Title Page
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Select Site
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Conducted on
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Prepared by
Licensed Contractor : Lawson Enviromental limited . Address : Station Yard, Station Road, Shrivenham, Swindon, Wiltshire, SN6 8JL.
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Removal Site Address :
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Location of enclosure ? .
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Size of enclosure? ( see POW ) ( L x W x H ( metres ))
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Has full access of the site been obtained ? .
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Has a new pre-filter been installed in the NPU’s ? .
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Have all ACM removal locations been checked and certified as free from asbestos ? .
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Have all floor surfaces / walls / items been inspected and confirmed as visually clean ? .
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Have all ledges , sills , higher level surfaces ( including scaffolding and large waste items ) been checked and confirmed as visually clean ? .
How long did the supervisors visual inspection take ? .
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Start time :
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Finish time :
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Total time : Hours / minutes
I certify that I have carried out a thorough visual inspection of the enclosure / work area and can confirm that the area is visually clean and ready to be made available to the Analyst for the independent 4-stage clearance
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Supervisors signature .
Form to be handed to the Analyst before 4-stage clearance starts :
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Analyst signature .