Title Page
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Inspection Date
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Inspected By
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Air Pressure
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Location
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Appropriate Signage installed to entrance?
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Decon Unit serviced (separate check—sheet)?
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Bag disposal in Decon unit suitable?
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Respirators appropriately stored when not in use?
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Respirator cleaning and servicing facilities available?
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Air Monitoring in place and located in suitable areas?
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Negative air unit pre—filters installed?
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Ducting to negative air units free from damage?
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Negative air units positioned in appropriate places?
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Materials decontamination unit clean?
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Materials decontamination unit is working correctly?
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All windows are sealed?
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sheeting to floors or walls damaged?
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Floor area is clean and tidy?
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Wet removal method for any ACM removal — no visible dust in air?
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All removal workers wearing correct PPE?
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Please attach Enclosure photos
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Signed: