Arca audit Form DSL

• Audit Title

• Client / Site

• Date and time of arrival

  Date

• Conducted on

  Date

• Prepared by

• Location
  Address

• Document No.

• Personnel

• THE FOLLOWING SECTION MUST BE COMPLETED AND CONSIDERED SATISFACTORY BEFORE CONTINUING FURTHER WITH THIS AUDIT

Preliminary requirements

• Is there a valid (i.e. in date) ASB5 notification form on site for the works to be audited?

  Yes

  No

  N/A

• Is there (or will there be) asbestos removal work or cleaning in progress within the enclosure during the audit?

  Yes

  No

  N/A

• Is there provision to observe work practices within the enclosure by means of CCTV and/or viewing panel(s)?

  Yes

  No

  N/A

• Is there a site specific Plan of Work available on site for the works?

  Yes

  No

  N/A

• Is there a copy of the company standard procedures/ generic procedures available on site?

  Yes

  No

  N/A

• Is the decontamination unit fully functional in terms of power, ventilation, and the provision of hot and cold running water for showering?

  Yes

  No

  N/A

• DO NOT PROCEED WITH THE AUDIT UNLESS EACH RESPONSE ABOVE IS AFFIRMATIVE. SHOULD ANYTHING ABOVE BE AMISS THAT CAN BE RECTIFIED IMMEDIATELY, THEN CONTINUE WITH THE AUDIT ONCE RECTIFIED.

• SHOULD ANYTHING ABOVE BE AMISS THAT CANNOT BE RECTIFIED IMMEDIATELY, THEN INFORM THE SUPERVISOR, THAT THE AUDIT CANNOT CONTINUE

ASB5 Notification Form

• Are details of any other licence holders recorded in section 3 of the ASB5?

  Yes

  No

  Comments

• What form of asbestos containing material is being worked upon? (Section 4 of ASB5?)

  Comments

• What is the approximate extent of the works stated in section 5 of the ASB5?

  Comments

• Are the working hours specified on the ASB5 and do they match the POW?

  Compliant

  Non-Compliant

  N/A

• What is the maximum number of employees per shift stated in section 5 of the ASB5?

  Comments

• How many operatives (including the supervisor) are on site?

  Comments

Site documentation

• A copy of HSE Asbestos licence on site

  Yes

  No

  N/A

• Evidence of current employers liability insurance on site

  Yes

  No

  N/A

• Evidence of current public liability insurance on site

  Yes

  No

  N/A

• Is the contract supervisor the same person as specified in the plan of work?

  Yes

  No

  N/A

• Does the named supervisor match that of the ASB5?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the plan of work detail the analytical company providing the 4 stage clearance?

  Yes

  No

  N/A

• Does the plan of work detail who the analytical company is contracted to?

  Yes

  No

  N/A

• Does the plan of work detail the type of asbestos involved? (i.e. Amosite, Chrysotile, Crocidilite)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the plan of work made reference to reading the standard procedures in conjuntion with the POW

  Yes

  No

  N/A

• Does the version number of the standard procedures match the reference in the POW

  Yes

  No

  N/A

• Does the plan of work (or standard procedures) detail who is authorised to amend the plan of work?

  Yes

  No

  N/A

• Does the plan of work (or standard procedures) detail the construction method for enclosures and air locks?

  Yes

  No

  N/A

• Does the plan of work (or standard procedures) detail the arrangements for smoke testing and witnessing? If Yes, please record name/title of proposed witness

  Yes

  No

  N/A

• Does the plan of work (or standard procedures) detail decontamination entry and exit procedures?

  Yes

  No

  N/A

• Does the plan of work (or standard procedures) detail the type of respirators used?

  Yes

  No

  N/A

• Does the plan of work detail the asbestos removal technique to be used?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are welfare facilities detailed in the plan of work and are they available for use as described?

  Yes

  No

  N/A

• Is the scope of works adequately described on the plan of work, and does it match the details recorded on the ASB5?

