Information
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Title (Address)
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Prepared by
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Date
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Location
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Section
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Completed inspections are entered into CM Container 495-07.
First Inspection
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Date and time
ASBESTOS LOCATION
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Asbestos Type
Asset Structure
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Asset Structure: Structure Details.
Floors - Concrete or timber
External Walls - Brick or cladding etc.
Roof - Colorbond or tiles etc.
Other - Galvanised Shed
Asset Details
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Property or asset name (Add images)
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Parcel or asset ID (From asbestos register in authority)
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Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Are there any inaccessible areas that are likely to contain ACM? (Add details in notes)
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Eg. Inside of residence was inaccessible at the time of inspection. It is likely that internal walls and ceiling contain asbestos materials.
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Add detail in notes and take photos, include exact location e.g. eaves and take photo.
ASSET LOCATION AND FINDINGS
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Location (select)
- Kitchen
- Bathroom
- Laundry
- Hall
- Room
- Roof
- Roof cavity/space
- Floor
- Sub-floor area
- Eaves
- Exterior wall
- Toilet Block
- Outbuilding
- Switchboard.
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Interior of building (Select)
- Floor
- Floor tiles
- Interior wall
- Ceiling
- Bench top
- Cupboard
- Cubicle wall
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Other location
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Asbestos contamination present, presumed or none?
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Non-Friable (bonded) asbestos condition?
- Poor - High risk (stop work)
- Fair - Medium risk (caution)
- Good - Low risk (safe)
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If Friable Asbestos detected - Suspend inspection, secure site and report.
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Using the Asbestos Register Location Summary - Has the condition of any of the ACM as stated in the previous condition report detoriated?
Underground Asset
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TAKE 5 Risk Assessment conducted to determine presence of asbestos?
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If Friable Asbestos detected - Suspend inspection, secure site and report (add detail in notes)
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Follow requirements of GENSWP_004 - General asbestos management.
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Non-Friable (bonded) asbestos condition (add details of type e.g., AC pipe bonded).
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Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Asbestos contaminated soil (Provide details in notes)
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Potholing required? Workers wearing specified asbestos protection PPE e.g., P2 mask etc.
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Workers wearing asbestos required PPE until verified as clear?
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Provide a description and pictures of how the site was rehabilitated. Importantly if asbestos was left in situ (in ground).
Contaminated Land
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Follow requirements of GENSWP_004 - General asbestos management.
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TAKE 5 Risk Assessment conducted to determine presence of asbestos?
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Dumped asbestos material - Contact Trades, Facilities Manager or People and Culture.
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If Friable (loose, powdery) Asbestos detected - Secure site and report (add detail in notes)
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Asbestos contaminated soil (provide details in notes)
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If Non-Friable (bonded) asbestos, rate condition
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Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Contractors engaged to manage site
-
Provide a description and pictures of how the site was rehabilitated?
Report Details
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Name, signature and comments
Second inspection
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Date and time
ASBESTOS LOCATION
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Asbestos Type
Asset Structure
-
Asset Structure: Structure Details.
Floors - Concrete or timber
External Walls - Brick or cladding etc.
Roof - Colorbond or tiles etc.
Other - Galvanised Shed
Asset Details
-
Property or asset name (Add images)
-
Parcel or asset ID (From asbestos register in authority)
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Are there any inaccessible areas that are likely to contain ACM? (Add details in notes)
-
Eg. Inside of residence was inaccessible at the time of inspection. It is likely that internal walls and ceiling contain asbestos materials.
-
Add detail in notes and take photos, include exact location e.g. eaves and take photo.
ASSET LOCATION AND FINDINGS
-
Location (select)
- Kitchen
- Bathroom
- Laundry
- Hall
- Room
- Roof
- Roof cavity/space
- Floor
- Sub-floor area
- Eaves
- Exterior wall
- Toilet Block
- Outbuilding
- Switchboard.
-
Interior of building (Select)
- Floor
- Floor tiles
- Interior wall
- Ceiling
- Bench top
- Cupboard
- Cubicle wall
-
Other location
-
Asbestos contamination present, presumed or none?
-
Non-Friable (bonded) asbestos condition?
- Poor - High risk (stop work)
- Fair - Medium risk (caution)
- Good - Low risk (safe)
-
If Friable Asbestos detected - Suspend inspection, secure site and report.
-
Using the Asbestos Register Location Summary - Has the condition of any of the ACM as stated in the previous condition report detoriated?
Underground Asset
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TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
If Friable Asbestos detected - Suspend inspection, secure site and report (add detail in notes)
-
Follow requirements of GENSWP_004 - General asbestos management.
