Asbestos Enclosure Handover Form

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• SR Demolition Ref:

• Premises Code:

• HSE Licence No

• Client Name:

• Client Tel:

• Client Address:

• Client Fax:

• Client Ref:

• Client Contact:

• Site Address:

Site & Enclosure Details

• Enclosure reference (see POW)

• Size of Enclosure? (see POW) (LXWXH (metres)

• Has full access of the site been obtained?

  Yes

  No

  N/A

• Has a new pre filter been installed in the NPU(s)?

  Yes

  No

  N/A

• Have all ACM removal locations been checked and certified as free from asbestos?

  Yes

  No

  N/A

• Have all floor surfaces/walls/items been inspected and confirmed as visually clean?

  Yes

  No

  N/A

• Have all ledges, sills, higher level surfaces (including voids where appropriate) been inspected and confirmed as visually clean?

  Yes

  No

  N/A

• Have all cables, wiring, piping, ducting etc been checked and confirmed as visually clean?

  Yes

  No

  N/A

• Have all items or equipment brought into or remaining in the enclosure for the clearance procedure (including scaffolding and large waste items) been checked and confirmed as visually clean?

  Yes

  No

  N/A

• How long did the supervisor’s visual inspection take?

• Supervisors visual inspection start time:

  Date

• Supervisors visual inspection finish time:

  Date

• Total time in hours/minutes:

• I certify that I have carried out a thorough visual inspection of the enclosure/work area and can confirm that the area is visually clean and ready to be made available to the analyst for the independent 4-stage clearance

  Yes

  No

  N/A

• Analyst Signature:

  Sign

• Name:

• Position:

• Analytical Company:

• Date:

  Date

• Supervisor Signature:

  Sign

• Name:

• Company:

• Date:

  Date