  Yes

  No

  N/A

• Is there a site specific risk assessment available for inspection, for hazards other than asbestos? e.g. hot work, work at heights, use of hand tools, confined spaces, electricity, manual handling etc

  Yes

  No

  N/A

• Is there a copy of the contractor's current valid licence available for inspection?

  Yes

  No

  N/A

• Is there documented evidence on site confirming current insurance cover for both employers liability and public liability? e.g. Insurance schedule

  Yes

  No

  N/A

• Are daily site and plant inspection records (including DCU, enclosure, airlocks, NPU's & vacuum cleaners) available for inspection and up to date?

  Yes

  No

  N/A

• Does the NPU inspection record include manometer/ pressure gauge readings for each NPU in use (including DCU)?

  Yes

  No

  N/A

• Has the smoke test record for the enclosure been completed and do the witness details match those stated in the plan of work?

  Yes

  No

  N/A

Site Supervisor and/or Operative(s)

• Current medical certificate

  Name

  Name

  Name

  Name

• Current training certificate?

  Name

  Name

  Name

  Name

• Training provider

  Name

  Name

  Name

  Name

• Face fit test certificate for RPE in use?

  Name

  Name

  Name

  Name

• Examination record for RPE in use? (daily if in enclosure, currently monthly if not)

  Name

  Name

  Name

  Name

• Adequate response when questioned regarding emergency procedures? (if not in enclosure)

  Name

  Name

  Name

  Name

• Supervisor/operative(s) clean shaven?

  Name

  Name

  Name

  Name

• If out of enclosure, or if seen before entry

  Name

  Name

  Name

  Name

• Additional comments

  Comments

• Are all copies of certificates (above) individually authenticated by, or under the direction of, senior management, with a statement confirming their validity?

  Yes

  No

  Comments

Enclosure Sketch

• Does the sketch plan included with the plan of work match the site set up, and include the positions of the NPU, airlock, bag lock (if applicable), viewing panels/ CCTV and DCU as a minimum?

  Yes

  No

  Comments

• Does the enclosure sketch identify the outline of the enclosure

  Yes

  No

  Comments

• Does the enclosure sketch identify areas adjacent to the enclosure

  Yes

  No

  Comments

• Does the enclosure sketch identify Airlock position

  Yes

  No

  Comments

• Does the enclosure sketch identify Baglock position

  Yes

  No

  Comments

• Does the enclosure sketch identify NPU location

  Yes

  No

  Comments

• Does the enclosure sketch identify CCTV and viewing panels

  Yes

  No

  Comments

• Does the enclosure sketch identify DCU location

  Yes

  No

  Comments

• Does the enclosure sketch identify Transit Route

  Yes

  No

  Comments

• Does the enclosure sketch identify Waste Route

  Yes

  No

  Comments

• Does the enclosure sketch identify location of waste skip / van

  Yes

  No

  Comments

Plant on site/ Certification

• Are there at least 2 H-type vacuum cleaners on site?

  Yes

  No

  Comments

• Are current DOP test certificates (or copies) available and relevant to each vacuum on site?

  Yes

  No

  Comments

• Does the number and capacity of the NPUs in use correspond with that stated in the plan of work?

  Yes

  No

  Comments

• Is there a copy of the thorough test and inspection on site for the NPU (s) in the enclosure

  Yes

  No

  Comments

• The legally required airflow is demonstarted as being achieved, based on actual airflow measurements and / or a reasonable assumption of NPU performance

  Yes

  No

  Comments

• Each NPU is either located outside the working enclosure and connected directly to the enclosure wall, or is fully sheeted out if inside the enclosure

  Yes

  No

  Comments

• Where the NPU is located outside the enclosure, and connected to the enclosure via trunking, there is a suitably robust and acceptable written procedure in place to connect and disconnect the NPU and trunking with minimal potential spread of contamination

  Yes

  No

  Comments

• There is a functional non-return flap on each NPU exhaust

  Yes

  No

  Comments

• Extracted air from each NPU is vented outside

  Yes

  No

  Comments

• Is there an electrical safety certification for DCU?

  Yes

  No

  N/A

• Is there a current gas safe certification for the DCU? (LPG)

  Yes

  No

  N/A

• Is there a current DOP test certificate (or copy) available on site for the NPU within the dirty end of the DCU?

