Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Introduction
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Insert UKHSE site reference
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Has an asbestos management survey been conducted for the property?<br>(If yes, please insert date and company responsible)
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What was the scope of the survey?
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Are there any areas that were excluded from the original survey or previous inspection?
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Have the actions from the survey or previous inspection been actioned?
2. Existing Asbestos Containing Materials (acm's).
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Are all asbestos containing materials identified as being in good condition?
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Photograph of asbestos containing materials confirming their condition?
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State location and sample reference number (maintains traceability).
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Photograph of asbestos containing materials confirming their condition?
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State location and sample reference number (maintains traceability).
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Photograph of asbestos containing materials confirming their condition?
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State location and sample reference number (maintains traceability).
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Photograph of asbestos containing materials confirming their condition?
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State location and sample reference number (maintains traceability).
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Photograph of asbestos containing materials confirming their condition?
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State location and sample reference number (maintains traceability).
3. Recommendations
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Action required to manage asbestos containing materials (insert sample reference number and action required)
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Site Manager to insert details of action taken, date completed and signature.
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Action required to manage asbestos containing materials (insert sample reference number and action required)
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Site Manager to insert details of action taken, date completed and signature.
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Action required to manage asbestos containing materials (insert sample reference number and action required)
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Site Manager to insert details of action taken, date completed and signature.
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Action required to manage asbestos containing materials (insert sample reference number and action required)
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Site Manager to insert details of action taken, date completed and signature.
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Action required to manage asbestos containing materials (insert sample reference number and action required)
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Site Manager to insert details of action taken, date completed and signature.
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Select date
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Name of person conducting the inspection
