Title Page
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Document No.
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Audit Title
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Client / Site
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Location
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Conducted on
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Prepared by
Manager responsible for contract
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Name
Supervisor on site
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Name
Modular 16 Site Documentation
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Copy of Asbestos Removal Licence
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Copy of insurance certificate
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Waste carriers licence
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Plan of Work
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Has the Plan of Work been QC or relieved by management
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Company Standard procedures
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Management Colour Result
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Supervisor Colour Result
Modular 16 Personal Certification
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Number of personal on site
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Are there training certificates for all personnel who are being checked on site
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Are there Medical's for all personal who are being checked on site
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Are there face fit certificates for full face RPE for all personal being checked on site
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Are there face fits certificates for half masks for all personal being checked on site
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Is there a person on site responsible for first aid on site
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Is there a PASMA trained person on Site
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Have all certificates been authenticated and stamped
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Management Colour Result
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Supervisor Colour Result
Modular 18 Plan of work & ASB5 ( do the details match )
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Supervisor
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Contracts Manager
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Client
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Amount of Asbestos to be removed
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Days & times on site
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Work undertaken
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Condition of Asbestos
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Vision panels / CCTV
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Number of personal on site
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ACM Type ( Chrysotile, Amosite, Crocidolite)
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ACM Form ( Insulation, AIB, Sprayed Coating, etc )
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If it applies have other licence holders been mentioned
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Is the works notifiable under CDM 2015 ( last longer than 30 days & have more than 20 workers working simultaneously or exceed 500 man days )
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Management Colour Result
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Supervisor Colour Result
Modular 4 Site Inspections
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Enclosure checks undertaken & recorded
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NPU's checked & recorded
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DCU checked & recorded
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Vacuum cleaners been checked & recorded
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Has smoke test been undertaken, recorded & witnessed as Plan of Work
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Management Colour Result
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Supervisor Colour Result
Modular 4 Sketch / Plan match site set up
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Work area
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DCU
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Vision panels & or CCTV
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NPU's
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Air locks
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Bag lock
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Transit routes
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Waste routes
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Management Colour Result
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Supervisor Colour Result
Modular 4c Site set up , inspection, site maintenance
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Is there suitable two way communication between workers from inside to outside the enclosure
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Is the work area well constructed
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Does the calculation show a minimum of 8 air changes or at least 1000m3 per hour
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Are the NPU's suitable & sufficient
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Do the air lock flaps show good air movement
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Are the air locks the correct size & number as described in the Plan of Work
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Are the bag locks the correct size & number as described in the Plan of Work
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Do the vision panels or & CCTV give total vision
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Was pre cleaning undertaken
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Was the transit route clearly marked
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Was the waste route clearly marked
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Management Colour Result
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Supervisor Colour Result
Modular 5 Controlled Stripping Techniques
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Does the Plan of Work contain enough detail on the correct removal method
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Was the correct method being followed
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Is there a suitable amount of surfactant being used & on site
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Is dust suppression being used suitable & sufficient
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Management Colour Result
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Supervisor Colour Result
Modular 6 RPE Full face
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Does RPE being worn match the Plan of Work
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Is the RPE suitable for task
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Are supervisor & operatives clean shaven
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Is the RPE a complete kit including flow check
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Is the RPE being stored correctly
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Is there a valid 6 monthly certificate for the RPE and is the certificate authenticated
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Are daily checks being carried out & recorded
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Are monthly checks being carried out & recorded by a competent person
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Management Colour Result
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Supervisor Colour Result
Modular 6 RPE Half mask
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Does the RPE being worn match the Plan of Work
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Are the supervisor & operative clean shaven
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Is the RPE suitable for the task
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Is the RPE stored correctly
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Are daily checks being carried out & recorded
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Management Colour Result
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Supervisor Colour Result
Modular 7 PPE within the work area
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Are overalls of the correct colour , type and are they being worn correctly
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Is the footwear suitable and sufficient
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Are gloves being worn
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Is underwear suitable & sufficient
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Is the correct RPE being worn
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Management Colour Result
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Supervisor Colour Result
Modular 7 PPE outside the work area but on site
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Does the Plan of Work contain enough detail on PPE
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Are hard hats being worn
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Are safety footwear being worn
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Are high - viz clothing being worn
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Are safety glasses being worn
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Are gloves being worn
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Management Colour Result
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Supervisor Colour Result
Modular 8 Transit Procedures & Decontamination
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Is the DCU positioned as per Plan of Work
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Does the DCU comply with regulations
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Is there a reason why the DCU has not been directly connected to the enclosure
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Was the DCU clean externally
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Was an RCD fitted at the source supply of electric to the DCU
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Was the DCU adequately earthed
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Was the waste water filtered and disposed of correctly
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Was the DCU clean internally
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Is there a carbon monoxide alarm within the DCU
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Are all the doors self closing
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Do the showers work and supply hot water
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Is there sufficient nail brushes, shower gel , and towels
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Is there an air test present for the last time the DCU was used
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Was there a DOP test for NPU present and in date .
