Audit

Survey available?
Date of Survey

Survey company

Type of building
Start date requested by client

ASB5 Required?

ASB5 date
Estimated finish date
Number of staff

Type of ACM

Location? Condition? Fixing details? Survey reference?

Type of ACM

Location? Condition? Fixing details? Survey reference?

Type of ACM

Location? Condition? Fixing details? Survey reference?

Type of ACM

Location? Condition? Fixing details? Survey reference?

Any other ACM and details

Description of works

Scope of works

Enclosure details size

Respirator zone size

Power / water needed

Electrical isolation required

Mechanical isolation required

Gas / other isolation required

Will the work area require clearing of materials / furniture etc prior to commencement of works? If yes by who

Transit / waste route

Will the transit route impact on others on site?

If so how many? And what measures will be put in place?

Sole control of Cordtape staff?

Site specific photo
DCU location
Working area

Airlock / Baglock

Skip location/Wait and load
Other

Tools and equipment required

Non asbestos hazards - work at height, confined spaces, unsafe structures, slips trips and falls, manual handling etc

Any additional information

Site layout drawing
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.