Asbestos Removal Control Plan (ARCP) Review Check-list

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Business conducting removal

• Name of Business conducting removal or containment

• Name of Person that prepared the ARCP

• Position of person

• Contact number of person

• Email address of person

Asbestos Removal Control Plan review

• Scope of work outlined in the Plan

  Yes

  No

  N/A

• Asbestos Survey report available for review

  Yes

  No

  N/A

• Date Survey report was created

  Date

• Start date of asbestos removal

  Date

• Expected completion date of asbestos removal

  Date

• Worksafe Notification done for relevant work

  Yes

  No

  N/A

• Asbestos class identified on the report

  Yes

  No

  N/A

• Please list the asbestos class identified

  Select Class A - Friable asbestos or ACM Class A - Asbestos contaminated Dust Class A - Non Friable Asbestos or ACM Class B - Non Friable Asbestos or ACM Class B - Asbestos-contaminated Dust related to non Friable asbestos ACM

  • Class A - Friable asbestos or ACM
  • Class A - Asbestos contaminated Dust
  • Class A - Non Friable Asbestos or ACM
  • Class B - Non Friable Asbestos or ACM
  • Class B - Asbestos-contaminated Dust related to non Friable asbestos ACM

• Risk register with appropriate safe removal controls available and applicable to scope of work

  Yes

  No

  N/A

• Complete register created with all locations relevant to the mark-up

  Yes

  No

  N/A

• Site mark-up shows location of all asbestos containing material

  Yes

  No

  N/A

• Mark-up indicates decontamination stations

  Yes

  No

  N/A

• Mark-up shows storage and equipment storage location

  Yes

  No

  N/A

• Mark-up shows the location of signage relevant to the asbestos

  Yes

  No

  N/A

• Does the mark-up indicate a clear separation between asbestos and workers' rest or lunch areas

  Yes

  No

  N/A

• Is the identified asbestos currently contained/sealed/isolated in a ppropriate manner

  Yes

  No

  N/A

• Can the current asbestos containment be damaged or can it deteriorate

  Yes

  No

  N/A

• Training and competency register provided for workers conducting the removal work

  Yes

  No

  N/A

• All licenses relevant to the asbestos class being removed

  Yes

  No

  N/A

• SWMS or TA provided for the relevant removal work

  Yes

  No

  N/A

• Emergency plan provided for the ARCP

  Yes

  No

  N/A

• Any safe operating procedures provided as part of the ARCP

  Yes

  No

  N/A

• Relevant Procedures for containment provided

  Yes

  No

  N/A

• Relevant Procedure provided for erecting decontamination and controlling access

  Yes

  No

  N/A

• Procedure available for recording incidents or emergencies involving asbestos

  Yes

  No

  N/A

• Procedure available for monitoring the air quality

  Yes

  No

  N/A

• All Roles and responsibilities allocated

  Yes

  No

  N/A

• Regular reviews to update the plan where necessary

  Yes

  No

  N/A

• How Often are the reviews done

  Daily

  Weekly

  2 Weekly

  Monthly

• Who is responsible for the review of the ARCP

• Are on on-site health monitoring required

  Yes

  No

  N/A

• If yes who is conducting the health monitoring

• Is the on-site air quality being monitored

  Yes

  No

  N/A

• Who is recording the data and how

Communication

• When conducting asbestos removal there is critical information that needs to be communicated to ensure the safe handling, removal, and disposal of Asbestos. example of critical information; Discussion around work activities; Agreement on degree of influence and control of each PCBU; Agreement on who will manage what, and how it will be done; Agreement on regular monitoring how the work is progressing; etc..

• How will the removal specialist consult, communicate, and co-operate with the client/main contractor

  Select Briefings every day Progress meetings weekly Weekly site report from inspections Corrective action reports communicated via email and procore Other

  • Briefings every day
  • Progress meetings weekly
  • Weekly site report from inspections
  • Corrective action reports communicated via email and procore
  • Other

• You have selected other , please state how

Sign off and approval

• AMP approved

  Yes

  No

  N/A

• Name Person approving AMP

  Sign

• Date of Approval

  Date