Edenbeck Ltd site forms supervisors pack REV03 02/07/14

• Job Number EBK/

• Contracts Manager

• Prepared by

• Conducted on

  Date
• Location
  Address

• Personnel

Pre-Start Check List

• Does the asb5 supervisor match the method statement supervisor and is that you?

  Yes

  No

  N/A

• Do you have a written plan of work on site? Have all operatives signed it? Note if on iPad and not written have all operatives signed the method statement briefing on the iPad below?

  Yes

  No

  N/A

• Do you have a written risk assessment on site? Have all operatives signed it? Note if on iPad and not written have all operatives signed the risk assessment register on iPad below?

  Yes

  No

  N/A

• Do you have the asbestos policy and working procedures document rev 06 on site?

  Yes

  No

  N/A

• Do you have the health and safety manual REV04 on site?

  Yes

  No

  N/A

• Do you have a copy of the management or refurbishment survey on site? If not call the office.

  Yes

  No

  N/A

• Do you have a copy of the asbestos license on site?

  Yes

  No

  N/A

• Do you have a copy of the insurance certificate on site?

  Yes

  No

  N/A

• Do you have a copy of the waste carriers license on site?

  Yes

  No

  N/A

• Do you have a site supervisors file on site? Or access to all company documents via iPad?

  Yes

  No

  N/A

• Are all coshh assessments on site or available via iPad?

  Yes

  No

  N/A

• Check all RPE onsite for all operatives as per Edenbeck Ltd company procedures. <br><br>1) half masks clean, all parts accounted for, in a box, with cover / filter cap? Has ops initials on RPE in black marker?<br>2) full face. Clean, all parts accounted for? Components match mask cert? Has ops initials on each RPE component in black marker?

  Yes

  No

  N/A

• Is there a daily / weekly mask check list on site for each operative? Has this been correctly completed for each operative up to today's date?

  Yes

  No

  N/A

• List names and check expiry dates of all asbestos paperwork. Medical and face fit 2 years. Training 1 year. Mask cert 6 months. CSCS if applicable.<br><br>For example Chris Mayall / medical 24/08/14 / face fits 02/02/14 / training 02/02/14 / mask cert 02/02/13 / cscs 12/08/15.<br><br>If any paperwork is due to expire within 2 weeks add here.

  Yes

  No

  N/A

• Current test certificate for each NPU on site via iPad?

  Yes

  No

  N/A

• Current test certificate for each vac on site via iPad?

  Yes

  No

  N/A

• Current test certificate for each injection machine on site via iPad?

  Yes

  No

  N/A

• Accident book on site?

  Yes

  No

  N/A

• Health and safety law poster on site?

  Yes

  No

  N/A

• Waste route signs displayed?

  Yes

  No

  N/A

• Transit route signs displayed?

  Yes

  No

  N/A

Site Log

• Weather?

  Sunny

  Cloudy

  Raining

  Snowing

• Operative full names and agency if not Edenbeck Ltd. List time on site and time left site.

• Daily occurrences / site diary.

• Site Supervisor Signature

  Sign

Daily Plant Check List

• Does each piece of plant have a metal plate with unique Edenbeck number that matches the certificate? If not present complete record of onsite issue and email office using getstarted@edenbeck.co.uk. Write number on plant item using permanent black marker.

  Yes

  No

  N/A
BS8520:3 Vac

• Time and date of plant check?

  Date

• List unique EBK number of each vac E.G. VAC/14/003 EXP 12/09/14. Confirm each vac is in date? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Are all BS8520:3 Vacuums in good working order? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:3 Vacuums free from ingrained dirt? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:3 Vacuums free from damage to hoses and connectors? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:3 Vacuums free from damage to leads and switches? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:3 Vacuum hose screw covers present and free from damage? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A
BS8520:2 NPU

• List unique edenbeck nr of each NPU. E.G. NPU/13/003 EXP 07/09/14 and confirm each NPU is in date. List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Are all BS8520:2 NPU transit covers in place with foam seals and all clips closing? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Is BS8520:2 NPU vent flap in place and working?<br>

  Yes

  No

  N/A

• Are all BS8520:2 NPU on off switch plastic covers in good order? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Are all BS8520:2 NPU flow meters present and working? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Are all BS8520:2 NPU leads in good order? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:2 NPUs free from ingrained dirt? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A
BS8520:1 Injection Machine

• List unique Edenbeck number of each BS8520:1 Injection Machine and confirm each injection machine is in date. List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are BS8520:1 Injection machine on off switch plastic covers in good order? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.<br>

  Yes

  No

  N/A

• Are all BS8520:1 Injection machine leads in good order? List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

• Are all BS8520:1 Injection Machines from ingrained dirt?

  Yes

  No

  N/A

• Are the needles supplied clean, in working order and straight / angled as per the method statement?

  Yes

  No

  N/A

• List all other plant here. For example leads, smoke machine, splitter boxes, lights, drills, breakers and transformers along with any faults and any plant taken out of action. List any issues here and take out of action as applicable. Note if taking out of action you must complete a record of onsite issue and email to the office via getstarted@edenbeck.co.uk.

  Yes

  No

  N/A

DECONTAMINATION UNIT CHECK LIST

DCU Required?

• Decon Number?

  Yes

  No

  N/A
AM check

• AM Check

  Yes

  No

  N/A

• 1) Electrical test for dcu within 1 year?<br>2) DOP test cert for dcu NPU within 6 months?<br>

  Yes

  No

  N/A

• 3) Gas test for LPG boiler within 1 year?<br>4) Air test certificate present?<br><br>

  Yes

  No

  N/A

• 5) Emergency procedures on display?<br>6) Transit procedures on display?<br>

  Yes

  No

  N/A

• DCU on ground level?

