Title Page
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Project Number
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Asbestos Assessment Field Sheet
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Site
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Conducted on
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Surveyor
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Location
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Area of ACM
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Approximate volume of ACM
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Type of ACM
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Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
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Surface treatment
- None
- Painted and sealed
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Risk of exposure
- High
- Medium
- Low
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Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
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Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
-
Area of ACM
-
Approximate volume of ACM
-
Type of ACM
-
Condition of ACM
- Good/ stable condition
- Minor deterioration
- Poor, broken or deteriorated
-
Surface treatment
- None
- Painted and sealed
-
Risk of exposure
- High
- Medium
- Low
-
Bulk sample taken? If so, supply sample number and sample type e.g. roof sheet
-
Pictures of ACM
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Surveyor Signature
