Cordtape - Asbestos Removal & Site Conditions Audit Form

• Report No.

• Removal Contractor

• Site

• Site Supervisor

• Conducted on

  Date

• Prepared by

  Andy Stones

  Allan Lee
• Site Address
  Address

• Is this a Priority visit following an accident or incident on site?

  Yes

  No

  N/A

1.0 - MAIN WORK TASKS

• Environmental Clean

• Removal

• Encapsulation

• Ancillary

• Supervisory

• Waste Handling

2.0 - ASBESTOS MATERIAL

• Sprayed coating

• A.I.B

• Insulation

• Cement

• Textured Coating

• Gaskets & Rope

• Floor Tiles

3.0 - ASBESTOS TYPES

• Crocidolite

• Amosite

• Chrysotile

• Actinolite

• Anthophylite

• Tremolite

4.0 - PLANNING AND DOCUMENTATION

• Is the project notifiable under ASB5 action?

  Yes

  No

  N/A

• Has the ASB5 been submitted to the HSE?

  Yes

  No

  N/A

• Does the ASB5 detail match the project and POW?

  Yes

  No

  N/A

• ASB5 expiry date:

  Date

• Has the supervisor completed the project pre start checklist?

  Yes

  No

  N/A

• Is the site file being maintained up to date (supervisor checks & inspections etc.)?

  Yes

  No

  N/A

• Is the site diary/log being maintained?

  Yes

  No

  N/A

• Is there a site information board displaying the EL certificate, ASB5, site plan and emergency contacts?b

  Yes

  No

  N/A

• Employers Liability insurance expiry date:

  Date

• Are these documents available within the site files/documentation?

  Yes

  No

  N/A

• Employees Liability insurance expiry date:

  Date

• Is there a copy of the job specific POW on site?

  Yes

  No

  N/A

• Are there risk assessments for activities other than asbestos removal (hot works, working at heights, use of hand tools, confined spaces etc.)?

  Yes

  No

  N/A

• Are there COSHH assessments on site (spray tack, PU foam, surfactant etc.)?

  Yes

  No

  N/A

• Have the RAs, COSHH assessments and POW been read and understood by all undertaking the work (is a record maintained)?

  Yes

  No

  N/A

• Is there a copy of the removal contractor's Health & Safety policy on site?

  Yes

  No

  N/A

• Is there a copy of the removal contractor's asbestos licence on site?

  Yes

  No

  N/A

• Is there a copy of the waste carriers licence on site?

  Yes

  No

  N/A

• Is a copy of the removal contractor's general procedures document available on site?

  Yes

  No

  N/A

5.0 - SITE SPECIFIC DETAILS (POW)

• Does the site layout agree with the POW and include the correct enclosure sizes and locations?

  Yes

  No

  N/A

• Is the supervisor on site the one listed in plan?

  Yes

  No

  N/A

• Is the scope of works/methodology/material adequately described in the POW?

  Yes

  No

  N/A

• Does the plan detail when the work is to be carried out (including start/finish times and weekend variations)?

  Yes

  No

  N/A

• Does the plan detail the air monitoring arrangements for the duration of the works?

  Yes

  No

  N/A

• Does the plan detail the person or company providing the 4-stage clearance and to whom they are contracted to?

  Yes

  No

  N/A

• If the plan has been amended, has it been signed/dated and do other records (e.g site diary) show the authorisation procedure has been followed?

  Yes

  No

  N/A

• Does the plan detail the type of RPE to be used?

  Yes

  No

  N/A

• Does the plan detail the arrangements for smoke testing and witnessing?

  Yes

  No

  N/A

6.0 - SUPERVISORS & OPERATIVES

Supervisor(s)

• Name of supervisor.

• Medical certificate on site?

  Yes

  No

  N/A

• Medical certificate expiry date?

  Date

• Supervisory training certificate on site?

  Yes

  No

  N/A

• Training certificate expiry date?

  Date

• Face-fit test certificates on site (half-mask)?

  Yes

  No

  N/A

• Half-mask face-fit expiry date (max two years)?

  Date

• Face-fit test certificate on site (full-face mask)?

  Yes

  No

  N/A

• Full face fit-test certificate expiry date (max 2years)?

  Date

• Is full-face mask 6-monthly inspection certificate on site?

  Yes

  No

  N/A

• Serial No. of mask:

• Full face mask 6-monthly test expiry date.

  Date

• Is the supervisor(s) clean shaven?

  Yes

  No

  N/A
Operative(s)

• Name of operative.

• Medical certificate on site?

