ASB-SF-003 Materials Pre-Planning Site Visit.v3

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project Contract Details

• Site Address
  Address

• Photo of Site Entrance

  Media

• Client Details

Client

• Client

• Client Contact

• Site Contact

• Number or operatives (Inc. Supervisor)

• Number of Days

• Analyst?

  Yes

  No

• Type of air monitoring

• Preferred Analyst

• CDM Applicable?

  Yes

  No

• Principle Contractor

• CDM Client

• CDM Co-Ordinator

• Welfare?

  Yes

  No

• What and supplied by who?

• Other Sub-contract Works?

  Yes

  No

• Other Sub-Contractors

Sub-Contractors

• Sub Contractor Details

Waste Management

• Waste Management

  G.J. Bowmer Waste

  CES Waste Transfer Station

  Other

• How many bags?

• Skip or collection?

  16 yard sealed

  20 yard open

  35 yard sealed

  Man in Van

• How many bags?

• Who?

• Add media

  Media

Project Details

• Are the works Non-Notifiable?

  Yes

  No

• Scope of Works

• Project Start Date

  Date

• Project Completion Date

  Date

• Start Time

  Date

• Finish Time

  Date

• Weekend Working

  Yes

  No

• Start Time

  Date

• Finish Time

  Date

• Comments

• Site Survey Details

• Additional Site PPE

  Select Appropriate Gloves Hi-Viz Hard Hat Safety Glasses Other

  • Appropriate Gloves
  • Hi-Viz
  • Hard Hat
  • Safety Glasses
  • Other

• What?

• Site Parking

  Yes

  No

• Site Parking Location

• Parking Photo

  Media

• DCU required?

  Yes

  No

• Attached to the enclosure

  Yes

  No

• Location Details

• Location Photo

  Media

• Power

• Water

Pre-Start Checks

• Pre-Start Checks? (e.g. Isolations, site temps etc.)

  Media

• Comments

• Asbestos to be removed

  Select rope gasket cement floor tiles artex AIB sprayed insulation insulation to pipework other

  • rope
  • gasket
  • cement
  • floor tiles
  • artex
  • AIB
  • sprayed insulation
  • insulation to pipework
  • other

• What?

Respirator Zone

• Access Equipment

  Select Hop-ups Steps Podium Steps Access Towers Scaffolding

  • Hop-ups
  • Steps
  • Podium Steps
  • Access Towers
  • Scaffolding

• Fixings

  Select screw nail n/a

  • screw
  • nail
  • n/a

• Pre-Clean?

  Yes

  No

• What and Where

• Enclosure Sheeting

  Select Building Fabric Timber Studwork

  • Building Fabric
  • Timber Studwork

• Airlock & Baglock

  Yes

  No

• Why?

• Airlocks/Baglock Construction

  Metal Speed Frames

  Timber

• What Size?

• Vision Panels and/or CCTV

  Select Vision Panels CCTV

  • Vision Panels
  • CCTV

• Negative Pressure Unit Vented to Atmosphere

  Yes

  No

• Why?

• Negative Pressure Unit With Roving Head

  Yes

  No

• Height x Width x Length

Comments

• Comments

• Photo

  Media

• Are the works Notifiable?

  Yes

  No

• Scope of Works

• Project Start Date

  Date

• Project Completion Date

  Date

• Start Time

  Date

• Finish Time

  Date

• Weekend Working

  Yes

  No

• Start Time

  Date

• Finish Time

  Date

• Comments

• Site Survey Details

• Additional Site PPE

  Select Appropriate Gloves Hi-Viz Hard Hat Safety Glasses Other

  • Appropriate Gloves
  • Hi-Viz
  • Hard Hat
  • Safety Glasses
  • Other

• What?

