Asbestos Re-Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Photo of asbestos summary

  Media

Inspection

Material Assessment

• Asbestos Location

• 1.Product Type

  Select 1.Asbestos reinforced composites (Plastics, Resins, Mastics, Roofing Felts, Vinyl Floor Tiles, Asbestos Cement and Artex) 2.AIB (Millboards, Textiles, Gaskets, Ropes and Asbestos Paper) 3.Thermal Insulation (EG Pipe and Boiler Lagging) Sprays Lagging

  • 1.Asbestos reinforced composites (Plastics, Resins, Mastics, Roofing Felts, Vinyl Floor Tiles, Asbestos Cement and Artex)
  • 2.AIB (Millboards, Textiles, Gaskets, Ropes and Asbestos Paper)
  • 3.Thermal Insulation (EG Pipe and Boiler Lagging) Sprays Lagging

• 2.Extent of Damage

  Select 0.Good condition no visible damage 1.Low damage, a few scratches, broken edges on boards/tiles etc 2.Medium damage, Significant breakage of materials or several small areas of damage revealing loose asbestos fibres. 3.High Damage or delamination of materials, sprays and thermal insulation. Visible asbestos debris.

  • 0.Good condition no visible damage
  • 1.Low damage, a few scratches, broken edges on boards/tiles etc
  • 2.Medium damage, Significant breakage of materials or several small areas of damage revealing loose asbestos fibres.
  • 3.High Damage or delamination of materials, sprays and thermal insulation. Visible asbestos debris.

• 3.Surface treatment

  Select 0.Composite materials: Reinforced plastics, resins, vinyl tiles, artex. 1.Enclosed sprays and lagging: AIB (With exposed face painted or encapsulated) 2.Unsealed AIB, or encapsulated lagging and sprays 3.Unsealed lagging and sprays

  • 0.Composite materials: Reinforced plastics, resins, vinyl tiles, artex.
  • 1.Enclosed sprays and lagging: AIB (With exposed face painted or encapsulated)
  • 2.Unsealed AIB, or encapsulated lagging and sprays
  • 3.Unsealed lagging and sprays

• 4.Asbestos Type

  0.No Asbestos Detected

  1.Chrysotile (white)

  2. Amosite (brown)

  3.Crocidolite (blue)

• Total material score = 1+2+3+4

Priority Assessment

• 1.Normal Occupant Activity

  Select 0.Rare disturbance activity, e.g. little used store room) 1.Low disturbance activities, (e.g. office type activity) 2.Periodic disturbance (e.g. industrial or vehicular activity which may contact ACMs) 3.High levels of disturbance, (e.g. Fire door with AIB sheet in constant use)

  • 0.Rare disturbance activity, e.g. little used store room)
  • 1.Low disturbance activities, (e.g. office type activity)
  • 2.Periodic disturbance (e.g. industrial or vehicular activity which may contact ACMs)
  • 3.High levels of disturbance, (e.g. Fire door with AIB sheet in constant use)

• 2.Likelihood of disturbance (level of occupancy )

  Select 0.Usually inaccessible or unlikely to be disturbed 1.Occasionally likely to be disturbed 2.Easily disturbed 3.Routinely disturbed

  • 0.Usually inaccessible or unlikely to be disturbed
  • 1.Occasionally likely to be disturbed
  • 2.Easily disturbed
  • 3.Routinely disturbed

Human Exposure Potential (total score = A,B,C/3)

• A - Number of Occupants

  0.None

  1. 1 to 3

  2. 4 to 10

  3. >10

• B - Frequency of use of area

  0. Infrequent

  1.Monthly

  2.Weekly

  3.Daily

• C - Average time area in use

  0. Under 1hr

  1. 1 to 3 hrs

  2. 3 to 6 hrs

  3. Greater than 6hrs

• 3.Total human exposure potential

• 4.Type of Maintenance activity

  Select 0.Minor disturbance (e.g. possibility of contact when gaining access 1.Low disturbance (e.g. changing light bulbs in AIB ceiling) 2.Medium disturbance (e.g. lifting one or two AIB ceiling tiles to access a valve 3. High levels of disturbance (e.g. removing a number of tiles to access a valve

  • 0.Minor disturbance (e.g. possibility of contact when gaining access
  • 1.Low disturbance (e.g. changing light bulbs in AIB ceiling)
  • 2.Medium disturbance (e.g. lifting one or two AIB ceiling tiles to access a valve
  • 3. High levels of disturbance (e.g. removing a number of tiles to access a valve

• Total priority score = 1+2+3+4

• Combined overall score

• 

• Frequency of Re-Inspection

  12 Months

  24 Months

  36 Months

• Are any repairs or removals required?