Capita Symonds Analyst Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contractor on site

SITE DETAILS

• Asbestos Removal Contractor

• Site Supervisor

• Contracts Manager

• Analytical Consultant

• On Site Analyst

• Principle Contractor

• Site Manager

• Asbestos Task

  Select Removal Encapsulation Environmental Clean Non Asbestos Works

  • Removal
  • Encapsulation
  • Environmental Clean
  • Non Asbestos Works

• Asbestos Material

  Select Sprayed Coating AIB Insulation Cement Textured Coating Gaskets & Rope Floor Tiles

  • Sprayed Coating
  • AIB
  • Insulation
  • Cement
  • Textured Coating
  • Gaskets & Rope
  • Floor Tiles

• Asbestos Type

  Select Amosite Chrysotile Crocidolite Actinolite Anthophylite Tremolite

  • Amosite
  • Chrysotile
  • Crocidolite
  • Actinolite
  • Anthophylite
  • Tremolite

• Job Notified?

  Yes

  No

  N/A

• ASB5 expiry date?

  Date

DOCUMENTATION

• Does the analyst have a method statement, risk assessment, COSHH on site?

  Yes

  No

  N/A

• Analysts guide HSG248 on site?

  Yes

  No

  N/A

• Analyst company in-house procedures on site?

  Yes

  No

  N/A

• Has a site specific risk assessment been carried out?

  Yes

  No

  N/A

• Is there appropriate COSHH assessments on site for all materials where this is required?

  Yes

  No

  N/A

• Is there the facility to provide copies of paperwork to parties on site?

  Yes

  No

  N/A

PERSONNEL DOCUMENTATION

• Analyst Name

• CSCS

  Yes

  No

  N/A

• P403 / P404

  Yes

  No

  N/A

• Face fit for RPE in use

  Yes

  No

  N/A

• Site induction

  Yes

  No

  N/A

• Fibre Counting

  Yes

  No

  N/A

• Analyst Name

• CSCS

  Yes

  No

  N/A

• P403 / P404

  Yes

  No

  N/A

• Face fit for RPE in use

  Yes

  No

  N/A

• Site induction

  Yes

  No

  N/A

• Fibre Counting

  Yes

  No

  N/A

• Analyst Name

• CSCS

  Yes

  No

  N/A

• P403 / P404

  Yes

  No

  N/A

• Face fit for RPE in use

  Yes

  No

  N/A

• Site induction

  Yes

  No

  N/A

• Fibre Counting

  Yes

  No

  N/A

HEALTH AND SAFETY

• Is there a risk assessment on site to negate any PPE?

  Yes

  No

  N/A

• Are hard hats being worn on-site?

  Yes

  No

  N/A

• Is high visibility clothing worn on-site?

  Yes

  No

  N/A

• Are all operatives wearing adequate foot protection?

  Yes

  No

  N/A

• Are all disposable overalls worn on site category 5/6 type 3?

  Yes

  No

  N/A

• Has the analyst been trained in Safe Work at Height?

  Yes

  No

  N/A

SITE SETUP

• Has the analyst set up appropriate site lab?

  Yes

  No

  N/A

• Has a background air test been carried out in the site lab in the last 14 days?

  Yes

  No

  N/A

• Can the analyst demonstrate the set up of a microscope?

  Yes

  No

  N/A

• Can the analyst demonstrate mounting of a filter?

  Yes

  No

  N/A

• Has the analyst media blanked filters that are being used?

  Yes

  No

  N/A

CALIBRATED EQUIPMENT

• Microscope (serviced) - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Stage Micrometer - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• NPL test slide - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• High Flow Meter - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Low Flow Meter - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Tally Counters - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Barometer - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Thermometer - Ref I.D

• In Calibration?

  Yes

  No

  N/A

• Timer - Ref I.D

• In Calibration?

  Yes

  No

  N/A

NON CALIBRATED EQUIPMENT

• Does all relevant equipment have a valid PAT test?

  Yes

  No

  N/A

• Does the analyst have an adequate number of high flow pumps to carry out suitable air monitoring?

  Yes

  No

  N/A

• Does the analyst have a low flow (personal) pump?

  Yes

  No

  N/A

• Does the analyst have and adequate number of cowl heads to carry out suitable air monitoring?

  Yes

  No

  N/A

• Does the analyst have an acetone vaporiser?