-
Non-Friable (bonded) asbestos condition (add details of type e.g., AC pipe bonded).
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Asbestos contaminated soil (Provide details in notes)
-
Potholing required? Workers wearing specified asbestos protection PPE e.g., P2 mask etc.
-
Workers wearing asbestos required PPE until verified as clear?
-
Provide a description and pictures of how the site was rehabilitated. Importantly if asbestos was left in situ (in ground).
Contaminated Land
-
Follow requirements of GENSWP_004 - General asbestos management.
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
Dumped asbestos material - Contact Trades, Facilities Manager or People and Culture.
-
If Friable (loose, powdery) Asbestos detected - Secure site and report (add detail in notes)
-
Asbestos contaminated soil (provide details in notes)
-
If Non-Friable (bonded) asbestos, rate condition
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Contractors engaged to manage site
-
Provide a description and pictures of how the site was rehabilitated?
Report Details
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Name, signature and comments
Third Inspection
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Date and time
ASBESTOS LOCATION
-
Asbestos Type
Asset Structure
-
Asset Structure: Structure Details.
Floors - Concrete or timber
External Walls - Brick or cladding etc.
Roof - Colorbond or tiles etc.
Other - Galvanised Shed
Switchboard
Asset Details
-
Property or asset name (Add images)
-
Parcel or asset ID (From asbestos register in authority)
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Are there any inaccessible areas that are likely to contain ACM? (Add details in notes)
-
Eg. Inside of residence was inaccessible at the time of inspection. It is likely that internal walls and ceiling contain asbestos materials.
-
Add detail in notes and take photos, include exact location e.g. eaves and take photo.
ASSET LOCATION AND FINDINGS
-
Location (select)
- Kitchen
- Bathroom
- Laundry
- Hall
- Room
- Roof
- Roof cavity/space
- Floor
- Sub-floor area
- Eaves
- Exterior wall
- Toilet Block
- Outbuilding
- Switchboard.
-
Interior of building (Select)
- Floor
- Floor tiles
- Interior wall
- Ceiling
- Bench top
- Cupboard
- Cubicle wall
-
Other location
-
Asbestos contamination present, presumed or none?
-
Non-Friable (bonded) asbestos condition?
- Poor - High risk (stop work)
- Fair - Medium risk (caution)
- Good - Low risk (safe)
-
If Friable Asbestos detected - Suspend inspection, secure site and report.
-
Using the Asbestos Register Location Summary - Has the condition of any of the ACM as stated in the previous condition report detoriated?
Underground Asset
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
If Friable Asbestos detected - Suspend inspection, secure site and report (add detail in notes)
-
Follow requirements of GENSWP_004 - General asbestos management.
-
Non-Friable (bonded) asbestos condition (add details of type e.g., AC pipe bonded).
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Asbestos contaminated soil (Provide details in notes)
-
Potholing required? Workers wearing specified asbestos protection PPE e.g., P2 mask etc.
-
Workers wearing asbestos required PPE until verified as clear?
-
Provide a description and pictures of how the site was rehabilitated. Importantly if asbestos was left in situ (in ground).
Contaminated Land
-
Follow requirements of GENSWP_004 - General asbestos management.
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
Dumped asbestos material - Contact Trades, Facilities Manager or People and Culture.
-
If Friable (loose, powdery) Asbestos detected - Secure site and report (add detail in notes)
-
Asbestos contaminated soil (provide details in notes)
-
If Non-Friable (bonded) asbestos, rate condition
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Contractors engaged to manage site
-
Provide a description and pictures of how the site was rehabilitated?
Report Details
-
Name, signature and comments
Forth Inspection
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Date and time
ASBESTOS LOCATION
-
Asbestos Type
Asset Structure
-
Asset Structure: Structure Details.
Floors - Concrete or timber
External Walls - Brick or cladding etc.
Roof - Colorbond or tiles etc.
Other - Galvanised Shed
Asset Details
-
Property or asset name (Add images)
-
Parcel or asset ID (From asbestos register in authority)
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Are there any inaccessible areas that are likely to contain ACM? (Add details in notes)
-
Eg. Inside of residence was inaccessible at the time of inspection. It is likely that internal walls and ceiling contain asbestos materials.
-
Add detail in notes and take photos, include exact location e.g. eaves and take photo.
ASSET LOCATION AND FINDINGS
-
Location (select)
- Kitchen
- Bathroom
- Laundry
- Hall
- Room
- Roof
- Roof cavity/space
- Floor
- Sub-floor area
- Eaves
- Exterior wall
- Toilet Block
- Outbuilding
- Switchboard.
