AMC Site Audit Form - duplicate

• Client

• Audit site address
  Address

• Project number

• Date of audit

  Date

• Site Supervisor

• Site operatives

• Who is the enforcing body

  Select

• Type of asbestos work

  Select

• What is the type of asbestos material being worked upon?

  Select

• Asbestos fibre involved

  Select

• Approximate extent of works (meterage, volume, linear meterage)

Preliminaries

• Is there a site specific Method statement and Plan of works (RAMs) on site? (take picture of document)

  Yes

  No

  N/A

• Is the site specific Method statement and Plan of works (RAMs) signed by site supervisor and operatives (take picture of document)

  Yes

  No

  N/A

• Is there a site log available for the audit (take picture)

  Yes

  No

  N/A

• Is there a valid HSE Asbestos License available on site (check dates & take picture)

  Yes

  No

  N/A

• Is there documented evidence on site confirming the current insurance (take picture of document)

  Yes

  No

  N/A

• Is the asbestos supervisor on site the one listed in the ASB5 form and plan of works?

  Yes

  No

  N/A

• Who is the named supervisor list on ASB5 form if it differs?

• Is the number of operative on site including the site supervisor less than, equal to, the number stated on the ASB5 form?

  Yes

  No

  N/A

• State number of operative including site supervisor

Plan of Work and site Documentation

• Has the contracts manager and supervisor signed to confirm the hand-over of the job, briefing on the contents of the risk assessment and plan of works? (note date signed)

  Yes

  No

  N/A

• Does the plan of work detail to whom the asbestos works are contacted too? (state who works are contracted too)

  Yes

  No

  N/A

• Does the plan of work detail when the is to be carried out? (note start / finish times and weekend variations)

  Yes

  No

  N/A

• Does the plan of work detail the condition of the asbestos containing material to be removed? (note, good, fair, poor)

  Yes

  No

  N/A

• Does the plan of work detail who is authorised to amend the plan of work? (note who is authorised)

  Yes

  No

  N/A

• Does the plan of work detail the type of respirators to be used?

  Yes

  No

  N/A

• Is the NPU calculation giving the required ac/h?

  Yes

  No

  N/A

• Does the plan of work detail the company providing the 4 stage clearance and to whom they are contracted? (note company names and is they are UKAS 17020 / 17025 accredited)

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are there any noticeable dead spots with air management?

  Yes

  No

  N/A

• Does the plan of work detail the air monitoring arrangements for the duration of the works

  Yes

  No

  N/A

• Does the plan of work detail the air monitoring arrangement for the duration of the works?

  Select

• Does the plan of work detail the arrangements for smoke testing and witnessing? (note who witnessed the smoke test)

  Yes

  No

  N/A

• Does the plan of work detail the construction method for enclosures and airlocks? (note method used)

  Yes

  No

  N/A

• Does the plan of works detail the asbestos removal technique to be used? (note technique)

  Yes

  No

  N/A

• Does the plan of work detail the decontamination entry and exit procedures? (note procedure)

  Yes

  No

  N/A

• Is there a suitable risk assessment on site and available for inspection for activities other than asbestos removal (hot works, work at height, use of hand tools, confined space etc)? (note any other activities)

  Yes

  No

  N/A

• Is there a set of COSHH assessments on site for pray adhesive, PU foam etc?

  Yes

  No

  N/A

• Supervisors diary / log up to date? (take picture and additional notes if needed)

  Yes

  No

  N/A

• Have all site staff been briefed on the contents of the RAMs?

  Yes

  No

  N/A

• Have the asbestos prestart checks been completed before ACM removal has started?

  Yes

  No

  N/A

• Have any changes to the RAMs been documented? (note any changes, pictures were necessary)

  Yes

  No

  N/A

Transport Vehicle

• Exterior - Labelled asbestos parked well, clean and in good condition, all doors locked (unless in use)? (notes and pictures)

  Yes

  No

  N/A

• Front - Tidy and clean, personal mobile phones within glove box unless at a designated break time?

  Yes

  No

  N/A

• Side - Clean waste compartment, waste bagged correctly with (if applicable) signs of wetting, no visible dust or debris?

  Yes

  No

  N/A

Waste

• Suitable enclosed and secured skip, skip locked with sufficient signage, barrier tape (if needed), no visible asbestos dust or debris?

