Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

WORK ORDER DETAILS

  • Work Order Number:

  • Requested By:

  • For Hub:

CLIENT/HOUSEHOLDER DETAILS

  • Claim Number:

  • Client/Householder Name:

  • Contact Details:

TASK ANALYSIS (Required for this work order yes/no)

  • SITE CHECKS (PER VISIT)

  • 1) Assess property for external hazards

  • 2) Familiarise customer with process and requirements

  • 3) Erect signs and barricades and/or check existing signs and barricades

  • 4) Don PPE (full face mask with HEPA and organic vapour cartridges, BA when entering floor cavities)

  • ---------------------------------------------------------------------------------------------------------------------------------------------------------

  • 5) As per below

  • ---------------------------------------------------------------------------------------------------------------------------------------------------------

  • 6) Ensure any signage being left on site is secure and visible

  • 7) Remove bundling and signage not being left on site

  • 8) Check site and leave

  • ECC AND/OR AIR SAMPLING

  • follow steps 1-4 of site checks

  • a) Load in equipment and ensure all is in good working order (electrical equipment is fully tagged etc)

  • b) Record observations including clients comments

  • c) Take samples as required

  • follow steps 6-8 of site checks

  • DECONTAMINATE CRAWL SPACE

  • follow steps 1-4 of site checks

  • a) Ensure all occupants and pets are out of the area to be decontaminated

  • b) Block all foundation vents

  • c) Fog out crawl space

  • follow steps 6-8 of site checks

  • DECONTAMINATION OF INTERNAL ENVELOPE OF PROPERTY

  • follow steps 1-4 of site checks

  • a) Load in equipment and ensure all is in good working order (electrical equipment is fully tagged etc)

  • b) Load in disinfectants and ensure they are safely stored and mixed (keep well away from the public and have MSDS at hand)

  • c) Take pre-air samples

  • d) Ensure all occupants and pets are out of the area to be decontaminated

  • e) Apply surface treatments

  • f) Pack up unnecessary equipment and load out

  • g) Set VHP and close up home

  • follow steps 6-8 of site checks

  • POST TREATMENT SAMPLING

  • follow steps 1-4 of site checks

  • a) Upon re-entry, test VHP levels. Only re-enter if safe to

  • b) Take Air Impact Samples

  • follow steps 6-8 of site checks

  • Signature of Technician Completing Task Analysis

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