Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contract Manager

  • Contract manager

Site

  • Site Address:

  • Photo of front of property

  • Parking?

  • Photo of parking

  • Driveway?

  • Photo of driveway

  • Yellow lines locally?

  • Photo of local road

  • Pay and Display?

  • Photo of ticket machine

  • Red route?

  • Sketch of parking

Client & Tenant details

  • Term Client?

  • Client?

  • Client Contact Details (email, telephone etc.)

  • Tenants details - name?

  • Telephone No.

  • Diversity issues?

  • Comments?

Supervisor and working hours

  • Preferred site supervisor?

  • Duration of work (days)

  • Working hours?

  • Weekend working?

  • Number of operatives

Analytical information and survey details

  • Preferred analytical company?

  • Type of air monitoring required?

  • Give details of required monitoring

  • Asbestos survey type

  • Survey conducted by?

Asbestos information

  • Type of asbestos

  • Location of asbestos to be removed

  • Condition of ACM

  • Quantity of ACM to be removed (sq m)

  • Removal method?

  • Notes about removal method

  • How is ACM fixed?

  • Photo of ACM

  • ACM painted / covered

  • Photo of covering

  • Are there any obstructions or obstacles (pipes etc.)

  • Photo of obstruction

  • Are there any items attached to the ACM?

  • Photo of attached item

  • Does the attached item need to be saved or re-used

  • Photo of item to be saved

DCU & Transit route

  • Location of DCU and surrounding landmarks

  • Will DCU be attached?

  • Type?

  • Photo of location

  • Mains feed location?

  • Photo of mains feed

  • Electric supply on site?

  • Photo of electric supply

  • Where will leads / cables run?

  • Photo of location

  • Type of water disposal?

  • Photo of drainage location

  • Transit route details?

  • Photo of transit route

  • Any obstacle or hazard on route?

  • Photo of obstacle

  • How long is transit route?

  • Does transit route cross roads / pavements?

  • Photo of road or pavement

  • Escorted transit route required?

  • Welfare facilities required?

  • Photo of welfare location

Waste

  • Waste disposal method

  • Quantity (bags, kilos, skips)?

  • Location of waste storage / issues?

  • Photo of waste storage location

  • Photo of issue

Enclosure

  • Enclosure Length. Width. Height

  • Area 1:

  • Area 2:

  • Area 3:

  • Area 4:

  • Area 5:

  • Location

  • Will the enclosure obstruct access within the building (toilet / kitchen)?

  • Photo of enclosure location

  • Temporary lighting required?

  • Where will power come from?

  • Photo of power point / generator location

  • Is the work in a communal area?

  • Photo of communal area

  • If other tenants are affected please provide their contact details

  • Do any vents need covering (if connected to a boiler this will need isolating)?

  • Photo of vent / boiler

  • Do windows need covering?

  • Photo of windows

  • If neighbours are affected by the enclosure please note their address

  • Are there any problems with vegetation?

  • Photo of vegetation

  • Any other obstacles / obstructions need to be considered?

  • Photo of obstruction

Air locks / Bag lock

  • Access issues?

  • Size of air lock

  • Size of bag lock

  • Vision panels or CCTV

  • Will vision panels be accessible?

CDM Information

  • CDM project

  • Name of principle contractor?

  • Name of CDMC

  • Name of companies employer

COSHH

  • Wet strip solution

  • Aerosol adhesive

  • Expanding foam

  • MMMF

  • General dusts

  • Smoke fluid

  • Soy gel paint remover

  • X- tex paint remover

  • Any other material?

Risk assessments

  • Statutory services still live

  • Confined space

  • Noise and noise nuisance

  • Hand demolition and hand arm vibration

  • Hand cutting timber

  • Manual handling

  • Fire

  • Handling asbestos cement sheet

  • Removal of AIB

  • Removal works within a live TC

  • Working at height

  • Cutting and removing asbestos pipe lagging

  • Needles and sharps

  • Grit blasting inside enclosure

  • Use of airline respiratory equipment

  • Use of injection equipment

  • Material Transport and traffic management

  • Vehicle entering and leaving site

  • Disease from vermin

  • Fuel or oil leaks from plant

  • Hot works - cutting

  • Use of mobile tower

  • Hand tool use

  • Erection of asbestos enclosures

  • Fixed scaffold erection and modification

  • Asbestos cement containing materials

  • Use of machinery

  • Removal of fluorescent tube light fittings

  • Working from MEWPS

  • Ice blasting inside enclosures

  • Use of hand held power tools

  • Use of podium steps

  • Risk assessment notes

Access

  • Height

  • Is fixed scaffold required

  • Mobile tower (height / number)

  • Podiums (height / number)

  • Ladder (loft access)

  • Key code

  • Void key

  • Any other access issues

Sketch plan

  • Must include, location of DCU, waste van / skip, air lock / bag lock, vacs, NPU, transit route, vision panels, CCTV, welfare. Additional equipment:red box, generators, towers, MEWPS, podiums

  • Site sketch

Tenant agreement

  • If required has furniture removal been explained and agreed?

  • Does the tenant understand the works and what is involved in carrying them out?

  • Has use of power / services been agreed with tenant

  • If the tenant is leaving the property, has key handover times been agreed?

  • Date of removal agreed with tenant / office?

  • Date for removal

  • Additional information?

  • Tenants signature

  • Erith representatives signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.