Caswell Group

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Details

• Site Address:

• Photo of front of property

  Media

• Parking?

  Yes

  No

  N/A

• Photo of parking

  Media

• Driveway?

  Yes

  No

  N/A

• Photo of driveway

  Media

• Yellow lines locally?

  Yes

  No

  N/A

• Photo of local road

  Media

• Pay and Display?

  Yes

  No

  N/A

• Photo of ticket machine

  Media

• Red route?

  Yes

  No

  N/A

• Sketch of parking

  Drawing

Client & Site contact details

• Client?

• Client Contact Details (email, telephone etc.)

• Site contact details - name?

• Telephone No.

• Comments?

Supervisor and working hours

• Preferred site supervisor?

• Duration of work (days)

• Working hours?

• Weekend working?

  Yes

  No

  N/A

• Number of operatives

Analytical information and survey details

• Preferred analytical company?

• Type of air monitoring required?

  4 stage

  Background

  re-assurance

  personal

• Give details of required monitoring

• Asbestos survey type

  Management

  Re-furbishment/demolition

• Survey conducted by?

Waste

• Waste disposal method

  Skip

  company van

  waste collection

  temporary storage

• Quantity (bags, kilos, skips)?

• Location of waste storage / issues?

• Photo of waste storage location

  Media

• Photo of issue

  Media

DCU & Transit route

• Location of DCU and surrounding landmarks

• Will DCU be attached?

  Yes

  No

  N/A

• Type?

  Self contained

  Modular

• Photo of location

  Media

• Mains water feed location?

• Photo of mains water feed

  Media

• Electric supply on site?

  Yes

  No

  N/A

• Photo of electric supply

  Media

• Where will leads / cables run?

• Photo of location

  Media

• Type of water disposal?

  Foul drain

  Water butt required

• Photo of drainage location

  Media

• Transit route details?

• Photo of transit route

  Media

• Any obstacle or hazard on route?

  Yes

  No

  N/A

• Photo of obstacle

  Media

• How long is transit route?

• Does transit route cross roads / pavements?

  Yes

  No

  N/A

• Photo of road or pavement

  Media

• Escorted transit route required?

  Yes

  No

  N/A

• Welfare facilities required?

  Yes

  No

  N/A

• Photo of welfare location

  Media

Enclosure

• Enclosure Length. Width. Height

• Area 1:

• Area 2:

• Area 3:

• Area 4:

• Area 5:

• Location

  Internal

  External

• Will the enclosure obstruct access within the building (toilet / kitchen)?

  Yes

  No

  N/A

• Photo of enclosure location

  Media

• Temporary lighting required?

  Yes

  No

  N/A

• Where will power come from?

  Property

  generator

• Photo of power point / generator location

  Media

• Is the work in a communal area?

  Yes

  No

  N/A

• Photo of communal area

  Media

• If other tenants are affected please provide their contact details

• Do any vents need covering (if connected to a boiler this will need isolating)?

  Yes

  No

  N/A

• Photo of vent / boiler

  Media

• Do windows need covering?

  Yes

  No

  N/A

• Photo of windows

  Media

• If neighbours are affected by the enclosure please note their address

• Are there any problems with vegetation?

  Yes

  No

  N/A

• Photo of vegetation

  Media

• Any other obstacles / obstructions need to be considered?

  Yes

  No

  N/A

• Photo of obstruction

  Media

Air locks / Bag lock

• Access issues?

• Size of air lock

  2 x 2 x 2m

  1 x 1 x 2m

  750 x 750 x 2000 mm

  600 x 600 x 2000 mm

• Size of bag lock

  2 x 2 x 2m

  1 x 1 x 2m

  750 x 750 x 2000 mm

  600 x 600 x 2000 mm

• Vision panels or CCTV

  Vision panels

  CCTV

  Both

  Enclosure Entry

• Will vision panels be accessible?

  Yes

  No

  N/A

CDM Information

• CDM project

  Yes

  No

  N/A

• Name of principle contractor?

• Name of CDMC

• Name of companies employer

COSHH

• Wet strip solution

  Yes

  No

  N/A

• Aerosol adhesive

  Yes

  No

  N/A

• Expanding foam

  Yes

  No

  N/A

• MMMF

  Yes

  No

  N/A

• General dusts

  Yes

  No

  N/A

• Smoke fluid

  Yes

  No

  N/A

• Soy gel paint remover

  Yes

  No

  N/A

• X- tex paint remover

  Yes

  No

  N/A

• Any other material?

Risk assessments

• Statutory services still live

  Yes

  No

  N/A

• Confined space

  Yes

  No

  N/A

• Noise and noise nuisance

  Yes

  No

  N/A

• Hand demolition and hand arm vibration

  Yes

  No

  N/A

• Hand cutting timber

  Yes

  No

  N/A

• Manual handling

  Yes

  No

  N/A

• Fire

  Yes

  No

  N/A

• Handling asbestos cement sheet

  Yes

  No

  N/A

• Removal of AIB

  Yes

  No

  N/A

• Removal works within a live TC

  Yes

  No

  N/A

• Working at height

  Yes

  No

  N/A

• Cutting and removing asbestos pipe lagging

  Yes

  No

  N/A

• Needles and sharps

  Yes

  No

  N/A

• Grit blasting inside enclosure

  Yes

  No

  N/A

• Use of airline respiratory equipment

  Yes

  No

  N/A

• Use of injection equipment

  Yes

  No

  N/A

• Material Transport and traffic management

  Yes

  No

  N/A

• Vehicle entering and leaving site

  Yes

  No

  N/A

• Disease from vermin

  Yes

  No

  N/A

• Fuel or oil leaks from plant

  Yes

  No

  N/A

• Hot works - cutting

  Yes

  No

  N/A

• Use of mobile tower

  Yes

  No

  N/A

• Hand tool use

  Yes

  No

  N/A

• Erection of asbestos enclosures

  Yes

  No

  N/A

• Fixed scaffold erection and modification

  Yes

  No

  N/A

• Asbestos cement containing materials

  Yes

  No

  N/A

• Use of machinery

  Yes

  No

  N/A

• Removal of fluorescent tube light fittings

  Yes

  No

  N/A

• Working from MEWPS

  Yes

  No

  N/A

• Ice blasting inside enclosures

  Yes

  No

  N/A

• Use of hand held power tools

  Yes

  No

  N/A

• Use of podium steps

  Yes

  No

  N/A

• Risk assessment notes

Access

• Working at Height

  Yes

  No

  N/A

• Is fixed scaffold required

  Yes

  No

  N/A

• Mobile tower (height / number)

• Podiums (height / number)

• Ladder (loft access)

  Yes

  No

  N/A

• Key code

• Void key

  Yes

  No

  N/A

• Any other access issues

Sketch plan

• Must include, location of DCU, waste van / skip, air lock / bag lock, vacs, NPU, transit route, vision panels, CCTV, welfare. Additional equipment:red box, generators, towers, MEWPS, podiums

• Site sketch

  Drawing

Tenant agreement

• If required has furniture removal been explained and agreed?

  Yes

  No

  N/A

• Does the tenant understand the works and what is involved in carrying them out?

  Yes

  No

  N/A

• Has use of power / services been agreed with tenant

  Yes

  No

  N/A

• If the tenant is leaving the property, has key handover times been agreed?

  Yes

  No

  N/A

• Date of removal agreed with tenant / office?

  Yes

  No

  N/A

• Date for removal

• Additional information?

• Tenants signature

  Sign

• Caswell Group representatives signature

  Sign