manager in accordance with Section VIII of the Division Safety, Health and Environmental
Requirements for Construction Projects and the requirements of SH-11?    
General Considerations Y N
1. Does the company own or lease the site of the proposed project?      
2. Are there any deed or lease restrictions on the site that may affect the project?    
If the answer is yes or unknown, you must consult with the responsible Legal Department so that potential
problems arising from restrictions may be identified and resolved before the project planning is too far advanced.
3. Is the proposed project compatible with the current zoning?    
If the answer is yes or unknown, please contact the responsible Legal Department. If rezoning is required,
allowances must be made in the project schedule for such rezoning.
4. Is the project consistent with the current land use for the site?    
5. Are there utility lines crossing the site, either overhead or underground that might affect
its usability?    
6. Are there Public Utility Easements crossing the site that might affect its usability?    
7. Are the following services available at the site:
Electricity?    
Water?    
Sewer?    
Natural Gas?    
Air?    
Steam?    
8. Are the existing services sufficient to support the project:
Electricity?    
Water?    
Sewer?    
Natural Gas?    
Air?    
Steam?    
9. Will tap fees be assessed by the local utilities?    
10. If the sewer discharges to an off-site treatment plant owned by a local utility, will the
utility accept the quality and quantity of additional discharge?    
11. Is there any reason to check the potable water quality?    
If the answer is yes, contact the responsible Environmental Department for guidance.
12. Will the project require modification to any existing electrical system?    
13. Will new access from a state or federal highway to the site be required?    
If yes, contact the state Department of Transportation (DOT) to determine their requirements for a plant entrance.
14. Will new rail access to the site be required?    
If yes, contact the responsible Transportation office to determine the railroad who owns the line and who to
contact with regard to the installation of a siding.
15. Will new water access to the site be required?    
If yes, contact the responsible Legal and Environmental Departments for assistance.
16. Will a building permit be required?    
If in doubt, contact the responsible Legal Department for guidance.
17. Has the appropriate Building Code been researched?    
   
18. Will the building require a variance from code or zoning requirements?    
Contact the responsible Legal Department for assistance in requesting a variance.
19. Will temporary storage areas or office trailers be required?    
If yes, contact the responsible Legal Department to determine if building permits and/or utility fees will be required.
20. Will temporary access from a state or federal highway be required?    
If yes, contact the state DOT to determine whether or not a permit is required.
21. Is excess demolition a part of the project?    
If demolition in excess of that required to build the new project is included, or if the cost of demolition exceeds
10% of the cost of the new facility, check with the Division controller to see if all or part of the demolition must be
expensed.
Other Information: