Title Page
-
Project Name
-
Job Number
-
Site Address
-
Date
-
Demo One Site Supervisor
Demo One Thorough Visual Inspection Form
Objective
-
To provide confirmation the Demo One Site Supervisor has carried out a thorough visual inspection of the Enclosure (or Work Area) and the area is clear of visible debris and dust. This form to be passed/emailed to Analyst before the 4-stage clearance starts.
-
LARC 2020
Enclosure and Visual Inspection Details
-
Name and/or number of enclosure being inspected
-
Size of enclosure (see Plan of Work) in metres cubed (L x W X H)
-
Has full access of the site been obtained (where necessary)?
-
Has a new pre-filter been installed in the NPU(s)?
-
Have all ACM removal locations been checked and certified as free from asbestos?
-
Have all surfaces floors, walls, ceilings and other items been inspected and confirmed as visually clean?
-
Have all ledges, sills, higher level surfaces including voids (where appropriate) been inspected and confirmed as visually clean?
-
Have all cables, wiring, pipework, ducting etc. been inspected and confirmed as visually clean?
-
Have all items and equipment brought into and/or remaining in the enclosure, for the clearance procedure (including scaffolding and large waste items) been checked and confirmed as visually clean?
-
Photograph of inside the enclosure passed for 4-stage clearance
Confirmations
-
Start time of Visual Inspection
-
Finish Time of Visual Inspection
-
I certify I have carried out a thorough visual inspection of the enclosure/work area and confirm the area is visually clean and ready to be made available to the Analyst to commence the independent 4-stage clearance for the certificate of reoccupation.
-
Name and signature of Site Supervisor
-
Form to be handed/emailed to Analyst.
-
Name and signature of Analyst
-
The following is guidance on how long the visual (stage 2) of a 4-stage clearance should take to complete for individual enclosures:
