Title Page
-
Site
-
Address
-
Supervisor
-
Location
-
Assessor
-
Conducted on
-
INSTRUCTIONS:
-------------------------------------
1. Answer the applicable questions below.
2. Add photos and notes by clicking on the paperclip icon.
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link. -
Please select the type of work
Documentation
-
1. Is the nominated supervisor present during the removal works?
-
2. Is the supervisor qualified for this type of work?
-
3. Has an Asbestos Survey been completed?
-
4. Is a copy of the buildings Asbestos Register Available on site?
-
5. Has testing been conducted?
-
6. Are the test results available on site?
-
7. Has Worksafe NZ been notified?
-
8. Is a copy of the notification on site?
-
9. Has an ARCP been prepared for this site?
-
10. Is a copy of the ARCP available on site?
-
11. Have all workers signed acknowledgment of the ARCP?
-
12. Has a SSSP been prepared for this site?
-
13. Is a copy of the SSSP available on site?
-
14. Have all personnel been inducted on the site and signed acknowledgment?
-
15. Has a risk assessment been completed?
-
16. Has the Hazard Register been updated? When?
-
17. Is an Incident, Injury & Near Miss Register been updated?
-
18. Has an emergency evacuation plan been developed and all employees trained?
-
19. Have Toolbox Talks been occurring daily? If Not when was the last one?
-
20. Is there FFE on site?
-
21. Is there First Aid Equipment on site?
-
22. Is there a First Aid trained personnel on site?
-
23. Is all electrical equipment tagged?
Personnel
-
23. Have all employees been medically certified fit for working with asbestos?
-
24. Is an up to date Asbestos Medical Register available on site?
-
25. Have employees been trained in the correct use of their PPE and RPE?
-
26. Are training records available on site?
-
27. Are all employees clean shaven?
-
28. Are employee wearing correct PPE & RPE?
-
29. Can random employees demonstrate the correct fitting and tests for their RPE?
-
30. Is the RPE stored and cleaned correctly?
-
31. Is their records of individual ownership of RPE?
-
32. Have employees been trained in the hazards and hazard controls?
Asbestos Work Area - General
-
33. Has Asbestos Removal Signage been erected?
-
34. Has access been restricted?
-
35. Are decontamination facilities available?
-
36. Is authority to work required for this site?
-
37. Has it been obtained?
-
38. Is an H Class vacuum that complies with AS/NZS 60335.2.69 being used?
-
39. Does it have a current DOP certificate?
-
40. Has the H Class Vacuum Weekly Inspection been completed?
Asbestos Work Area (Enclosure)
-
41. Is the enclosure airtight?
-
42. Has the enclosure been smoke tested?
-
43. Has the appropriate plastic (>200µm) been used?
-
44. Have all seams been sealed?
-
45. Is there a viewing window?
-
46. Is the lighting adequate?
-
47. Is a NPU that complies with AS/NZS 60335.2.69 being used?
-
48. Does it have a current DOP certificate?
-
49. Has the NPU Weekly Inspection been completed?
-
50. Has the correct maintenance procedures been followed for the NPU?
-
51. Is the AWA reasonably clean?
-
52. Have daily inspections of the enclosure been occurring and recorded on the Asbestos Removal Daily Log?
-
53. Have repairs been made?
-
54. Is compliance/leak air monitoring being conducted?
-
55. Are air monitoring results available on site?
Decontamination Unit (Enclosure)
-
56. Is a minimum of a 3 stage decontamination unit being used?
-
57. Is there secure separation between zones?
-
58. Is there clear demarcation lines?
-
59. Is the “Clean Area” kept clean?
-
60. Have all personnel been trained in the appropriate decontamination steps?
-
61. Are they being followed?
-
62. Are underclothes supplied?
-
63. Is all contaminated clothing treated as ACM waste?
-
64. Is all contaminated clothing returned to workshop for cleaning?
-
65. Is hot water available for the shower?
-
66. Is the shower water filter within service guide?
-
67. Is the shower clean
-
68. Has suitable facilities been made for workers clean clothing storage?
-
69. Does the clean change area have benches or chairs?
-
70. Are RPE storage containers left in the “Clean area”?
Work Method
-
71. Have all workers been trained in the Safe Work Method?
-
72. Is a wet method being used for asbestos removal?
-
73. Are they being followed?
-
74. Are high speed abrasive tools being used?
-
75. Are all tools used in the AWA marked “Asbestos Use Only”?
-
76. Are dust control measures being used?
-
77. Have fall protection been supplied for workers?
-
78. Has any specialist equipment been used?
-
79. Have employees been trained in its use?
-
80. Has it been or will it be appropriately decontaminated? (Can it?)
-
81. Do all workers hold the required qualifications?
-
82. Are records available on site?
-
83. Do all workers hold any required vaccinations?
-
84. Are records available on site?
Asbestos Waste
-
85. Are sufficient ACM waste containers available on site?
-
86. Is the ACM waste double bagged?
-
87. Are all ACM Waste containers appropriately marked?
-
88. Are the ACM waste containers exteriors cleaned?
-
89. Is the ACM waste stored in a secure manner?
-
90. Has the ACM waste removal plan been followed?
-
91. Is waste water treated as ACM waste?
-
92. Has disposal to an approved waste site been planned or conducted?
-
93. Is ACM waste collected in accordance with Dangerous Goods Road Rule?
Clearance
-
94. Has a visual inspection been carried out by an independent licenced asbestos assessor or competent person?
-
95. Has the entire AWA been satisfactorily cleaned?
-
96. Have all surfaces been sprayed with EVA/PVA?
-
97. Has an air clearance testing been conducted?
-
98. Did the air clearance testing pass?
-
99. Has a Clearance Certificate been issued?
-
100. Have all PPE & RPE been cleaned appropriately?
-
101. Have all tools and equipment been securely stored
Completion
-
Asbestos removal status?
-
Comments
-
Auditor ID and Signature