PHLI Manual
This page contains documents for local health department employees who work with lead in Ohio.
PHLI Manual
Appendices
Appendix A: Contact and Monitoring Algorithms
Appendix B: Childhood Lead Exposure Questionnaire
Appendix C: 10+ Parent/Guardian Initial Contact Letter
Appendix C1: EBLL Parent/Guardian Initial Contact Letter
Appendix C2: 10+ Parent/Guardian 2nd Contact Letter
Appendix C3: EBLL Parent/Guardian 2nd Contact Letter
Appendix D: EBLL Summary Report and Cover Letter
Appendix E: Property Owner Access Letter
Appendix F: Property Owner Access Letter Second Notice
Appendix G: WIC Program Directory
Appendix H: Healthchek and Pregnancy Related Services (PRS) County Contacts
Appendix I: Healthchek Fax Coversheet
Appendix J: Property Owner Right of Entry Legal Letter
Appendix K: Lead Visual Assessment Form
Appendix L: 10+ Public Health Lead Investigation Report
Appendix M: Environmental Lead Report
Appendix N: Letter to Property Owner - 3 Day Notice
Appendix O: Lead Based Paint Inspection and Lead Risk Assessment Report
Appendix P: Order to Control Lead Hazards
Appendix Q: Acknowledgement of Receipt of Order to Control Leah Hazards
Appendix R: Lead Hazard Control Extension Request Form
Appendix S: Extension Request Cover Letter
Appendix T: Notice of Extension
Appendix U: Final Extension Request Contact Letter
Appendix V: Lead Hazard Control Method Selection Template
Appendix W: Notice of Non-Compliance and Order to Vacate
Appendix X: Resident Vacate Letter
Appendix Y: Warning Sign
Appendix Z: Property Owner Vacate Letter
Appendix AA: Compliance Review Sheet
Appendix BB: Clearance Examination Report
Appendix CC: Lead Hazard Control Visual Clearance
Appendix DD: Notice of Compliance
Appendix EE: Healthy Housing and Lead Poisoning Surveillance System User Manual (HHLPSS)
Appendix FF: Ohio Administrative Code Chapters
Appendix GG: Public Health Response to Childhood Lead Exposure Guidance Manual Web Page
Appendix HH: Local Health Department Medicaid Lead Investigation Cost Report Instructions
Appendix II: Childhood Lead Exposure Tool Kit
Appendix JJ: Right of Entry Legal Letter - Parent/Guardian
Appendix KK: Transfer Ownership Letter - LHCO
Appendix LL: Transfer of Ownership Letter - NONC/OV
Appendix MM: Completing the Childhood Lead Exposure Interview and Questionnaire (Job Aid)