  Yes

  No

  N/A

• Medical certificate expiry date (max 2 years).

  Date

• Operative training certificate on site?

  Yes

  No

  N/A

• Training certificate expiry date.

  Date

• Is face-fit test certificate on site (half mask)?

  Yes

  No

  N/A

• Half-mask fit-test expiry date ( max 2 years).

  Date

• Is Face-fit test certificate on site (full-face mask)?

  Yes

  No

  N/A

• Full-face mask fit-test expiry date (max 2 years).

  Date

• Is full-face mask 6monthly inspection certificate on site?

  Yes

  No

  N/A

• Serial no. of mask:

• Full-face mask 6-monthly test expiry date.

  Date

• Is the operative clean shaven?

  Yes

  No

  N/A

7.0 - HYGIENE FACILITY/DECONTAMINATION UNIT

• Is the gas installation certificate available?

  Yes

  No

  N/A

• Gas cert expiry date.

  Date

• Is the Electrical test certificate available?

  Yes

  No

  N/A

• DOP cert expiry date.

  Date

• Is the DOP certificate available for the NPU?

  Yes

  No

  N/A

• DOP cert expiry date.

  Date

• Is the air clearance certificate available for the unit?

  Yes

  No

  N/A

• Date of last air test.

  Date

• Is the DCU connected/unconnected to the enclosure as detailed in the POW?

  Yes

  No

  N/A

• Is the transit procedure and route in accordance with the POW?

  Yes

  No

  N/A

• Is the outside of the unit clean?

  Yes

  No

  N/A

• Are there sufficient DCU's/showers for the number of personnel on site (1-shower: 4-persons)?

  Yes

  No

  N/A

• Are the DCU legs down and is it level and is it connected to the mains water and power? Is the unit adequately earthed?

  Yes

  No

  N/A

• Are there usable warning signs on the external clean/dirty entry doors?

  Yes

  No

  N/A

• Have lockers been provided in the clean end?

  Yes

  No

  N/A

• Are there adequate methods of heating the DCU in cold weather?

  Yes

  No

  N/A

• Do the showers have adequate supply of hot water?

  Yes

  No

  N/A

• Are all doors (internal and external) self closing and in working order?

  Yes

  No

  N/A

• Is the waste water from the DCU filtered and discharging to foul sewer?

  Yes

  No

  N/A

• Are the latest emergency evacuation instructions posted in the clean end of the DCU?

  Yes

  No

  N/A

• Have liquid soap, shampoo, nail brushes and clean dry towels been provided?

  Yes

  No

  N/A

• Are hooks available in the shower to hang RPE whilst showering?

  Yes

  No

  N/A

• Are there sufficient power points in the clean end to charge RPE battery packs?

  Yes

  No

  N/A

8.0 - SITE PREPARATION

• Has all non-contaminated loose equipment and material been removed from the working area?

  Yes

  No

  N/A

• Have all floor ducts, risers, electrical sockets and other openings been covered and sealed inside the area?

  Yes

  No

  N/A

• Has the supervisor confirmed all openings in plant, pipes, walls & ceilings (including hidden voids) been sealed?

  Yes

  No

  N/A

• Has all electrical plant been isolated or effectively protected from the ingress of water or surfactant materials?

  Yes

  No

  N/A

• During preparation/sheeting is the correct PPE & RPE being used?

  Yes

  No

  N/A

• Are all employees wearing supplied logo clothing? Is it clean? Do they look and act 'professional'?

  Yes

  No

  N/A

9.0 - AIRLOCK/BAGLOCK

• Does the airlock consist of at least 3 (1 x 1 x 2m) compartments with vision panel (600 x 300mm located in dirty end?

  Yes

  No

  N/A

• Is the outer flap in place?

  Yes

  No

  N/A

• Are the flaps weighted at the bottom with ends taped?

  Yes

  No

  N/A

• Do the flaps overlap and cover the openings?

  Yes

  No

  N/A

• Is there a hand-held spray in the dirty end (for cleaning of boots & RPE)?

  Yes

  No

  N/A

• Is the airlock tidy and free of all dust, dirt and debris?

  Yes

  No

  N/A

• Does the airlock have suitable signage displayed?

  Yes

  No

  N/A

• Has a separate baglock been provided where reasonably practicable to do so?

  Yes

  No

  N/A

• Does the baglock have a viewing panel in the centre stage (min 300mm x 600mm)

  Yes

  No

  N/A

10.0 - WORK AREA/ENCLOSURE

• Is the enclosure constructed in accordance with the general procedures (1000 gauge ploy; 50mm2 timber or use cleanable surfaces of area)

  Yes

  No

  N/A

• If flame retardant polythene is required by POW, is it being used?

