00 - Asbestos Removal Planning Site Visit Information

• Site conducted on ?

  Select
• Location ?
  Address

• Prepared by ?

• Is the site supervisor present ?

  Yes

  No

• Name of supervisor ?

  Sign

Client infomashion

• Client Name ?

• Client Address ?

• Client Telephone ?

• Client site contact name ?

• Client site contact number ?

• Description of works to be undertaken ?

• No. of staff needed to carry out the works ?

  Select 1 2 3 4 5 6 7 8 9 10 Other

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • Other

• Proposed Start date if known ?

• Estimated duration of works ?

• Daily working hours ?

  0700 to 1700

  0730 to 1630

  Other

• Involves weekend work ?

  Yes

  No

• What weekend working is needed ?

  Saturday

  Sunday

  Saturday & Sunday

• Daily working hours ?

• Daily working hours ?

• Daily working hours Saturday ?

• Daily working hours Sunday ?

Principal Contractor Information

• Who will be the principal contractor ?

  Lawson Demolition

  Lawson Enviromental

  Our Client as listed above

  Other

• Company Name ?

• Contact Name ?

• Telephone ?

• Mobile ?

Site Planning

• Equipment list specialist equipment need ?

Safety requirements / Access equipment needed ?

• Podium Steps ?

  Yes

  N/A

• What is the working platform hight ?

• Scissor Lift ?

  Yes

  N/A

• What size is needed ?

• Cherry Picker ?

  Yes

  N/A

• What size is needed ?

• Mobile Scaffold ?

  Yes

  N/A

• What size is needed ?

• Fixed Scaffold ?

  Yes

  N/A

• What size is needed ?

• Ladders/Step ladders ?

  Yes

  N/A

• What size is needed ?

• Other (Please state) ?

  Yes

  No

Emergency Arrangement Details:

• Firefighting equipment needed ?

  Yes

  N/A

• Means of raising alarm needed ?

  Yes

  N/A

• Other known fire risks ?

  Yes

  N/A

• What are they ?

• Fire muster point where will it be ?

• First aid provision ?

  Lawson Demolition

  Lawson Enviromental

  Our Client as listed above

  Other

DCU setup: SOP007 & SOP010

• Is a DCU to be used ?

  Yes

  No

  N/A

Welfare facilities: Toilet, Washing and Rest Facilities:

• Provided by:

  Lawson Demolition

  Lawson Enviromental

  Our Client as listed above

  Other

• Location(s) ?

• Toilets ?

  Yes

  No

  N/A

• Means of drying hands ?

  Yes

  No

  N/A

• Hot & Cold running water ?

  Yes

  No

  N/A

• Seating (rest) area ?

  Yes

  No

  N/A

• Soap or washing agent ?

  Yes

  No

  N/A

• Means of heating food or drinks ?

  Yes

  No

  N/A

• Sanitising gel ?

  Yes

  No

  N/A

• Other (please state) ?

• Location(s) ?

• Toilets ?

  Yes

  No

  N/A

• Means of drying hands ?

  Yes

  No

  N/A

• Hot & Cold running water ?

  Yes

  No

  N/A

• Seating (rest) area ?

  Yes

  No

  N/A

• Soap or washing agent ?

  Yes

  No

  N/A

• Means of heating food or drinks ?

  Yes

  No

  N/A

• Sanitising gel ?

  Yes

  No

  N/A

• Other (please state) ?

• Location(s) ?

• Toilets ?

  Yes

  No

  N/A

• Means of drying hands ?

  Yes

  No

  N/A

• Hot & Cold running water ?

  Yes

  No

  N/A

• Seating (rest) area ?

  Yes

  No

  N/A

• Soap or washing agent ?

  Yes

  No

  N/A

• Means of heating food or drinks ?

  Yes

  No

  N/A

• Sanitising gel ?

  Yes

  No

  N/A

• Other (please state) ?

• Who will be providing Welfare ?

• Location(s) ?

• Toilets ?

  Yes

  No

  N/A

• Means of drying hands ?

  Yes

  No

  N/A

• Hot & Cold running water ?

  Yes

  No

  N/A

• Seating (rest) area ?

  Yes

  No

  N/A

• Soap or washing agent ?

  Yes

  No

  N/A

• Means of heating food or drinks ?

  Yes

  No

  N/A

• Sanitising gel ?

  Yes

  No

  N/A

• Other (please state) ?

