Title Page
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Site conducted
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Date
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Name of Employee
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Employee Position:
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Employee Exposure Records
A record is maintained by Lawson Environmental which lists the type of job performed with start and end dates and the average duration of exposure in hours per week. Employees are entitled to see this record at any time and also request a copy on leaving Lawson Environmental’s employment. This record is kept for a period of at least 40 years from date of last entry or until the operative reaches 80 years of age.
Monday
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Date ?
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Oprative working on site today ?
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Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
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What ?
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Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
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What work was being undertaken ?
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Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
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What Material ?
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Type of mask worn
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Full face duration in Hrs & Min ?
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Half Mask duration in Hrs & Min ?
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Full face duration in Hrs & Min ?
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Half mask duration in Hrs & Min ?
Tuesday
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Date ?
-
Oprative working on site today ?
-
Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
-
What ?
-
Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
-
What work was being undertaken ?
-
Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
-
What Material ?
-
Type of mask worn
-
Full face duration in Hrs & Min ?
-
Half Mask duration in Hrs & Min ?
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Full face duration in Hrs & Min ?
-
Half mask duration in Hrs & Min ?
Wednesday
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Date ?
-
Oprative working on site today ?
-
Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
-
What ?
-
Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
-
What work was being undertaken ?
-
Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
-
What Material ?
-
Type of mask worn
-
Full face duration in Hrs & Min ?
-
Half Mask duration in Hrs & Min ?
-
Full face duration in Hrs & Min ?
-
Half mask duration in Hrs & Min ?
Thursday
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Date ?
-
Oprative working on site today ?
-
Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
-
What ?
-
Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
-
What work was being undertaken ?
-
Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
-
What Material ?
-
Type of mask worn
-
Full face duration in Hrs & Min ?
-
Half Mask duration in Hrs & Min ?
-
Full face duration in Hrs & Min ?
-
Half mask duration in Hrs & Min ?
Friday
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Date ?
-
Oprative working on site today ?
-
Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
-
What ?
-
Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
-
What work was being undertaken ?
-
Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
-
What Material ?
-
Type of mask worn
-
Full face duration in Hrs & Min ?
-
Half Mask duration in Hrs & Min ?
-
Full face duration in Hrs & Min ?
-
Half mask duration in Hrs & Min ?
Saturday
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Date ?
-
Oprative working on site today ?
-
Type of Asbestos ?
- Chrysotile
- Amosite
- Crocidolite
- Tremolite
- Actinolite
- Anthophyllite
- Other
-
What ?
-
Work being undertaken / task ?
- Enclosure construction
- Working within an Enclosure
- Working within a respirator zone
- Removal
- Encapsulation
- Red box injection works
- Bagging of Waste
- Waste removal from the Enclosure
- Fine leaning of enclosure
- Out Side Man
- De-Sheeting Enclosure
- Other
-
What work was being undertaken ?
-
Type of Material ?
- AIB – ASBESTOS INSULATION BOARD
- THERMAL INSULATION
- LOOSE INSULATION
- SPRAYED COATING
- LAGGING
- TEXTURED COATING
- TEXTILES
- COMPOSITE
- PAPER
- BITUMEN
- VFT – VINYL FLOOR TILES
- ASBESTOS CEMENT
- CAF – COMPRESSED FIBRE GASKETS
- MASTIC
- Other
-
What Material ?
-
Type of mask worn
-
Full face duration in Hrs & Min ?
-
Half Mask duration in Hrs & Min ?
-
Full face duration in Hrs & Min ?
-
Half mask duration in Hrs & Min ?
Supervisor Sign off
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Supervisor (Full Name and Signature)
