Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Manager responsible for contract

  • Name

Supervisor on site

  • Name

Modular 16 Site Documentation

  • Copy of Asbestos Removal Licence

  • Copy of insurance certificate

  • Waste carriers licence

  • Plan of Work

  • Has the Plan of Work been QC or relieved by management

  • Company Standard procedures

  • Management Colour Result

  • Supervisor Colour Result

Modular 16 Personal Certification

  • Number of personal on site

  • Are there training certificates for all personnel who are being checked on site

  • Are there Medical's for all personal who are being checked on site

  • Are there face fit certificates for full face RPE for all personal being checked on site

  • Are there face fits certificates for half masks for all personal being checked on site

  • Is there a person on site responsible for first aid on site

  • Is there a PASMA trained person on Site

  • Have all certificates been authenticated and stamped

  • Management Colour Result

  • Supervisor Colour Result

Modular 18 Plan of work & ASB5 ( do the details match )

  • Supervisor

  • Contracts Manager

  • Client

  • Amount of Asbestos to be removed

  • Days & times on site

  • Work undertaken

  • Condition of Asbestos

  • Vision panels / CCTV

  • Number of personal on site

  • ACM Type ( Chrysotile, Amosite, Crocidolite)

  • ACM Form ( Insulation, AIB, Sprayed Coating, etc )

  • If it applies have other licence holders been mentioned

  • Is the works notifiable under CDM 2015 ( last longer than 30 days & have more than 20 workers working simultaneously or exceed 500 man days )

  • Management Colour Result

  • Supervisor Colour Result

Modular 4 Site Inspections

  • Enclosure checks undertaken & recorded

  • NPU's checked & recorded

  • DCU checked & recorded

  • Vacuum cleaners been checked & recorded

  • Has smoke test been undertaken, recorded & witnessed as Plan of Work

  • Management Colour Result

  • Supervisor Colour Result

Modular 4 Sketch / Plan match site set up

  • Work area

  • DCU

  • Vision panels & or CCTV

  • NPU's

  • Air locks

  • Bag lock

  • Transit routes

  • Waste routes

  • Management Colour Result

  • Supervisor Colour Result

Modular 4c Site set up , inspection, site maintenance

  • Is there suitable two way communication between workers from inside to outside the enclosure

  • Is the work area well constructed

  • Does the calculation show a minimum of 8 air changes or at least 1000m3 per hour

  • Are the NPU's suitable & sufficient

  • Do the air lock flaps show good air movement

  • Are the air locks the correct size & number as described in the Plan of Work

  • Are the bag locks the correct size & number as described in the Plan of Work

  • Do the vision panels or & CCTV give total vision

  • Was pre cleaning undertaken

  • Was the transit route clearly marked

  • Was the waste route clearly marked

  • Management Colour Result

  • Supervisor Colour Result

Modular 5 Controlled Stripping Techniques

  • Does the Plan of Work contain enough detail on the correct removal method

  • Was the correct method being followed

  • Is there a suitable amount of surfactant being used & on site

  • Is dust suppression being used suitable & sufficient

  • Management Colour Result

  • Supervisor Colour Result

Modular 6 RPE Full face

  • Does RPE being worn match the Plan of Work

  • Is the RPE suitable for task

  • Are supervisor & operatives clean shaven

  • Is the RPE a complete kit including flow check

  • Is the RPE being stored correctly

  • Is there a valid 6 monthly certificate for the RPE and is the certificate authenticated