Waste disposal: SOP054

• Amount of waste:

• Waste Container

  Select Enclosed Skip Box within the van Open Skip for AC waste only

  • Enclosed Skip
  • Box within the van
  • Open Skip for AC waste only

Isolation of services:

• To be undertaken by:

  Lawson Demolition

  Lawson Enviromental

  Our Client as listed above

  Other

• Power ?

  Yes

  N/A

• Gas ?

  Yes

  N/A

• Water ?

  Yes

  N/A

• Other:

  Yes

  No
Enclosure Information

• A summary of work being undertaken on ACM’s in this area:

• Building Number/Name & Area Number ?

• Internal/External:

  Internal

  External

• Floor:

  Select Basment Ground 1st Floor 2nd Floor 3rd Floor 4th Floor Other

  • Basment
  • Ground
  • 1st Floor
  • 2nd Floor
  • 3rd Floor
  • 4th Floor
  • Other

• What floor ?

• Room:

  Refer to Asbestos Survey

  Room Numbers / Nams are ?

• Asbestos Work: LW / NLW / NNLW

  LW

  NLW

  NNLW

  LW & NLW

  Other

• What ?

  Yes

  No

  N/A

• Works to be caried out within ?

  Enclosure

  Respirator Zone:

• Removal:

  Yes

  No

• Repair:

  Yes

  No

• Encapsulate:

  Yes

  No

• Paint:

  Yes

  No

• Drill:

  Yes

  No

• Reinstatement:

  Yes

  No

• Provide details of reinstatement needed ?

• Other (please specify):

Enclosure details

• Enclosure Dimensions (Allow for any floor or ceiling voids as needed)

  Select Enclosure Dimensions have been marked on the Survey floor Plan Enclosure Dimensions are

  • Enclosure Dimensions have been marked on the Survey floor Plan
  • Enclosure Dimensions are

• Airlock ?

  Yes

  No

• Baglock ?

  Yes

  No

• Provide explanation why a baglock can’t be used ?

• Air in let pods ?

  Yes

  N/A

• Will a roving head's be needed ?

  Yes

  No

• How many Lm ?

• How many bends ?

• Will exhaust ducting be needed

  Yes

  No

• How many Lm ?

• How many bends ?

Enclosure Construction

• Timber batons:

  Yes

  No

• Type of polythene:

  Blue polythene:

  Clear polythene:

  Fire retardant polythene:

• Double skinned:

  Yes

  No

• Fixed Scaffold:

  Yes

  No

• Provied more details ?

• CCTV to be placed in enclosure:

  Yes

  No

• Are vision panels to be used:

  Yes

  No

ACM details:

• Material

• Extent (m2 or lm)

• Surface (e.g. wall, pipework, boxed riser, etc.)

  Select Wall Ceiling Floor Duct Pipework Boxed riser Other

  • Wall
  • Ceiling
  • Floor
  • Duct
  • Pipework
  • Boxed riser
  • Other

• What ?

• Condition

  Good

  Poor

• Method of attachment

  Select Nailed Screwed Bolted Metal banded Other Shuttering

  • Nailed
  • Screwed
  • Bolted
  • Metal banded
  • Other
  • Shuttering

• What ?

• Type of asbestos fibre

  Chrysotile

  Amosite

  Crocidolite

  Chrysotile & Amosite

  Other

• What ?

  Yes

  No

  N/A

• Survey Reference ?

  Refer to Asbestos survey

  Survey Reference is ?

Transit / Waste Route Description/distances (focusing on areas difficult to draw):

• Transit route description & how long is it ?

• Waste route description & how long is it ?

DCU setup: SOP007 & SOP010

• Is a DCU to be used ?

  Yes

  No

  N/A

• Type of DCU to be used ?

  Caravan Style:

  Modular:

• Direct Connect ?

  Yes

  No

• DCU to be positioned ?

• Water for DCU to be obtained from ?

• Power for DCU to be obtained from ?

• Self-contained water tank to be used ?

  Yes

  No

• Site water supply locashion ?

• Waste discharge disposed of via ?

  Drum to foul drain

  Direct to foul drain

• Distance to foul drain in Lm?

Photos

• ACM photos ?

  Media

• Air & Bag locks ?

  Media

• Transit & waste route ?

  Media

• NPU ?

  Media

• NPU exhaust ?

  Media

• Power ?

  Media

• Skip ?

  Media

• DCU ?

  Media

• Wastewater ?

  Media

• Water ?

  Media

• Other ?

  Media

• Asbestos Manager

  Sign

• Asbestos Supervisor if Present

  Sign