Title Page

  • Site

  • Address
  • Supervisor

  • Location
  • Assessor

  • Conducted on

  • Have all the below been considered prior to works being carried out?

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. Is Asbestos present?

  • 7. Are the test results available on site?

  • 8. Has a risk assessment been completed?

Personnel

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

  • 10. Is an up to date Asbestos Medical Register available on site?

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

  • 12. Are training records available on site?

  • 13. Do all workers hold the required qualifications?

  • 14. Are all employees clean shaven?

  • 15. Are employees wearing correct PPE?

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

Asbestos Work Area - General

  • 17. Has Asbestos Removal Signage been erected?

  • 18. Has access been restricted?

  • 19. Are decontamination facilities available?

  • 20. Is authority to work required for this site?

  • 21. Has it been obtained?

Asbestos Work Area (Enclosure)

  • 22. Is the enclosure airtight?

  • 23. Has the enclosure been smoke tested? Have correct permits been obtained?

  • 24. Is the lighting adequate?

Decontamination Unit (Enclosure)

  • 25. Is there a decontamination unit/ room available?

  • 26. Have all personnel been trained in the appropriate decontamination steps?

  • 27. Are underclothes supplied?

  • 28. Is all contaminated clothing treated as ACM waste?

  • 29. Are sufficient ACM waste containers available on site?

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.