Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Photo of asbestos summary
- Inspection
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Asbestos Location
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Product Type
- Score 1 - Low Risk - Asbestos reinforced composites (Plastics, Resins, Mastics, Roofing Felts, Vinyl Floor Tiles, Asbestos Cement and Artex)
- Score 2 - Medium Risk - AIB (Millboards, Textiles, Gaskets, Ropes and Asbestos Paper)
- Score 3 - High Risk - Thermal Insulation (EG Pipe and Boiler Lagging) Sprays Lagging
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Photo of the asbestos
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Extent of Damage
- Score 0 - No Risk - Good condition no visible damage
- Score 1 - Low Risk - Low damage, a few scratches, broken edges on boards/tiles etc
- Score 2 - Medium Risk - Medium damage, Significant breakage of materials or several small areas of damage revealing loose asbestos fibres.
- Score 3 - High Risk - High Damage or delamination of materials, sprays and thermal insulation. Visible asbestos debris.
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Surface treatment
- Score 0 - No Risk - Composite materials: Reinforced plastics, resins, vinyl tiles, artex.
- Score 1-Low Risk - Enclosed sprays and lagging: AIB (With exposed face painted or encapsulated)
- Score 2 - Medium Risk - Unsealed AIB, or encapsulated lagging and sprays
- Score 3 - High Risk - Unsealed lagging and sprays
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Asbestos Type
- Score - No Asbestos Detected
- Score 1 - Low Risk - Chrysotile
- Score 2 - Medium Risk - Amphibole excluding Crocidolite
- Score 3 - High Risk - Crocidolite
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Total material score (Total - Product Type + Damage + Surface Treatment + Asbestos Type)
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Normal occupant activity (Main type of activity in the area)
- Score 0 - Rare disturbance activity, e.g. little used store room)
- Score 1 - Low disturbance activities, (e.g. office type activity)
- Score 2 - Periodic disturbance (e.g. industrial or vehicular activity which may contact ACMs)
- Score 3 - High levels of disturbance, (e.g. Fire door with AIB sheet in constant use)
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Likelihood of disturbance
- Score 0 - Usually inaccessible or unlikely to be disturbed
- Score 1 - Occasionally likely to be disturbed
- Score 2 - Easily disturbed
- Score 3 - Routinely disturbed
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Potential for exposure
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Total priority score (Normal Occupant activity + Likelihood of disturbance + Potential Exposure)
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Combined overall score (Total Material + Total Priority)
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Frequency of Re-Inspection
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Are any repairs or removals required?