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Is there an electrical test for the DCU present and in date
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Is there a gas test for the boiler of the DCU
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Is there the correct amount of transit overalls and footwear present for the personnel within the enclosure
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Management Colour Result
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Supervisor Colour Result
Modular 9 fine cleaning & air monitoring
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Has background monitoring been carried out
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Has leak testing been carried out
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Has reassurance testing carried out
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Has any personal monitoring been carried out
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Have all readings been low ( no high readings been recorded )
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Has the supervisor pre visualised any areas
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Has a 4 stage clearance been carried out on any areas
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Management Colour Result
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Supervisor Colour Result
Modular 10 Plant & Equipment
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Are there at least 2 vacuums on site
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Is one of the vacuums used solely for pre- decontamination and sited next to the air locks
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Are the test carts present for the vacuums
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Are vacuums being used and stored correctly
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Are the correct number and capacity NPU's on site
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Is the test certificate for the NPU's present
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Are the NPU's adequate for the enclosure
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Are the NPU's in good condition
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Do the NPU's vent to atmosphere avoiding occupied areas
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Management Colour Result
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Supervisor Colour Result
Modular 11 Waste management & procedures
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Does the Plan of Work cover waste in enough detail
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Is the Plan of Work being followed for the waste procedures
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Is there a skip , is it in good condition and locked when unattended
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Is the waste being stored on site , if so is it being stored safely
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Does the Plan of Work cover air monitoring of the storage area
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Has the vehicle for carrying waste have a separate storage compartment
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Was the compartment clean
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Management Colour Result
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Supervisor Colour Result
Modular 12 Emergency Procedures
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Does the Plan of Work detail the nearest A & E hospital & fire rescue service
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Could the supervisor name these
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Did the Plan of Work describe the location of the muster point
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Could the supervisor name and location of the muster point
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Management Colour Result
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Supervisor Colour Result
Modular 13 Risk Assessments
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Has a risk assessment been carried out
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Are they site specific
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Has the supervisor recorded reading and explaining them
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Have any other risks been identified by the supervisor
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Management Colour Result
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Supervisor Colour Result
COSHH Assessments
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Do they cover the substances being used on site
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Are they on site and precautions being taken
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Management Colour Result
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Supervisor Colour Result
Company Vehicles
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Is the van clean externally
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Is the cab area of van clean
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Is the back of the van clean
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Is the waste compartment clean
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Has the waste and cab area of the van been air tested as company's procedures
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Is there damage to the van
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Supervisor Colour Result
ADDITIONAL COMMENTS & CORRECTIVE ACTIONS
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Comments
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Supervisor
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Auditor
Supervisor Training Needs Analysis
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Modular 4
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Modular 5
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Modular 6
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Modular 7
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Modular 8
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Modular 9
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Modular 10
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Modular 11
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Modular 12
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Modular 13
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Modular 16
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Modular 18
Contacts Managers Training Needs Analysis
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Modular 4
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Modular 5
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Modular 6
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Modular 7
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Modular 8
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Modular 9
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Modular 10
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Modular 11
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Modular 12
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Modular 13
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Modular 16
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Modular 18