DSM Asbestos Site Audit 1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Works information

• Site Address
  Address

• Date Of Visit

  Date

• Supervisor For Site Works<br>

  Adam Lewis

  Jason Strong

  Gheorge Tomozei

• Works notification type?

  Select Notifiable Non-Notifiable

  • Notifiable
  • Non-Notifiable

• Works area?

  Select Enclosure Zone

  • Enclosure
  • Zone

• Asbestos type?

  Select Chrysotile Amosite Crocidolite

  • Chrysotile
  • Amosite
  • Crocidolite

• Stage of works

  Select Site set up Enclosure construction Removal / Encapsulation Final clean Air test / Site clear

  • Site set up
  • Enclosure construction
  • Removal / Encapsulation
  • Final clean
  • Air test / Site clear

• Photo - Stage of works

  Media

Site security

• Are perimeter fence lines secure?

  Yes

  No

  N/A

• Photos of perimeter fence line

  Media

Site Welfare

• Are welfare facilities set up and working on site?

  Yes

  No

  N/A

• Are facilities correct for amount of personnel on site?

  Yes

  No

  N/A

• Are the facilities kept clean and hygienic?

  Yes

  No

  N/A

• Photos of welfare set up (inside & outside)

  Media

Site Documentation

• Asbestos License / ASB5 / /NNLW1 /POW on site?

  Yes

  No

  Not Applicable

• Are isolation certificates on site?<br>

  Yes

  No

  Not Applicable

• Has toolbox talk been given on isolations<br>

  Yes

  No

  Not Applicable

• COSHH assessments on site<br>

  Yes

  No

  Not Applicable

• Site log completed<br>

  Yes

  No

  Not Applicable

• Plan of work signed by operatives<br>

  Yes

  No

  Not Applicable

• Risk assessments on site<br>

  Yes

  No

  Not Applicable

• Emergency procedures on site<br>

  Yes

  No

  Not Applicable

• Consignment notes on site<br>

  Yes

  No

  Not Applicable

• A copy of the standard procedures<br>

  Yes

  No

  Not Applicable

• Has the site diary been completed?<br>

  Yes

  No

  Not Applicable

• A copy of insurance on site

  Yes

  No

  Not Applicable

• Daily Exposure been completed

  Yes

  No

  Not Applicable

• Daily RPE been completed

  Yes

  No

  Not Applicable

• Daily enclosure inspection been completed

  Yes

  No

  Not Applicable

• Daily plant check been completed

  Yes

  No

  Not Applicable

• Has a smoke test been completed

  Yes

  No

  Not Applicable

• Medicals / face fits / Training for all Operatives on site<br>

  Yes

  No

  Not Applicable

Site Set Up - Plan Of Works

• Has there been liaison with the client<br>

  Yes

  No

  Not Applicable

• Is the site layout as per plan of work?<br>

  Yes

  No

  Not Applicable

• Is the enclosure as per plan of work?<br>

  Yes

  No

  Not Applicable

• Is the DCU as per plan of work?<br>

  Yes

  No

  Not Applicable

• Is the Skip / Waste Van as per plan of work?<br>

  Yes

  No

  Not Applicable

• Is the waste route as per plan of work?

  Yes

  No

  Not Applicable

• Is the transit route as per plan of work?

  Yes

  No

  Not Applicable

• Is the bagging station as per plan of work?

  Yes

  No

  Not Applicable

• Are the air locks as per plan of works

  Yes

  No

  Not Applicable

• Is the method of removal as per plan of works

  Yes

  No

  Not Applicable

• Is the vision panel / CCTV as per plan of works

  Select Yes No Not Applicable

  • Yes
  • No
  • Not Applicable

• Have any amendments been recorded?<br>

  Yes

  No

  Not Applicable

• If yes, What are the amendments?

• Tool Box talks carried out

  Select Site Set up DCU Set up Enclosure Construction Stripping Technique Waste Disposal Accident Reporting Fire Point Emergency Procedure PPE Risk Assessments Site Log Exposure Plan Of Works

  • Site Set up
  • DCU Set up
  • Enclosure Construction
  • Stripping Technique
  • Waste Disposal
  • Accident Reporting
  • Fire Point
  • Emergency Procedure
  • PPE
  • Risk Assessments
  • Site Log
  • Exposure
  • Plan Of Works

• Fire point identified<br>

  Yes

  No

  Not Applicable

• Is the fibre suppression as per PoW?<br>

  Yes

  No

  Not Applicable

• Is there wetting agent on site<br>

  Yes

  No

  Not Applicable

• Is the enclosure preventing the spread of asbestos?<br>

  Yes

  No

  Not Applicable

• Is the site supervisor on site at all times?<br>

  Yes

  No

  Not Applicable

• Is there a first aid kit on site?<br>

  Yes

  No

  Not Applicable

• Is there a fire extinguisher on site?<br>

  Yes

  No

  Not Applicable

Plant and Equipment

• Number of NPU as per Plan of works

  Yes

  No

  Not Applicable

• Certificates available for each NPU<br>

  Yes

  No

  Not Applicable

• NPU in good condition<br>

  Yes

  No

  Not Applicable

• Are leads secure preventing trips<br>

  Yes

  No

  Not Applicable

• Are there at least 2 off H Type vacuums on site<br>

  Yes

  No

  Not Applicable

• Are the certificates available for Vacuums<br>

  Yes

  No

  Not Applicable

• Is the RPE as per plan of works<br>

  Yes

  No

  Not Applicable

• Is the RPE in a clean condition<br>

  Yes

  No

  Not Applicable

Waste

• Is the waste being stored in the Enclosure<br>

  Yes

  No

  Not Applicable

• If yes, Why is it being stored within enclosure?

• Is the waste in the correct packaging?<br>

  Yes

  No

  Not Applicable

• Is the waste being bagged as soon as it is removed <br>

  Yes

  No

  Not Applicable

• Are waste bags being over loaded<br>

  Yes

  No

  Not Applicable

• Is the transit route free of debris<br>

  Yes

  No

  Not Applicable

• Is the waste route clearly marked<br>

  Yes

  No

  Not Applicable

• Are the operatives wearing the correct RPE and PPE when removing waste<br>

  Yes

  No

  Not Applicable

• Are correct handling techniques being used<br>

  Yes

  No

  Not Applicable

• Is the waste being stored in a lockable container<br>

  Yes

  No

  Not Applicable

DCU Checks

• Is the DCU level?

  Yes

  No

  N/A

• Are the internal and dirty end external doors self closing?

  Yes

  No

  N/A

• Is there a direct water feed to DCU?

  Yes

  No

  N/A

• Is the electric to mains with RCD secure?

  Yes

  No

  N/A

• Is the earthing rod in place?

  Yes

  No

  N/A

• Is the Pilot Light on boiler lit?

  Yes

  No

  N/A

• Are the Clean and Dirty ends marked?<br>

  Yes

  No

  N/A

• Is the Waste water going to foul water drain?

  Yes

  No

  N/A

• Are the Steps in position for access?

  Yes

  No

  N/A

• is there a copy of the DCU clearance certificate from its last site

  Yes

  No

  N/A

• Boiler Test available?

  Yes

  No

  N/A

• Electrical Test available?

  Yes

  No

  N/A

• Stock Towels available?

  Yes

  No

  N/A

• Stock Overalls available?

  Yes

  No

  N/A

• Shampoo / Shower Gel available?

  Yes

  No

  N/A

• Nail Brushes available?

  Yes

  No

  N/A

Enclosure

• Is there an enclosure?

  Yes

  No

  N/A

• Is there a separate baglock as per Plan Of Works?

  Yes

  No

  N/A

• Has the bagging station got the correct signs?

  Yes

  No

  N/A

• Is the bagging station clean?

  Yes

  No

  N/A

• Air lock Condition? (Poor 1 - 5 Perfect)

  1

  2

  3

  4

  5

• Picture of Airlocks

  Media

• Number of buckets within Airlocks

  1

  2

  3

• Are Airlocks clean?

  Yes

  No

  N/A

• Have the Airlocks got signs on?

  Yes

  No

  N/A

• Is the removal method as per plan of works?

  Yes

  No

  N/A

• Type of suppression being used?

  Airless Spray

  Wet Injection

  Pressure Washer

  Killer Spray

• Do the Baglocks / Airlocks have vision panels on them?

  Yes

  No

  N/A

• Are the flaps the correct size and correctly weighted?

  Yes

  No

  N/A

• Have any amendments been recorded?