• Site Parking

  Yes

  No

• Site Parking Location

• Parking Photo

  Media

• Skip requirement

  Yes

  No

• Skip Size

  16 yard sealed

  20 yard open

  35 yard sealed

  Man in Van

• Skip Location

• Skip Location Photo

  Media

• Decontamination Unit

DCU

• Attached to the enclosure

  Yes

  No

• Location Details

• Location Photo

  Media

• Power

• Water

Pre-Start Checks

• Pre-Start Checks? (e.g. Isolations, site temps etc.)

  Media

• Comments

• Enclosure Details

Enclosures

• Asbestos to be removed

  Select rope gasket cement floor tiles artex AIB sprayed insulation insulation to pipework other

  • rope
  • gasket
  • cement
  • floor tiles
  • artex
  • AIB
  • sprayed insulation
  • insulation to pipework
  • other

• What?

• Access Equipment

  Select Hop-ups Steps Podium Steps Access Towers Scaffolding

  • Hop-ups
  • Steps
  • Podium Steps
  • Access Towers
  • Scaffolding

• Fixings

  Select screw nail n/a

  • screw
  • nail
  • n/a

• Pre-Clean?

  Yes

  No

• What and Where

• Enclosure Sheeting

  Select Building Fabric Timber Studwork

  • Building Fabric
  • Timber Studwork

• Airlock & Baglock

  Yes

  No

• Why?

• Airlocks/Baglock Construction

  Metal Speed Frames

  Timber

• What Size?

• Vision Panels and/or CCTV

  Select Vision Panels CCTV

  • Vision Panels
  • CCTV

• Negative Pressure Unit Vented to Atmosphere

  Yes

  No

• Why?

• Negative Pressure Unit With Roving Head

  Yes

  No

• Height x Width x Length

Comments

• Comments

• Photo

  Media

COSHH Assessments

• Wet Strip

  Yes

  No

• Spray Tak

  Yes

  No

• Expanding Foam

  Yes

  No

• MMMF

  Yes

  No

• General Dusts

  Yes

  No

• Smoke Fluid

  Yes

  No

• X-Tex Artex Removal Agent

  Yes

  No

• Other

Other RA's

• undefined

• Add media

  Media

Risk Assessments

• Asbestos

  Yes

  No

• Live Mechanical Services

  Yes

  No

• Live Electrical Services

  Yes

  No

• Confined space

  Yes

  No

• Poor Lighting

  Yes

  No

• Electric Plant & Equipment

  Yes

  No

• Slips, Trips & Falls

  Yes

  No

• Noise

  Yes

  No

• Hand Cutting Timber

  Yes

  No

• Hand Tools

  Yes

  No

• Power Tools Cutting/Grinding

  Yes

  No

• Hand Arm Vibration (HAVS)

  Yes

  No

• Hand Cutting Timber

  Yes

  No

• Manual Handling - less than 20kg

  Yes

  No

• Manual Handling - more than 20kg

  Yes

  No

• Fire

  Yes

  No

• Working At Height - Steps

  Yes

  No

• Working At Height - Podium Steps

  Yes

  No

• Working At Height - Access Towers

  Yes

  No

• Working At Height - Scaffolding

  Yes

  No

• Working At Height - Roof

  Yes

  No

• Working At Height - MEWP's

  Yes

  No

• Needles & Sharps

  Yes

  No

• Traffic Management Plan (CDM)

  Yes

  No

• Vehicle Movements & Deliveries

  Yes

  No

• Drug Use

  Yes

  No

• Bio-Hazard (vermin/animal infestation)

  Yes

  No

• Pigeon Guano

  Yes

  No

• Dry Ice

  Yes

  No

• Other

Other RA's

• undefined

• Add media

  Media

Drawing

• Add drawing

  Drawing

• Add media

  Media

Additional Infomation

• undefined

• Add media

  Media

Caswell Group Representative Signature

• undefined

  Select Stephen Summerfield Carl Lewis Mark Barker Gordon Averall Carl Caswell Other

  • Stephen Summerfield
  • Carl Lewis
  • Mark Barker
  • Gordon Averall
  • Carl Caswell
  • Other

• Who?

• Add signature

  Sign