Title Page

  • Site

  • Address
  • Supervisor

  • Location
  • Assessor

  • Conducted on

  • INSTRUCTIONS:
    -------------------------------------
    1. Answer the applicable questions below.

Documentation

  • 1. Is the nominated supervisor present during the removal works?

  • 2. Is the supervisor qualified for this type of work?

  • 3. Has an Asbestos Survey been completed?

  • 4. Is a copy of the buildings Asbestos Register Available on site?

  • 5. Has testing been conducted?

  • 6. Are the test results available on site?

  • 14. Have all personnel been inducted on the site and signed acknowledgment?

  • 15. Has a risk assessment been completed?

Personnel & PPE

  • 23. Have all employees been medically certified fit for working with asbestos?

  • 24. Have all employees received training on Asbestos?

  • 25. Have employees been trained in the correct use of their PPE?

  • 26. Are training records available on site?

  • 27. Are all employees clean shaven?

  • 28. Are employee wearing correct PPE & RPE?

  • 29. Can random employees demonstrate the correct fitting and tests for their RPE?

Asbestos Work Area - General

  • 33. Has Asbestos Removal Signage been erected?

  • 34. Has access been restricted?

  • 35. Are decontamination facilities available?

  • 37. Has it been obtained?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.