  Yes

  No

  N/A

• Does the analyst have a calculator?

  Yes

  No

  N/A

• Does the analyst have adequate supplies of slides, cover lips and filters?

  Yes

  No

  N/A

• Does the analyst have spare equipment in case of emergencies? (Fuses 3A/13A, bulbs, mask filters?)

  Yes

  No

  N/A

• Does the analyst have sufficient acetone/triacetin?

  Yes

  No

  N/A

MONITORING

• Does the analyst demonstrate knowledge of the site operations?

  Yes

  No

  N/A

• Have background air tests been run in the work area previous to asbestos removal being carried out?

  Yes

  No

  N/A

• Has the enclosure been smoke tested?

  Yes

  No

  N/A

• Have leakage air tests been run around the enclosure throughout the shift?

  Yes

  No

  N/A

• Have leakage air tests been run on the transit route?

  Yes

  No

  N/A

• Has a personal air test been conducted during each shift?

  Yes

  No

  N/A

FOUR STAGE CLEARANCE

Stage 1 - Preliminary Site Check

• Has the ARC site supervisor signed clearance paperwork confirming the area is ready for 4SC?

  Yes

  No

  N/A

• Has the analyst checked the plan of work to ensure the outlined tasks have been completed?

  Yes

  No

  N/A

• Has the analyst produced a plan of the site? (enclosure including dimensions, airlock, baglock, transit/waste routes, skip, DCU)

  Yes

  No

  N/A

• Has the analyst checked the DCU is intact operable and clean?

  Yes

  No

  N/A

• Has the analyst checked the transit/waste route?

  Yes

  No

  N/A

• Has the analyst checked the enclosure integrity?

  Yes

  No

  N/A

• Has the analyst checked the enclosure from the exterior ensuring is it ready for stage 2?

  Yes

  No

  N/A

• Has all contaminated waste been removed from the work area?

  Yes

  No

  N/A

• Has the stage 1 section of site paperwork been filled in correctly by the analyst allowing for any caveats?

  Yes

  No

  N/A

Stage 2 - Visual Inspection

• Is the analyst wearing app appropriate PPE/RPE?

  Yes

  No

  N/A

• Has the analyst followed correct procedure to enter the enclosure?

  Yes

  No

  N/A

• Does the analyst have a torch?

  Yes

  No

  N/A

• Does the analyst have a screwdriver/chisel?

  Yes

  No

  N/A

• Is the analyst accompanied by a member of the ARC?

  Yes

  No

  N/A

• Is the enclosure dry and free of sealant?

  Yes

  No

  N/A

• Are all remaining ACM's adequately encapsulated?

  Yes

  No

  N/A

• Has the entire of the enclosure been accessed and visually inspected?

  Yes

  No

  N/A

• Have the airlocks/baglocks been visually inspected?

  Yes

  No

  N/A

• Has the stage 2 section of site paperwork been filled in correctly by the analyst?

  Yes

  No

  N/A

Stage 3 - Clearance Air Test

• Has the analyst removed all non essential work items from the enclosure?

  Yes

  No

  N/A

• Have all the NPU's and vacuum's been turned off and capped?

  Yes

  No

  N/A

• Have the correct number of samples been taken for the volume of the enclosure?

  Yes

  No

  N/A

• Has a disturbance been carried out using a brush? (1.5 minutes per pump up to a max of 5 mins)

  Yes

  No

  N/A

• Has the analyst set up their pumps correctly?

  Yes

  No

  N/A

• Has the stage 3 section of the site paperwork been filled in correctly by the analyst?

  Yes

  No

  N/A

Stage 4 - Final Assessment

• Are all personnel in the vicinity of the enclosure being dismantled wearing correct PPE.

  Yes

  No

  N/A

• Have all the previously inaccessible areas been accessed following the dismantling of the enclosure, as far as is reasonably practicable?

  Yes

  No

  N/A

• Has the waste/transit route been inspected following removal of enclosure material?

  Yes

  No

  N/A

• Is there any waste or plant that has not been removed from the work area?

  Yes

  No

  N/A

Q.C.

• Any comments, i.e. is the ceiling grid clean? Are surroundings cable trays clean? Are voids sealed? Etc

• Recommendations

• Auditor

  Sign

• Supervisor

  Sign