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

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