  Yes

  No

  Comments

Enclosure/ Airlock

• Works activities can be viewed via:

  Comments

• Does the viewing provision allow sufficient monitoring of all areas of the enclosure during the work activities?

  Yes

  No

  Comments

• The selection and provision of warning signs are appropriate to the works

  Yes

  No

  Comments

• Is the enclosure in sound condition and constructed so as to prevent the spread of asbestos?

  Yes

  No

  Comments

• Is each stage of the airlock at least 1m x 1m x 2m (height)?

  Yes

  No

  Comments

• Is the airlock free from visible asbestos debris?

  Yes

  No

  Comments

• Are all of the airlocks flaps weighed?

  Yes

  No

  Comments

• Do the flaps cover the airlock adequately?

  Yes

  No

  Comments

• Is a bucket and sponge (or similar) available for decontamination or respirator?

  Yes

  No

  Comments

• Does the inner stage of the airlock have a viewing panel at least 600 x 300mm?

  Yes

  No

  Comments

• Where the DCU is directly connected to the enclosure, the connection consists of at least one cube and an intervening space?

  Yes

  No

  Comments

Baglock

• Has a seperate baglock been provided?

  Yes

  No

  Comments

• Is the baglock big enough for the waste size being generated?

  Yes

  No

  Comments

• Is the baglock free from visible material appearing to be asbestos debris?

  Yes

  No

  Comments

• Are all the baglock openings / flaps suitable and weighted?

  Yes

  No

  Comments

• Does the inner stage of the baglock have a viewing panel at least 600 x 300mm?

  Yes

  No

  Comments

Air extraction equipment

• Is the extract sited in the relation to ideal air management?

  Yes

  No

  Comments

• Is the extract capable of giving a minimum of 8 air changes per hour?

  Yes

  No

  Comments

• Is the extract vented to the outside atmosphere where practical?

  Yes

  No

  Comments

• Does each NPU have a non-return flap on the exhaust side of the HEPA filter?

  Yes

  No

  Comments

• NPU - Anemometer readings

  Yes

  No

  Comments

• Daily Pressure gauge readings recorded for NPU attached to enclosure

  Yes

  No

  Comments

• Daily pressure gauge reading recorded for NPU in DCU

  Yes

  No

  Comments

Observed work practices

• Are the removal procedures observed, including the dust suppression method in use, suitable for the ACM being used

  Yes

  No

  Comments

• Does the asbestos removal technique being used match that stated in the plan of work?

  Yes

  No

  Comments

• Has the waste been appropriately bagged? (e.g. immediately, and single bagged if still in the enclosure)

  Yes

  No

  Comments

• Does the RPE (including filter) being use match that stated in the plan of work?

  Yes

  No

  N/A

• Are colours of coveralls as stated in the plan of work or standard procedure

  Yes

  No

  Comments

• Are all operatives clean shaven?

  Yes

  No

  N/A

• Are all items of necessary PPE being worn properly? (e.g. overall hood over head straps, overalls not tucked in to working footwear etc.)

  Yes

  No

  Comments

• Are all components of the full face RPE uniquely identifiable? (e.g. mask, blower and battery identified/marked/tagged with name or item/serial number

  Yes

  No

  Comments

• Is the pre filter (or roving head) the only part of the NPU that is exposed to the working area? (i.e NPU sheeted out if inside the enclosure)

  Yes

  No

  Comments

Air Management

• The enclosure design allows for ideal air movement

  Yes

  No

  N/A

• There is sufficient airlock flap detection to indicate adequate airflow through the airlock

  Yes

  No

  N/A

• Additional air inlets are suitably positioned and in use

  Yes

  No

  N/A

Hygiene Facility

• Is the unit positioned in relation to the work area as stated in the plan of works

  Yes

  No

  Comments

• If the unit is not directly connected to the enclosure, would it of been reasonably practicable to do so

  Yes

  No

  N/A

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

  Yes

  No

  Comments

• In addition to item 1.6 above, is the unit fully functional/ in working order? (Heating, lighting, water filter, drains etc)

  Yes

  No

  N/A

• Are the internal doors and external door to the dirty end self-closing?

