Title Page
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Job No.
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Site Address
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ACM
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Prepared by
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Contract Manager
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Conducted on
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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)
- Yes
- No
- N/A
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Amendments / Comments:
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If answer is NO, send photo ammendments
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Photos of ASB5 to be taken
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1.2 Have all site staff been briefed on the contents of the plan of work and informed of risks?
- Yes
- No
- N/A
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Comments:
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Photo of RAMS sign off page:
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1.3 Have other contractors based at this site been briefed on the work?
- Yes
- No
- N/A
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Comments:
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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?
- Yes
- No
- N/A
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Comments:
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Photo of equipment and certs:
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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?
- Yes
- No
- N/A
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Comments :
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Photo of DCU setup inc. Test certs & clean water filter:
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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?
- Yes
- No
- N/A
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Comments:
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Photo of routes inc. signage and any hazards:
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1.7 Is your site box/board with air horn, first aid kit and fire extinguisher located adjacent to airlock?
- Yes
- No
- N/A
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Comments :
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Photo of box/board:
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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?
- Yes
- No
- N/A
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Comments :
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Photo of Signage - 4 part warning, asbestos warning, airlock, baglock (if required):
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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
- Yes
- No
- N/A
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Comments :
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Photo of Paperwork & Equipment:
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1.10 If fixed scaffold is being used does have an in date and displayed Scaff tag
- Yes
- No
- N/A
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Comments :
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Photo of Scaff tag:
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1.11 Has the gas been purged, electrical equipment and lighting been isolated? Do you have copies of the certs?
- Yes
- No
- N/A
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Comments :
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Photo of certs:
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1.12 Has all RPE been checked and has the check sheet been completed?
- Yes
- No
- N/A
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Comments :
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Photo of checksheet:
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1.13 Are all Astech personnel who are expected to wear RPE clean shaven?
- Yes
- No
- N/A
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Comments :
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Photo of all staff required:
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1.14 Are all personnel wearing the correct PPE?
- Yes
- No
- N/A
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Comments :
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1.15 Have all points on the daily inspection sheet been checked and sheet completed?
- Yes
- No
- N/A
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Comments:
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Photo of daily inspection sheet:
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1.15 Photos required of smoke within enclsoure and smoke certificate
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1.16 Photos required of site setup of enclosure to include waste compartment/skip
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1.17 Photos required of vision panels/cctv setup
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1.18 Photos required of flap deflections
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1.19 Photos required of readings on NPU (Flow & Pascal)
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1.20 Are you happy for works to continue?
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Signature