Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Photo of asbestos summary

    Inspection
  • Asbestos Location

  • Product Type

  • Photo of the asbestos

  • Extent of Damage

  • Surface treatment

  • Asbestos Type

  • Total material score (Total - Product Type + Damage + Surface Treatment + Asbestos Type)

  • Normal occupant activity (Main type of activity in the area)

  • Likelihood of disturbance

  • Potential for exposure

  • Total priority score (Normal Occupant activity + Likelihood of disturbance + Potential Exposure)

  • Combined overall score (Total Material + Total Priority)

  • image (2).png
  • Frequency of Re-Inspection

  • Are any repairs or removals required?

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.