  • Are daily checks being carried out & recorded

  • Are monthly checks being carried out & recorded by a competent person

  • Management Colour Result

  • Supervisor Colour Result

Modular 6 RPE Half mask

  • Does the RPE being worn match the Plan of Work

  • Are the supervisor & operative clean shaven

  • Is the RPE suitable for the task

  • Is the RPE stored correctly

  • Are daily checks being carried out & recorded

  • Management Colour Result

  • Supervisor Colour Result

Modular 7 PPE within the work area

  • Are overalls of the correct colour , type and are they being worn correctly

  • Is the footwear suitable and sufficient

  • Are gloves being worn

  • Is underwear suitable & sufficient

  • Is the correct RPE being worn

  • Management Colour Result

  • Supervisor Colour Result

Modular 7 PPE outside the work area but on site

  • Does the Plan of Work contain enough detail on PPE

  • Are hard hats being worn

  • Are safety footwear being worn

  • Are high - viz clothing being worn

  • Are safety glasses being worn

  • Are gloves being worn

  • Management Colour Result

  • Supervisor Colour Result

Modular 8 Transit Procedures & Decontamination

  • Is the DCU positioned as per Plan of Work

  • Does the DCU comply with regulations

  • Is there a reason why the DCU has not been directly connected to the enclosure

  • Was the DCU clean externally

  • Was an RCD fitted at the source supply of electric to the DCU

  • Was the DCU adequately earthed

  • Was the waste water filtered and disposed of correctly

  • Was the DCU clean internally

  • Is there a carbon monoxide alarm within the DCU

  • Are all the doors self closing

  • Do the showers work and supply hot water

  • Is there sufficient nail brushes, shower gel , and towels

  • Is there an air test present for the last time the DCU was used

  • Was there a DOP test for NPU present and in date .

  • Is there an electrical test for the DCU present and in date

  • Is there a gas test for the boiler of the DCU

  • Is there the correct amount of transit overalls and footwear present for the personnel within the enclosure

  • Management Colour Result

  • Supervisor Colour Result

Modular 9 fine cleaning & air monitoring

  • Has background monitoring been carried out

  • Has leak testing been carried out

  • Has reassurance testing carried out

  • Has any personal monitoring been carried out

  • Have all readings been low ( no high readings been recorded )

  • Has the supervisor pre visualised any areas

  • Has a 4 stage clearance been carried out on any areas

  • Management Colour Result

  • Supervisor Colour Result

Modular 10 Plant & Equipment

  • Are there at least 2 vacuums on site

  • Is one of the vacuums used solely for pre- decontamination and sited next to the air locks

  • Are the test carts present for the vacuums

  • Are vacuums being used and stored correctly

  • Are the correct number and capacity NPU's on site

  • Is the test certificate for the NPU's present

  • Are the NPU's adequate for the enclosure

  • Are the NPU's in good condition

  • Do the NPU's vent to atmosphere avoiding occupied areas

  • Management Colour Result

  • Supervisor Colour Result

Modular 11 Waste management & procedures

  • Does the Plan of Work cover waste in enough detail

  • Is the Plan of Work being followed for the waste procedures

  • Is there a skip , is it in good condition and locked when unattended

  • Is the waste being stored on site , if so is it being stored safely

  • Does the Plan of Work cover air monitoring of the storage area

  • Has the vehicle for carrying waste have a separate storage compartment

  • Was the compartment clean

  • Management Colour Result

  • Supervisor Colour Result

Modular 12 Emergency Procedures

  • Does the Plan of Work detail the nearest A & E hospital & fire rescue service

  • Could the supervisor name these

  • Did the Plan of Work describe the location of the muster point

  • Could the supervisor name and location of the muster point

  • Management Colour Result

  • Supervisor Colour Result

Modular 13 Risk Assessments

  • Has a risk assessment been carried out

  • Are they site specific

  • Has the supervisor recorded reading and explaining them

  • Have any other risks been identified by the supervisor

  • Management Colour Result

  • Supervisor Colour Result

COSHH Assessments

  • Do they cover the substances being used on site

  • Are they on site and precautions being taken

  • Management Colour Result

  • Supervisor Colour Result

Company Vehicles

  • Is the van clean externally

  • Is the cab area of van clean

  • Is the back of the van clean

  • Is the waste compartment clean

  • Has the waste and cab area of the van been air tested as company's procedures

  • Is there damage to the van

  • Supervisor Colour Result

ADDITIONAL COMMENTS & CORRECTIVE ACTIONS

  • Comments

  • Supervisor

  • Auditor

Supervisor Training Needs Analysis

  • Modular 4

  • Modular 5

  • Modular 6

  • Modular 7

  • Modular 8

  • Modular 9

  • Modular 10

  • Modular 11

  • Modular 12

  • Modular 13

  • Modular 16

  • Modular 18

Contacts Managers Training Needs Analysis

  • Modular 4

  • Modular 5

  • Modular 6

  • Modular 7

  • Modular 8

  • Modular 9

  • Modular 10

  • Modular 11

  • Modular 12

  • Modular 13

  • Modular 16

  • Modular 18

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.