  Yes

  No

  N/A

• No skip - what arrangements have been made for waste removal? (note down arrangements)

  Yes

  No

  N/A

• If relevant, has the waste been bagged immediately within a single bag in the enclosure and then double bagged outside, waste bags have been stored in the skip or waste compartment of the van?

  Yes

  No

  N/A

Decontamination Facility

• Type of decontamination facility?

  Select

• Is the DCU positioned as stated in the plan of work, or has an amendment be made to the revisions page? (make note of any amendment with picture)

  Yes

  No

  N/A

• Are there sufficient DCUs on site for the number of operative involved?

  Yes

  No

  N/A

• Have all DCUs prior use check been completed to ensure it is functional before use?

  Yes

  No

  N/A

• Have ongoing DCU checks been undertake (Electrics, Boiler, Clean air cert - all correct)? (notes and pictures)

  Yes

  No

  N/A

• Exterior - is the DCU level, clean, in a good position, close to the asbestos works, all doors locked, wheel clamped/ ball locked, power cable and hose's not causing a obstruction or trip hazard, correct signage on doors (clean end / dirty end), water waste is connected to drainage system?

  Yes

  No

  N/A

• Clean end - Clean and tidy, spare tyveks pants, socks, mirror, heater, reassurance cert from last job, earthing plug present, are doors fully self closing, correct signage on shower door?

  Yes

  No

  N/A

• Shower - Clean, nailbrush present, shower gel, running warm water, correct signage on door to dirty end?

  Yes

  No

  N/A

Control of the working area

• Yes

  No

  N/A

• Transit/waste route - sufficient signage to clearly marked routes, correct signs with asbestos logo, routes free from asbestos debris and trip hazards?

  Yes

  No

  N/A

• Barrier tape used to restrict access to respirator / asbestos zones?

  Yes

  No

  N/A

• Asbestos zone and respirator zone signage in place?

  Yes

  No

  N/A

• Equipment and materials stored in a tidy manner and applicable to the work, without causing obstruction or risk to others?

  Yes

  No

  N/A

• Suitable security provided? (Heras fencing/ boarding etc, to restrict access to respirator/ asbestos zones)?

  Yes

  No

  N/A

Enclosure / Work Area

• Is the transit route as short as possible and away from the occupied areas?

  Yes

  No

  N/A

• Enclosure construction - Sturdy walls with tight clear polythene sheeting, vision panels where appropriate (600mm x 300mm), timber battens if needed, warning signs, no visible holes within polythene or taped edges or voids?

  Yes

  No

  N/A

• CCTV or viewing panels show all areas (where possible) of the working enclosure?

  Yes

  No

  N/A

• Airlock - Good construction and suitable signed, minimum size of 1m x 1m x 2m cubicles, polythene, tape, two buckets in dirty end with water, sponge and cloth, vision panel in dirty end (600mm x 300mm), waste bag and H-type vac in dirty end, weighted flaps, oval or upside down t-shape openings, the flaps cover the openings adequately, no visible dust or debris, tidy clean end?

  Yes

  No

  N/A

• Baglock - Good construction with signage, 1m x 1m x 2m cubicles, white polythene, white tape, sealed entrance unless removing waste, vision panel in dirty end (600 mm x 300mm), weighted flaps, oval or upside down t-shape openings, the flaps cover the openings adequately, no visible dust or debris, tidy clean end?

  Yes

  No

  N/A

• PPE - Clothing is being worn, tyvek suits and wellington boots for transiting, tyvek suit for transiting, safety boots/ shoes worn for transiting, safety boots/ shoes to worn for general works, tyvek suits and wellington boots for stripping works, appropriate gloves to be worn when handling ACMs or waste bags or constructing an ex=nclosure, hard hats and safety glasses are being worn when necessary, al PPE being worn correctly?

  Yes

  No

  N/A

• Is a smoke test certificate available or has the smoke test been marked on the plan of works?

  Yes

  No

  N/A

• Removal method - Correct fibre suppressing technique and use of shadow vacuuming, no powered tools being used within enclosure?

  Yes

  No

  N/A

• What method of fibre suppressant is being used?

  Yes

  No

  N/A

• Are there suitable and sufficient hand held sprayers being used?

  Yes

  No

  N/A

• Evidence of dry sweeping within a live enclosure?

  Yes

  No

  N/A

Site Log

• Suitable handover between contracts manager and site supervisor - MS / POW signed? (note who is present at handover)

  Yes

  No

  N/A

• Site supervisor's briefing - all operatives and the supervisor have signed and dated form to confirm that there has been a site briefing on the site RAMs? (note signing)

  Yes

  No

  N/A

• Daily site inspection record - filled in for everyday the job has ran, done at the the correct times of day?

