ATL - Site Document Audit

• Name of Client

• Job Name

• Job Number

• Supervisor/CoC

• Review Date

  Date

• Auditor

• 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.

1. Asbestos Removal Control Plan

• 1. Correct details of PCBU/Client

  Yes

  No

  N/A

• 2. Evidence all persons were notified:

• a. PCBU with management or Control of the Workplace

  Yes

  No

  N/A

• b. Home owner

  Yes

  No

  N/A

• c. Tenant

  Yes

  No

  N/A

• d. Neighbors

  Yes

  No

  N/A

• 3. SWMS correct for asbestos to be removed

  Yes

  No

  N/A

• 4. Details of the asbestos:

• a. Location

  Yes

  No

  N/A

• b. Type

  Yes

  No

  N/A

• c. Condition

  Yes

  No

  N/A

• 5. Detailed description of the Asbestos removal area:

• a. Signage

  Yes

  No

  N/A

• b. Barriers

  Yes

  No

  N/A

• c. Decontamination unit

  Yes

  No

  N/A

• d. NPU(s)

  Yes

  No

  N/A

• e. Asbestos Waste Area

  Yes

  No

  N/A

• 6. Negative Pressure Units

  Yes

  No

  N/A

• 7. Suitable air flow requirements

  Yes

  No

  N/A

• 8. DOP test certificate is/was current

  Yes

  No

  N/A

• 9. Details of asbestos waste transport and disposal

  Yes

  No

  N/A

• 10. Signed by supervisor

  Yes

  No

  N/A

• 11. Signed by workers

  Yes

  No

  N/A

2. Asbestos Removal Quality Control Form

• 1. Job Details

  Yes

  No

  N/A

• a. Worksafe NZ Notification Completed

  Yes

  No

  N/A

• 2. Timetable

  Yes

  No

  N/A

• 3. Enclosure Integrity Tested

  Yes

  No

  N/A

• a. Signed

  Yes

  No

  N/A

• b. Form attached

  Yes

  No

  N/A

• 4. Air Monitoring

  Yes

  No

  N/A

• a. Additional pages

  Yes

  No

  N/A

• b. Notifiable Incident

  Yes

  No

  N/A

• 5. Asbestos waste

  Yes

  No

  N/A

• a. Dip docket attached

  Yes

  No

  N/A

• 6. Clearance

  Yes

  No

  N/A

• a. Passed

  Yes

  No

  N/A

• b. Clearance Certificate attached

  Yes

  No

  N/A

• 7. Incidents Injuries or Damages

  Yes

  No

  N/A

• 8. Declaration

  Yes

  No

  N/A

• a. Signed by supervisors

  Yes

  No

  N/A

• b. Signed by client/client representative

  Yes

  No

  N/A

3. Asbestos Removal Documentation

• 1. Asbestos Removal Checklist

  Yes

  No

  N/A

• 2. Asbestos Inspection Reports Completed

  Yes

  No

  N/A

• 3. Asbestos Waste Removal Log/Form Completed

  Yes

  No

  N/A

• 4. Asbestos Removal Worker Record Completed

  Yes

  No

  N/A

• 5. Asbestos Removal Daily Log

  Yes

  No

  N/A

4. Site Specific Safety Plan

• 1. Details correct

  Yes

  No

  N/A

• 2. Signed by Project Manager/Representative

  Yes

  No

  N/A

• 3. Risk Register Completed

  Yes

  No

  N/A

• 4. Job Safety Analysis:

• a. Completed

  Yes

  No

  N/A

• b. Suitable

  Yes

  No

  N/A

• c. Signed Off

  Yes

  No

  N/A

• 5. Toolbox Safety Minutes (Minimum Pre Start)

  Yes

  No

  N/A

• 6. Pre-Start Site Assessment Completed

  Yes

  No

  N/A

• 7. Self-Safety Inspection Checklist Completed

  Yes

  No

  N/A

• 8. Corrective and Preventative Actions Register:

• a. Completed

  Yes

  No

  N/A

• b. All actions closed out

  Yes

  No

  N/A

• 9. Incident Register Completed

  Yes

  No

  N/A

• a. Copies of Incidents Reports

  Yes

  No

  N/A

• b. Evidence of Incident Discussed at Toolbox Meetings

  Yes

  No

  N/A

• 10. Site Induction Register Completed

  Yes

  No

  N/A

• 11. Site Register Completed

  Yes

  No

  N/A

Completion

• Audit Review

• Auditor Name and Signature

  Sign

• Entered In Audit Register

• By Whom

  Sign