  Yes

  No

  N/A

• Mirrors in unit?

  Yes

  No

  N/A

• Hot water in unit?

  Yes

  No

  N/A

• All doors closing?

  Yes

  No

  N/A

• Shower gel? Nail brush?

  Yes

  No

  N/A

• RCD test? (If connected to mains power)

  Yes

  No

  N/A

• Towels present?

  Yes

  No

  N/A

• Red bag in dirty end / clear bag in clean end?

  Yes

  No

  N/A

• Mains electric / power to the unit?<br>

  Yes

  No

  N/A

• Cleanliness including filter?

  Yes

  No

  N/A

• NPU satisfactory?

  Yes

  No

  N/A

• Adequate lighting?

  Yes

  No

  N/A

• Is the DCU connected to the enclosure?

  Yes

  No

  N/A

• Supervisor Signature

  Sign
PM check

• PM Check

  Yes

  No

  N/A

• 1) Electrical test for dcu within 1 year?<br>2) DOP test cert for dcu NPU within 6 months?<br>

  Yes

  No

  N/A

• 3) Gas test for LPG boiler within 1 year?<br>4) Air test certificate present?<br><br>

  Yes

  No

  N/A

• 5) Emergency procedures on display?<br>6) Transit procedures on display?<br>

  Yes

  No

  N/A

• DCU on ground level?

  Yes

  No

  N/A

• Mirrors in unit?

  Yes

  No

  N/A

• Hot water in unit?

  Yes

  No

  N/A

• All doors closing?

  Yes

  No

  N/A

• Shower gel? Nail brush?

  Yes

  No

  N/A

• RCD test? (If connected to mains power)

  Yes

  No

  N/A

• Towels present?

  Yes

  No

  N/A

• Red bag in dirty end / clear bag in clean end?

  Yes

  No

  N/A

• Mains electric / power to the unit?<br>

  Yes

  No

  N/A

• Cleanliness including filter?

  Yes

  No

  N/A

• NPU satisfactory?

  Yes

  No

  N/A

• Adequate lighting?

  Yes

  No

  N/A

• Is the DCU connected to the enclosure?

  Yes

  No

  N/A

• Supervisor Signature

  Sign

TOOLBOX TALK / METHOD STATEMENT BRIEFING

• Subject of tool box. See risk assessment. Discuss each risk as per the risk assessment. Discuss working method in detail including pausing to see if any other factors may affect the works. I.e. what is above the ceiling? Remind all operatives to proceed with caution. Discuss work at height methodology. Must be as per the method and risk assessment. If not call office.

  Yes

  No

  N/A

• Time and date of toolbox talk / method statement briefing

  Date

• List all operative names here:-

• All operatives to sign here:-

  Drawing

• I the supervisor confirm I have given the tool box talk.

  Yes

  No

  N/A

• Edenbeck Ltd Site Supervisor

  Sign

• Yes

  No

  N/A

SMOKE TEST

Enclosure

• Enclosure reference?

  Yes

  No

  N/A

• Time of smoke test?

  Date

• Exact location of enclosure and enclosure reference?

  Yes

  No

  N/A

• Description of works and comments?

  Yes

  No

  N/A

• I hereby confirm that I have witnessed the smoke test and no evidence of escaped smoke was present.

  Yes

  No

  N/A

• Edenbeck Ltd Supervisor

  Sign

• Witnessed by?

  Sign

DAILY ASBESTOS ENCLOSURE INSPECTION RECORD

• 
  

Enclosure

• Enclosure reference/description of where enclosure is?

  Yes

  No

  N/A

• Time and date of enclosure inspection.

  Date

• Enclosure condition?

  Yes

  No

  N/A

• Enclosure volume?

  Yes

  No

  N/A

• CCTV operational?

  Yes

  No

  N/A

• Smoke test date?

  Yes

  No

  N/A

• First stage air lock contain clear bag sheeted outside for transit coveralls?

  Yes

  No

  N/A

• Third stage air lock contain a spray bottle for mask cleaning and is there a vac with brush for decontamination on edge of enclosure?

  Yes

  No

  N/A

• Enclosure contain bucket of water with sponge for boot washing?

  Yes

  No

  N/A

• Hazard tape and no entry sign present to air lock / bag lock and enclosure?

  Yes

  No

  N/A

• Vision panels on 3rd stage of airlock / bag lock (if not CCTV needed in 3rd stage) and on enclosure?

  Yes

  No

  N/A

• Enclosure repairs undertaken?

  Yes

  No

  N/A

• I have inspected this enclosure. Edenbeck Ltd Site Supervisor.

  Sign

• Photo of enclosure

  Media

ENCLOSURE ENTRY LOG

Enclosure reference

• List operative names here. Time in / time out. Total hours within enclosure. I.e. Chris Mayall. In 0830 out 1130 in 1230 out 1630 total time in 7 hrs.

WASTE STORAGE / TRANSIT / WASTE ROUTE

• How is waste being stored on site?

  Yes

  No

  N/A

• Have all porous waste / transit routes been sheeted?

  Yes

  No

  N/A

• Have transit / waste route signs been erected?

  Yes

  No

  N/A

AFM

• Personals?

  Yes

  No

  N/A

• Reassurance? Waste store etc? Transit / waste route?

  Yes

  No

  N/A

• Backgrounds?

  Yes

  No

  N/A

• Photo of AFM certificate in page order

  Media