-
Interior of building (Select)
- Floor
- Floor tiles
- Interior wall
- Ceiling
- Bench top
- Cupboard
- Cubicle wall
-
Other location
-
Asbestos contamination present, presumed or none?
-
Non-Friable (bonded) asbestos condition?
- Poor - High risk (stop work)
- Fair - Medium risk (caution)
- Good - Low risk (safe)
-
If Friable Asbestos detected - Suspend inspection, secure site and report.
-
Using the Asbestos Register Location Summary - Has the condition of any of the ACM as stated in the previous condition report detoriated?
Underground Asset
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
If Friable Asbestos detected - Suspend inspection, secure site and report (add detail in notes)
-
Follow requirements of GENSWP_004 - General asbestos management.
-
Non-Friable (bonded) asbestos condition (add details of type e.g., AC pipe bonded).
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Asbestos contaminated soil (Provide details in notes)
-
Potholing required? Workers wearing specified asbestos protection PPE e.g., P2 mask etc.
-
Workers wearing asbestos required PPE until verified as clear?
-
Provide a description and pictures of how the site was rehabilitated. Importantly if asbestos was left in situ (in ground).
Contaminated Land
-
Follow requirements of GENSWP_004 - General asbestos management.
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
Dumped asbestos material - Contact Trades, Facilities Manager or People and Culture.
-
If Friable (loose, powdery) Asbestos detected - Secure site and report (add detail in notes)
-
Asbestos contaminated soil (provide details in notes)
-
If Non-Friable (bonded) asbestos, rate condition
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Contractors engaged to manage site
-
Provide a description and pictures of how the site was rehabilitated?
Report Details
-
Name, signature and comments
Fifth Inspection
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Date and time
ASBESTOS LOCATION
-
Asbestos Type
Asset Structure
-
Asset Structure: Structure Details.
Floors - Concrete or timber
External Walls - Brick or cladding etc.
Roof - Colorbond or tiles etc.
Other - Galvanised Shed
Asset Details
-
Property or asset name (Add images)
-
Parcel or asset ID (From asbestos register in authority)
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Are there any inaccessible areas that are likely to contain ACM? (Add details in notes)
-
Eg. Inside of residence was inaccessible at the time of inspection. It is likely that internal walls and ceiling contain asbestos materials.
-
Add detail in notes and take photos, include exact location e.g. eaves and take photo.
ASSET LOCATION AND FINDINGS
-
Location (select)
- Kitchen
- Bathroom
- Laundry
- Hall
- Room
- Roof
- Roof cavity/space
- Floor
- Sub-floor area
- Eaves
- Exterior wall
- Toilet Block
- Outbuilding
- Switchboard.
-
Interior of building (Select)
- Floor
- Floor tiles
- Interior wall
- Ceiling
- Bench top
- Cupboard
- Cubicle wall
-
Other location
-
Asbestos contamination present, presumed or none?
-
Non-Friable (bonded) asbestos condition?
- Poor - High risk (stop work)
- Fair - Medium risk (caution)
- Good - Low risk (safe)
-
If Friable Asbestos detected - Suspend inspection, secure site and report.
-
Using the Asbestos Register Location Summary - Has the condition of any of the ACM as stated in the previous condition report detoriated?
Underground Asset
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
If Friable Asbestos detected - Suspend inspection, secure site and report (add detail in notes)
-
Follow requirements of GENSWP_004 - General asbestos management.
-
Non-Friable (bonded) asbestos condition (add details of type e.g., AC pipe bonded).
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Asbestos contaminated soil (Provide details in notes)
-
Potholing required? Workers wearing specified asbestos protection PPE e.g., P2 mask etc.
-
Workers wearing asbestos required PPE until verified as clear?
-
Provide a description and pictures of how the site was rehabilitated. Importantly if asbestos was left in situ (in ground).
Contaminated Land
-
Follow requirements of GENSWP_004 - General asbestos management.
-
TAKE 5 Risk Assessment conducted to determine presence of asbestos?
-
Dumped asbestos material - Contact Trades, Facilities Manager or People and Culture.
-
If Friable (loose, powdery) Asbestos detected - Secure site and report (add detail in notes)
-
Asbestos contaminated soil (provide details in notes)
-
If Non-Friable (bonded) asbestos, rate condition
-
Guide to Asbestos Presence:
HIGH - Asbestos Present. Very high to High Risk of Exposure
MEDIUM - Asbestos Present. Some problems identified and/or potential for incident to occur. Improvement required.
LOW - Asbestos Present. Bonded, good condition
OK - No Asbestos identified. -
Contractors engaged to manage site
-
Provide a description and pictures of how the site was rehabilitated?
Report Details
-
Name, signature and comments