Title Page

  • Job No.

  • Site Address

  • ACM

  • Prepared by

  • Contract Manager

  • Conducted on

  • 1.1 Is the plan of work of a good enough standard to proceed and does it reflect the site conditions? (Licensed works, ASB5 attached)

  • Amendments / Comments:

  • If answer is NO, send photo ammendments

  • Photos of ASB5 to be taken

  • 1.2 Have all site staff been briefed on the contents of the plan of work and informed of risks?

  • Comments:

  • Photo of RAMS sign off page:

  • 1.3 Have other contractors based at this site been briefed on the work?

  • Comments:

  • 1.4 Do you have copies or access to all of the following documentation? Face Fits, 6 Mthly Respirator certs, Monthly Mask checks, Medical certs, Equipment certs?

  • Comments:

  • Photo of equipment and certs:

  • 1.5 Is the DCU located as per POW, operational and in good working order and has: All certs up to date, EZplug, CO2 Alarm, Bull Bar/Wheel Lock, Good Earth (only if staying on site for over 4 weeks) and Clean Water filter?

  • Comments :

  • Photo of DCU setup inc. Test certs & clean water filter:

  • 1.6 Is the access(entry) to and egress (exit) from work areas(s), including routes (Transit/Waste) clearly signed with Astech signage and free from debris. Potential hazards marked with hazard tape and controlled areas cordoned off with barrier tape?

  • Comments:

  • Photo of routes inc. signage and any hazards:

  • 1.7 Is your site box/board with air horn, first aid kit and fire extinguisher located adjacent to airlock?

  • Comments :

  • Photo of box/board:

  • 1.8 Are the following safety warning signs, as well as barrier tape identifying the asbestos and respirator zones, in place? No Unauthorised Access, Wear RPE, Wear Coveralls, Danger Asbestos?

  • Comments :

  • Photo of Signage - 4 part warning, asbestos warning, airlock, baglock (if required):

  • 1.9 Has the access equipment been set up correctly, filling in the relevant checklist or risk assessment if necessary? Signatory must have valid training: PASMA for access Tower, IPAF for MEWP, Fixed scaffold: Fit for purpose and Scaff tagged, Confined Space or Restricted access: Assessed and qualified

  • Comments :

  • Photo of Paperwork & Equipment:

  • 1.10 If fixed scaffold is being used does have an in date and displayed Scaff tag

  • Comments :

  • Photo of Scaff tag:

  • 1.11 Has the gas been purged, electrical equipment and lighting been isolated? Do you have copies of the certs?

  • Comments :

  • Photo of certs:

  • 1.12 Has all RPE been checked and has the check sheet been completed?

  • Comments :

  • Photo of checksheet:

  • 1.13 Are all Astech personnel who are expected to wear RPE clean shaven?

  • Comments :

  • Photo of all staff required:

  • 1.14 Are all personnel wearing the correct PPE?

  • Comments :

  • 1.15 Have all points on the daily inspection sheet been checked and sheet completed?

  • Comments:

  • Photo of daily inspection sheet:

  • 1.15 Photos required of smoke within enclsoure and smoke certificate

  • 1.16 Photos required of site setup of enclosure to include waste compartment/skip

  • 1.17 Photos required of vision panels/cctv setup

  • 1.18 Photos required of flap deflections

  • 1.19 Photos required of readings on NPU (Flow & Pascal)

  • 1.20 Are you happy for works to continue?

  • Signature

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