  Yes

  No

  Comments

• Are there an adequate number of shower heads for operatives? i.e. at least 1 for every 4 operatives)

  Yes

  No

  Comments

• Is there a nail brush provided in the shower area?

  Yes

  No

  Comments

• Is the unit in good condition and clean so far as reasonably practicable?

  Yes

  No

  Comments

• Is there a clearance test certificate, from the previous job, for the dirty and shower compartments of the hygiene unit?

  Yes

  No

  Comments

• Are the clean and dirty end doors marked (including prohibited entry and mandatory PPE signage, where required)?

  Yes

  No

  Comments

• Are towels provided?

  Yes

  No

  Comments

• Is waste water filtered and discharged either directly or via containers to drain

  Yes

  No

  Comments

Waste

• Are the waste disposal arrangements as described in the plan of work? ( including named skip company or named transfer station)

  Yes

  No

  Comments

• Is there an established transit route displaying appropriate signage and of minimum distance?

  Yes

  No

  Comments

• Is the waste transit route free from residual or split waste?

  Yes

  No

  Comments

• Is the waste route free from stored or unattended waste?

  Yes

  No

  Comments

• Where applicable, is there sufficient means to separate waste from equipment/ supplies within the company vehicle?

  Yes

  No

  Comments

• Is the containment of waste suitable, secure and sound

  Yes

  No

  Comments

Miscellaneous

• Are disposable working coveralls and transits coveralls category 3, type 5/6

  Yes

  No

  Comments

• Are contractors vans reasonably tidy and with minimal risk of the spread of asbestos?

  Yes

  No

  Comments

• Have any required changes to the POW / site diagram been made

  Yes

  No

  N/A

• A smoke test record has been completed

  Yes

  No

  N/A

• Background / leak tests and / or personal monitoring have been planned for this job according to the plan of work

  Yes

  No

  N/A

• Personal monitoring records provide a clear description of activities being undertaken during monitoring

  Yes

  No

  N/A

• There is evidence of management involvement on site since the commencement of works

  Yes

  No

  N/A

First Aid and Emergency

• Are suitable emergency arrangements in place

  Yes

  No

  N/A

• Are employee sufficiently aware of emergency arrangements

  Yes

  No

  N/A

• Is there a suitably stocked First Aid Kit available for use on the site

  Yes

  No

  N/A

• Is there a trained and designated first Aider on site

  Yes

  No

  N/A

Non- Asbestos Risks

• Work At height

  Safe

  At Risk

  N/A

• Live Services

  Safe

  At Risk

  N/A

• Manual Handling

  Safe

  At Risk

  N/A

• Noise

  Safe

  At Risk

  N/A

• Hand Arm Vibration

  Safe

  At Risk

  N/A

• Site Vehicle Movement

  Safe

  At Risk

  N/A

• Other contractor's activities

  Safe

  At Risk

  N/A

• Thermal Issues

  Safe

  At Risk

  N/A

• Hazardous substances existing on site

  Safe

  At Risk

  N/A

• Hazardous substances brought to site

  Safe

  At Risk

  N/A

• Other significant risks on site

  Safe

  At Risk

  N/A

Scaffolding

• Are the asbestos removal contractors using scaffolding on site?

  Yes

  No

  N/A

• Was a sub-contractor used to erect the scaffolding

  Yes

  No

  N/A

• Was the scaffolding liable to disturb asbestos while being erected?

  Yes

  No

  N/A

Welfare

• Welfare Provision consists of

  Comments

• There is adequate and suitable welfare provision on site, which is available for use

  Compliant

  Non-Compliant

  N/A

• Site arrangements and behavious are in accordance with current COVID-19 guidance

  Compliant

  Non-Compliant

  N/A

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• COMPLETE A SITE AUDIT SUMMARY OF OBSERVATIONS AND/OR RECOMMENDED ACTIONS. IF NO FURTHER ACTIONS ARE REQUIRED, COMPLETE A SUMMARY SHEET WITH A STATEMENT TO THAT EFFECT

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