  Yes

  No

  N/A

• If Yes, Please state what has been amended.

• Has the enclosure got vision panels?

  Yes

  No

  N/A

• Transit shoes in the airlocks?

  Yes

  No

  N/A

• Overall standard of the enclosure? (Poor 1-5 Perfect)

  1

  2

  3

  4

  5

• Are there sufficient signs around the enclosure?

  Yes

  No

  N/A

• Wellington boots being used within the enclosure?

  Yes

  No

  N/A

• Hoods on overalls up?

  Yes

  No

  N/A

• CCTV in operation and viewing the removal? (If required within the POW)

  Yes

  No

  N/A

• DCU direct connection?

  Yes

  No

  N/A

Work At Height

• Has the work at height risk been assessed?

  Yes

  No

  N/A

• Is the work at height risk assessment on site?

  Yes

  No

  N/A

• Is the scaffold tower correctly erected?

  Yes

  No

  N/A

• Toe boards / Guardrails correctly installed?

  Yes

  No

  N/A

• Ladders correctly installed?

  Yes

  No

  N/A

• Competent inspection / Scaff-Tagged?

  Yes

  No

  N/A

• Picture of scaffolding

  Media

• Podiums / Towers erected by PASMA trained operatives?

  Yes

  No

  N/A

• Podiums / Towers correctly erected?

  Yes

  No

  N/A

• Picture of podiums / towers

  Media

• Are ladders being used?

  Yes

  No

  N/A

• If yes, State circumstances for use of ladder?

Storage

• Is the plant stored in clean condition?

  Yes

  No

  N/A

• Is the plant being looked after on site?

  Yes

  No

  N/A

• Are vacuum hoses being stored correctly in bags?

  Yes

  No

  N/A

• Rate the plant storage (Poor 1-5 Perfect)

  1

  2

  3

  4

  5

• Are materials being stored on site correctly / Tidily?

  Yes

  No

  N/A

• Is there any visible waste around works area?

  Yes

  No

  N/A

Employee's

• Are masks clean and in tidy condition?

  Yes

  No

  N/A

• Are tools in good condition?

  Yes

  No

  N/A

• Do all operatives have transit shoes?

  Yes

  No

  N/A

• Do all operatives have wellingtons?

  Yes

  No

  N/A

• Are all operatives clean shaven?

  Yes

  No

  N/A

• Is correct PPE and RPE being used?

  Yes

  No

  N/A

General Site

• Have all fire precaution been assessed?

  Yes

  No

  N/A

• Comments -

• Is the general housekeeping good on site?

  Yes

  No

  N/A

• Comments -

• Are services clearly located on site?

  Yes

  No

  N/A

• Comments -

• Are emergency plans in place on site?

  Yes

  No

  N/A

• Comments -

• Are all traffic routes segregated away from works?

  Yes

  No

  N/A

• Comments -

• Is there any works interfering with our works?

  Yes

  No

  N/A

• Comments -

Personnel Check

Supervisor

• Mask condition is good

• PPE is correct

• Have daily checks been carried out

  Yes

  No

  N/A

• Medical Available on site

• FaceFit available on site

• Full Face mask on site

• Wellingtons on site

• Transit shoes on site

Operative 1 Check List

• Mask condition is good

• PPE is correct

• Have daily checks been carried out

  Yes

  No

  N/A

• Medical Available on site

• FaceFit available on site

• 1/2 Mask on site

• Full Face mask on site

• Wellingtons on site

• Transit shoes on site

Operative 2 Check List

• Mask condition is good

• PPE is correct

• Have daily checks been carried out

  Yes

  No

  N/A

• Medical Available on site

• FaceFit available on site

• 1/2 Mask on site

• Full Face mask on site

• Wellingtons on site

• Transit shoes on site

Vehicle Information

• Vehicle cleanliness Bodywork<br>

  Dirty

  Poor

  Good

• Vehicle cleanliness Cab<br>

  Dirty

  Poor

  Good

• Vehicle cleanliness Inside the back<br>

  Dirty

  Poor

  Good

• Picture of vehicle

  Media

• First aid kit in van?

  Yes

  No

  N/A

• Fire Extinguisher in van front?

  Yes

  No

  N/A

• Signature of Supervisor

  Sign

• Signature of Assessor

  Sign

• Select date

  Date