  Yes

  No

  N/A

• Contract details - correct client name, start and finish dates, including start and finish times and weekend variations, is the job number present, is the supervisors name correct, have all the other operatives been identified, if relevant has the Principal Contractor and other license holders been identified?

  Yes

  No

  N/A

• Description of works showing, the size of the enclosure and air flow calculations are correct, the description clearly states the step-by-step process, identifying the scope and extent of works, the construction method for enclosure and transit tents, from setting up to completion (incl. the removal method and fibre suppresing technique)?

  Yes

  No

  N/A

• Are there relevant photos and detailed site diagram set up included?

  Yes

  No

  N/A

• Have revisions to the Method Statement been recorded and signed by the supervisor?

  Yes

  No

  N/A

• Name and date of the visitor recorded with ay relevant feedback filled in, signed and dated by supervisor?

  Yes

  No

  N/A

RPE and Personal Monitoring

• Has the half mask daily inspection record been filled in and signed for all site staff who have attended site?

  Yes

  No

  N/A

• Has the full face mask daily inspection record been filled in and signed for all site staff who have attended?

  Yes

  No

  N/A

• Is all RPE being worn, clean and in a good condition and stored in their correct RPE mask box, no masks are loose on the floor or hung on the enclosure / DCU, the masks are appropriate for the work at hand, have a tag / mark to identify the user?

  Yes

  No

  N/A

Type 'H' Vacuums

• All H-type vacs on site have a valid DOP & PAT test certificate?

  Yes

  No

  N/A

• Have all vacuum checks been undertaken?

  Yes

  No

  N/A

• Have all vacuums not in use, been bagged?

  Yes

  No

  N/A

• Have all hose's and vacuum attachments been sealed and bagged when not in use?

  Yes

  No

  N/A

• Are their sufficient clean spare vacuum bags available?

  Yes

  No

  N/A

• Are there at least x2 H-type vacuums available on site?

  Yes

  No

  N/A

• Are all site vacuums in a good condition and in a good working order?

  Yes

  No

  N/A

NPU's

• Are all NPU's DOP & PAT test certificates in valid and in date?

  Yes

  No

  N/A

• Have all NPU flow checks been undertaken?

  Yes

  No

  N/A

• Are all NPU's in good working order and condition?

  Yes

  No

  N/A

• Are all NPU hose's bagged when not in use / identified as clean or contaminated?

  Yes

  No

  N/A

• Are roving heads being used?

  Yes

  No

  N/A

Hot Works

• Is any work On or Near Hot plant to be undertaken?

  Yes

  No

  N/A

• Has the WBGT index been ascertained?

  Yes

  No

  N/A

• Is the hot work subject to a site specific risk assessment?

  Yes

  No

  N/A

• Has a plan to reduce heat stress on site detailing work and rest times?

  Yes

  No

  N/A

Working at Height

• Has a site specific risk assessment been completed identifying and detailing what equipment is to be used when working at height?

  Yes

  No

  N/A

• Scaffold - has a licensed asbestos scaffold company been used and they have provided a handover certificate, if Notifiable work they have a copy of their ASB5 form?

  Yes

  No

  N/A

• Access Tower - have all mobile towers been inspected upon erection and every time it has been adjusted, the site supervisor has signed and dated to confirm this?

  Yes

  No

  N/A

• MEWP - 6 month inspection available, operators certificated to use?

  Yes

  No

  N/A

General site Hazards & Risk

• Suitable PPE being worn and in good condition?

  Select

• Lighting - is there adequate task lighting within the enclosure, work area and transit routes?

  Yes

  No

  N/A

• Slips, trips & falls - are all walk ways clear and free from obstruction so as to prevent a slip, trip or fall?

  Yes

  No

  N/A

• Hand arm vibration - are there any HAV equipment being used on site?

  Yes

  No

  N/A

• Service isolation - Electrical, gas, water, IT etc isolation been undertaken and evidence produced by the client?

  Yes

  No

  N/A

• Additional risk assessment form - all new hazards have been identified and any new access equipment, if completed the site supervisor has signed and dated?

  Yes

  No

  N/A

Comments on Overall Site Conditions

• undefined

Auditor details

• Auditor name

  Select

• Audit completed on

  Date

• Auditor signature

  Sign