  Yes

  No

  N/A

• Has a clear Perspex inspection/viewing panel (600 x 300mm min) or CCTV been incorporated into the enclosure?

  Yes

  No

  N/A

• Are all parts of the enclosure visible via the panel(s) or CCTV?

  Yes

  No

  N/A

• Are the work areas/enclosures on carpet? If so, has boarding been used to overlay the carpet?

  Yes

  No

  N/A

• Are there sufficient ASBESTOS warning signs displayed around the area?

  Yes

  No

  N/A

11.0 - PPE & RPE

• Are the asbestos removal operatives wearing full overalls, with a hood (type 5, cat 3)?

  Yes

  No

  N/A

• Ae they wearing Wellington boots?

  Yes

  No

  N/A

• Are the overalls on the outside of their boots?

  Yes

  No

  N/A

• Are their hoods on the outside of their RPE harness strap?

  Yes

  No

  N/A

• If a transit procedure is being operated, are work and transit overalls of a different colour?

  Yes

  No

  N/A

• General Work:

  White

  Blue

  Red

• Transit:

  White

  Blue

  Red

• Stripping/Removal:

  White

  Blue

  Red

• Are the masks worn as stated in the POW?

  Yes

  No

  N/A

• Is any other PPE required on site and is it being correctly used?

  Yes

  No

  N/A

12.0 - CONTROL MEASURES: - DUST REDUCTION/WET STRIPPING

• Is the system being used in accordance with that specified in the POW?

  Yes

  No

  N/A

• Is the system set-up and being operated correctly?

  Yes

  No

  N/A

• Does the system ensure dust levels are being reduced to the lowest practicable levels?

  Yes

  No

  N/A

• Do the results of personal air monitoring indicate that the methods used are effective?

  Yes

  No

  N/A

• Are the surfactants/wetting agents only been used on cold surfaces?

  Yes

  No

  N/A

• Are exposure records available on site?

  Yes

  No

  N/A

• Check the service records of the equipment. Has it been serviced according to the manufacturers schedule?

  Yes

  No

  N/A

13.0 - NEGATIVE PRESSURE UNITS

• Does the unit(s) extract from the enclosure at a point far enough away from the airlock enclosure as possible to ensure good air-flow through the enclosure without any dead spaces, or is a roving head in place? Is there sufficient negative pressure?

  Yes

  No

  N/A

• Is NPU(s) correctly sheeted to enclosure wall, or if inside, sheeted over including vent hose?

  Yes

  No

  N/A

• Does the unit(s) vent to atmosphere outside the building? Or if venting inside, is regular air monitoring being undertaken?

  Yes

  No

  N/A

• Is the ducting in good condition?

  Yes

  No

  N/A

• Does the pre filter look to be working efficiently?

  Yes

  No

  N/A

• Does the unit(s) have DOP/electrical test certificates?

  Yes

  No

  N/A
Neg Pressure Unit

• NPU Serial No.

• DOP expiry date.

  Date

14.0 - CLASS-H- VACUUM CLEANERS

• Are there a minimum of 2 No. vacuums on site?

  Yes

  No

  N/A

• Is there one in the area near the airlock for decontamination?

  Yes

  No

  N/A

• Are the hoses and electric flex in good condition?

  Yes

  No

  N/A

• Have they got current DOP/electrical test certificates?

  Yes

  No

  N/A
H-Vac

• H-Vac Serial No.

• DOP expiry date.

  Date

15.0 - WASTE HANDLING & DISPOSAL

• Does the waste route follow the one in the POW?

  Yes

  No

  N/A

• Is the waste route clean with no signs of debris?

  Yes

  No

  N/A

• Are the bags marked in accordance with the current legislative requirements?

  Yes

  No

  N/A

• Is the waste correctly double bagged and sealed before leaving the area?

  Yes

  No

  N/A

• If waste is being temporarily stored, is the area labelled and secure?

  Yes

  No

  N/A

• Are ASBESTOS waste skips in use on site?

  Yes

  No

  N/A

• Is the skip locked at all times when not in use?

  Yes

  No

  N/A

• Is the waste skip of the totally enclosed type?

  Yes

  No

  N/A

• Is there suitable ASBESTOS warning signs displayed on the skip(s)?

  Yes

  No

  N/A

16.0 - TRANSIT PROCEDURES

• Is transit footwear available and is it stored in clean section of airlock?

