DSL Asbestos Plan of Works

• Site name

• Building Number / Name

• POW No. e.g. (B17-01-00)

• Conducted on

  Date

• Prepared by:

  Sign

• Authorised By:

  Sign

• Accepted By:

  Sign

Preliminaries and Site Information

• Survey Details (Detail reference Number, date and who it was carried out by)

• Start Date:

• Duration of Works:

• Additional Comments

• Amendments to the Plan of Works:
  
  No changes are permitted to this plan of works, during execution of the works and following its authorisation and acceptance.
  
  If for any reason a change has occurred, beyond all controls and despite adequate planning, the POW author must be contacted and an amendment be made where required.
  
  Works must ALWAYS be carried out in accordance with the POW, ALL changes MUST be reported.

Scope of Works

• What type of asbestos containing material is to be removed?

• What is the approximate extent of the works? (Quantity the material to be removed wherever possible)

• Background or relevant information on the site or the proposed works

• Is weekend working required or expected?

  Yes

  No

  N/A

• Is overnight working required or expected?

  Yes

  No

  N/A

• Additional comments

Site operatives and Supervision

• Enclosure Supervisor Name

• Number of Operatives Required?

• How will Supervision be provided?

  Select CCTV Viewing Panels Allocated Enclosure Supervisor

  • CCTV
  • Viewing Panels
  • Allocated Enclosure Supervisor

Material to be removed

• Please attach here any photos of which may assist in understanding the above written description of materials to be removed.

  Photos Available

  No Photo Possible

• Asbestos Type

  Select Crocidolite Amosite Chrysotile Presumed

  • Crocidolite
  • Amosite
  • Chrysotile
  • Presumed

• Asbestos Use

  Select AIB Textured Coating Flock / Spray Pipe Lagging Other Insulation Other

  • AIB
  • Textured Coating
  • Flock / Spray
  • Pipe Lagging
  • Other Insulation
  • Other

• Asbestos Condition

  Very Good

  Some Damage

  Poor

• Means of Attachment

Removal Method

• Method of Removal

  Select Encapsulation Environmental Clean Wrap and Cut Spray Mist / Wet Spray Shadow Vac / Use of Vac Wet Injection Glove Bag Use of Enclosure Use of Gel (Textured Coating Removal) Carefully Unscrew / Unbolt / Dismantle Manual Picking up Lift and Remove (not fixed) Scrape Other Other

  • Encapsulation
  • Environmental Clean
  • Wrap and Cut
  • Spray Mist / Wet Spray
  • Shadow Vac / Use of Vac
  • Wet Injection
  • Glove Bag
  • Use of Enclosure
  • Use of Gel (Textured Coating Removal)
  • Carefully Unscrew / Unbolt / Dismantle
  • Manual Picking up
  • Lift and Remove (not fixed)
  • Scrape
  • Other
  • Other

Controls

• Select all controls that will be used

  Select Use of Local Exhaust Ventilation Achieve Negative Pressure Use of Enclosure Use of airlock and baglock Decontamination Unit Smoke Test Seal CCTV Approved Removal Methods Use of Gels Use of PPE / RPE Use of H-Vac Use of Surfactant Viewing Panels Dedicated Supervisor Exclusion Zone

  • Use of Local Exhaust Ventilation
  • Achieve Negative Pressure
  • Use of Enclosure
  • Use of airlock and baglock
  • Decontamination Unit
  • Smoke Test Seal
  • CCTV
  • Approved Removal Methods
  • Use of Gels
  • Use of PPE / RPE
  • Use of H-Vac
  • Use of Surfactant
  • Viewing Panels
  • Dedicated Supervisor
  • Exclusion Zone

RPE

• Type of RPE To be used

  Select Half Face Full face Air Fed Respirator

  • Half Face
  • Full face
  • Air Fed Respirator

• Additional comments

Enclosure Planning

• Enclosure Area / Location Considered (Insert Detail and Photo where possible)

  Safe

  At Risk

  N/A

• Airlock / Baglock Location Considered (Insert Detail and Photo where possible)

  Safe

  At Risk

  N/A

• DCU Location Considered (Insert Detail and Photo where possible)

  Safe

  At Risk

  N/A

• Power and Water Supply Point Considered (Insert Detail and Photo where Possible)

  Safe

  At Risk

  N/A

• Transit / Waste Routes Considered (Insert Details, Distance and Photo where possible)

  Less than 10m

  10-20m

  20-30m

  More than 30m

  N/a

Enclosure Details

• Enclosure Descriptive Detailing

• Has a Enclosure sketch been prepared and required to be read in conjunction with this POW

  Yes

  No

  N/A

• Enclosure Width

• Enclosure Length

• Enclosure Height

• Airlock Size

• Bag lock Size

• Additional Cube Measurements (If Required)

• Total Volume of Enclosure

Negative Pressure Calculation

• Exhaust Length (Allow 1% / m)

• Roving head length (Allow 1% / m)

• No. bends in enclosure design (Allow 2% per bend)

• 10 Air Changes Required Per Hour as Company Policy

• Allow 20% Standard Depreciation for NPU Output

• Show Calculation for required NPU Size

• NPU Machine Size Required

Waste

• Expected quantity of waste generated

• Skip size required

• Waste to be transported by

• Waste to be transported to

Scaffolding

• Will Scaffolding be required?

  Yes

  No

  N/A

• Will a sub-contractor be used or required to erect the scaffolding?

  Yes

  No

  N/A

• Additional Comments

Analyst Sevices

• Will 4 Stage Clearance be required?

  Yes

  No

  N/A

• Analyst to be used

Method of Removal

• Descriptive summary of actual method to be adopted)

Risk Assessment

• Is a risk assessment available for carrying out such works within the organisation? Insert link / reference number/ location etc

  Yes

  No

  N/A

• Detail any amendments to the risk assessment required in ensuring all risks and controls are relevant and site specific.

Further Comments / Observations / Workforce Feedback

• Additional comments