Title Page

  • Inspection Date

  • Inspected By

  • Air Pressure

  • Location
  • Appropriate Signage installed to entrance?

  • Decon Unit serviced (separate check—sheet)?

  • Bag disposal in Decon unit suitable?

  • Respirators appropriately stored when not in use?

  • Respirator cleaning and servicing facilities available?

  • Air Monitoring in place and located in suitable areas?

  • Negative air unit pre—filters installed?

  • Ducting to negative air units free from damage?

  • Negative air units positioned in appropriate places?

  • Materials decontamination unit clean?

  • Materials decontamination unit is working correctly?

  • All windows are sealed?

  • sheeting to floors or walls damaged?

  • Floor area is clean and tidy?

  • Wet removal method for any ACM removal — no visible dust in air?

  • All removal workers wearing correct PPE?

  • Please attach Enclosure photos

  • Signed:

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