  Yes

  No

  N/A

• Are there sufficient pairs for the number of people in the work area?

  Yes

  No

  N/A

• Are transit coveralls stored in clean end of airlock?

  Yes

  No

  N/A

• Are transit routes correctly protected (e.g. exposed' carpeted areas covered)?

  Yes

  No

  N/A

• Is suitable transit route signage displayed?

  Yes

  No

  N/A

• If site is occupied (other trades etc) is transit route barriered off or are personnel accompanied?

  Yes

  No

  N/A

17.0 - AIR MONITORING ARRANGEMENTS

• Is the company and regime identified in the POW undertaking the air monitoring?

  Yes

  No

  N/A

• Is a visual inspection carried out by the supervisor once the stripping is complete?

  Yes

  No

  N/A

18.0 - COMMUNICATION

• Is there a suitable system in place to allow easy two-way communication between workers inside the enclosure and those working outside the enclosure?

  Yes

  No

  N/A

19.0 - EMERGENCY PROCEDURES- are they in place/available for:

• Medical emergency inside the enclosure?

  Yes

  No

  N/A

• Loss of electric power?

  Yes

  No

  N/A

• Failure of the enclosure?

  Yes

  No

  N/A

• Is there a qualified first-aider available on site?

  Yes

  No

  N/A

• Is a copy of the first-aiders certificate in the site file?

  Yes

  No

  N/A

• Are they in-date for refresher training?

  Yes

  No

  N/A

• Is there an adequately stocked first-aid kit available on site?

  Yes

  No

  N/A

• Are there records to show the first-aid kit(s) are checked on a regular basis?

  Yes

  No

  N/A

• Are all items contained within the first-aid kit(s) in-date (no expiry dates exceeded)?

  Yes

  No

  N/A

20.0 - FIXED SCAFFOLDING

• Is there are fixed scaffolding in use on site?

  Yes

  No

  N/A

• Does the scaffold form part of the enclosure or was its installation liable to disturb ACMs when erected?

  Yes

  No

  N/A

• Was the scaffold erected by a licensed scaffold contractor?

  Yes

  No

  N/A

• Name of scaffold contractor:

• Has a scaffold-tag been displayed in the scaffold?

  Yes

  No

  N/A

• Has the scaffold sign-off been completed on the tag?

  Yes

  No

  N/A

• Have the required 7-day inspections been undertaken by a competent person and detailed on the tag?

  Yes

  No

  N/A

• Are double hand-rails and toe-boards fitted to all open edges?

  Yes

  No

  N/A

• Is there a safe means of access to every working platform?

  Yes

  No

  N/A

• Are all gaps and openings in or around the working platform through which anyone or materials can fall been adequately covered?

  Yes

  No

  N/A

• Where timber boards have been used, are they adequately protected to prevent contamination?

  Yes

  No

  N/A

21.0 - COMPANY VEHICLES

• Has it been air tested within last 2 months?

  Yes

  No

  N/A

• Date of last test.

  Date

• Is the outside of van clean?

  Yes

  No

  N/A

• Is the body work in good order with no obvious signs of damage?

  Yes

  No

  N/A

• Are all light lenses present in place and undamaged?

  Yes

  No

  N/A

• Is the cab of the van clean and tidy (no signs of smoking materials)?

  Yes

  No

  N/A

• Is storage area clean and well ordered (there are should be no masks hung up or loose)?

  Yes

  No

  N/A

22.is there any fixed scaffolding in use on site0 - CORRECTIVE ACTIONS

• Corrective actions are designated as 'High', 'Medium' or 'Low' risk.
  
  High risk actions are considered a serious failure which could potentially lead to serious injury or a regulatory noncompliance which could lead to an enforcement officer issuing a Prohibition or Improvement notice. High risk actions should be completed as soon as is reasonably practicable.
  
  Medium.risk actions are considered as important as they may lead to less serious injury or have been highlighted because the contractor is not meeting the standards expected of a professional competent contractor. These actions should be given a reasonable timeframe for completion, usually between 1 and 6 months.
  
  Low risk actions are not normally considered as compulsory actions, but if completed would assist the company with improving its safety management systems, policies and procedures, as well as demonstrating a commitment to safety management by the contractor. A suitable timeframe for these actions to be implemented would be 3 to 12 months.

High Risk Action

• Add media

  Media
Medium Risk Action

• Add media

  Media
Low Risk Action

• Add media

  Media

SIGN OFF

• Auditor

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• Site Supervisor

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