Section 1: Location and description of work

  • Work information

  • Date/s for Works/ Activity:

Section 2: Asbestos Register

  • 2.1 Has the Asbestos Register been reviewed by the staff member/Contractors?

  • 2.2 Will the work disturb any asbestos containing material?

  • If the answer to 2.2 is YES - proceed to Section 3; if NO - proceed to section 4

Section 3: Work ON asbestos containing materials

  • 3.1 Contractors competency to work on ACM's been confirmed?

  • 3.2 Worked planned in accordance with the requirements of The Control Of Asbestos Regulations 2012?

  • 3.3 Bursar/Site Manager been informed and given approal?

  • Work can commence once the above are confirmed

Section 4: Activity/Work NEAR asbestos containing materials

  • 4.1 Has a method statement been prepared for the work?

  • The activity/works can commence once the above is confirmed but must stop immediately if any suspicious materials are discovered

Section 5: School Approval

  • Signature:

  • Print Name:

  • Select date

Section 6: Staff/Contractor Confirmation I confirm that the activity/work will be undertaken in accordance with the requirements of this permit and school asbestos management plan.

  • Signature:

  • Print Name:

  • Company Name:

  • Date

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