Title Page
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Job Number
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Enter Name of Demo One / Agency Operative Being Assessed
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Assessors Name
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Date
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Demo One Site Supervisor
Operative Assessment Test
OPERATIVE ASSESSMENT
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Photo of operative
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Does the operative have a good understanding of English?
MODULE 4: Site set up, maintenance and dismantling
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Could the operative explain why the DCU should be as close as possible to the enclosure (if it is not directly connected)?
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Could the operative explain why the NPUs should be as far away from the airlock as possible?
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Did the operative know what a rise in the NPU gauge might mean?
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Did the operative know the minimum amount of air changes that are required per hour within an enclosure?
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Did the operative know how long an NPU should remain switched on after everyone has left the enclosure?
Module 4: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 5: Controlled stripping techniques
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Could the operative describe the correct method of removal for AIB?
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Could the operative describe the correct method of removal for Sprayed Coating?
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Could the operative describe the correct method of removal for pipework - wrap and cut?
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Could the operative describe the correct method of removal for pipework - injection?
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Could the operative describe the correct method of removal for debris and/or residue?
Module 5: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 6: RPE (Full Face)
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Has the operative stored the Full Face RPE correctly?
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Did the operative check the face piece correctly?
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Did the operative check the power supply correctly?
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Did the operative undertake the 10-second test correctly?
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Did the operative undertake the flow test correctly?
Module 6: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 7: Personal protective equipment and clothing (PPE)
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Did the operative know the correct mandatory PPE rules for the site?
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Did the operative know what additional asbestos PPE should be worn when transferring waste?
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Did the operative know what type and class of overalls should be worn inside the enclosure?
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Could the operative explain what the 5 points of PPE are?
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Did the operative know the importance of wearing PPE correctly?
Module 7: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 8: Transit procedures and decontamination
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Could the operative explain where the correct place is to fit their RPE before transiting to the enclosure and why?
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Could the operative explain where the correct place is to remove their RPE after transiting from the enclosure and why?
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Could the operative explain where the correct place is to remove their red overalls when leaving the enclosure and why?
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Could the operative explain what is the minimum amount of time to be spent under the shower and why?
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Could the operative state where the correct place is to preliminary clean their full face RPE when leaving the enclosure?
Module 8: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 9: Cleaning and clearance air testing
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Does the operative know what the acceptable air clearance level is before an enclosure can be struck?
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Can the operative describe what stage 1 is of the 4-stage clearance process?
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Can the operative describe what stage 2 is of the 4-stage clearance process?
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Can the operative describe what stage 3 is of the 4-stage clearance process?
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Can the operative describe what stage 4 is of the 4-stage clearance process?
Module 9: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 10: Plant and equipment
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Does the operative know how often a NPU should be serviced?
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Does the operative know how often a H-type vacuum should be serviced?
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Does the operative know how often a injection machine should be serviced?
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Does the operative know how a H-type vacuum should be transported from site?
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Does the operative know what to do if equipment is broken or damaged?
Module 10: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 11: Waste management and disposal
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Does the operative know where the red bag should be placed in the clear bag?
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Does the operative know how to deal with an oversized item of waste?
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Does the operative know where a red bag should be sprayed when being removed from the enclosure?
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Does the operative know what PPE and RPE to wear when transiting waste from the baglock?
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Can the operative explain the importance of keeping waste transit routes clear, clean and why?
Module 11: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
MODULE 12: Emergency procedures
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Can the operative explain what to do if a waste bag split on the way to a skip?
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Does the operative know what to do if there was a power failure while they were in the enclosure?
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Does the operative know what to do if someone suffered a major injury within the enclosure?
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Does the operative know what to do if an unscheduled fire alarm sounded while they were in the enclosure?
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Does the operative know what to do if the enclosure is breached?
Module 12: Observations and / or actions required
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80%-100%. Briefing given if one incorrect answer. Requires normal supervision.
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60%. Briefing given on incorrect answers. Requires close supervision.
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0%-40%. Toolbox talk given on this module set. Requires very close supervision and reassessed regularly.
END OF ASSESSMENT
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Prior to signing, the assessor will explain the assessment findings to the operative and undertake any briefings and/or toolbox talks.
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Operatives name and signature
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Assessors name and signature
