Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General Information
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Contractors Name completing the survey;
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Addition sub contractors assisting with survey? (Detail company name in notes section)
Surveyor Name;
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Daniel Albert
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Mike Kavanagh
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David Ferris
Building Type;
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Domestic
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Commercial
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Industrial
Brief Description of Works;
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Description of works
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Type of survey
- Management
- Refurbishment & Demolition Survey
- Scope Specific Refurbishment survey to specified area
- Targeted Refurbishment SurveyWith Management To Remainder of Property
Audit Type
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Audit type
- Survey training audit 1 of 4
- Survey training audit 2 of 4
- Survey training audit 3 of 4
- Survey training audit 4 of 4
- Initial survey authorisation audit (after training audits)
- 3 month follow up audit (after authorisation audit)
- Reinspection survey authorisation
- Annual audit
Project Details
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Has the surveyor been given accurate information and equipment to complete survey?
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Has the surveyor liased with site contact?
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Has a site walkthrough been undertaken with site contact?
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Have keys been issued to the surveyor for access?
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Does surveyor know where nearest A&E is located in an emergency?
Welfare
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Are welfare arrangements in place for surveyor(s)
Health & Safety
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Does the surveyor have all necessary health and safety equipment available e.g gloves, safety boots, hi viz vest / coat, type 5/6 overalls, safety glasses etc? (Detail missing equipment in notes section)
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Has a site specific induction been undertaken prior to starting survey?
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Does the surveyor have a valid face fit for mask type worn?
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What mask is worn by surveyor for sampling? (Detail model type in notes section)
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Is surveyor clean shaven?
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Is mask tagged and uniquely identifiable to surveyor wearing it?
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Is the surveyor lone working? (Please detail second man in notes section)
Vehicle
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Spare tyre?
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First aid kit?
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Fire extinguisher?
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Mirrors?
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Windscreen wipers and windscreen fluid?
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Tyres legal? (Include spare)
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Lights working?
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Oil levels ok?
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Brake fluid levels ok?
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Windscreen condition satisfactory?
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Vehicle damage defects identified by auditor (not reported)?
Surveyor Training & Competencies
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Training currently held
- P401
- P402
- P403
- P404
- P405
- CCP
- S301
- Working at height training
- Confined space training
- PASMA
- MEWP
Risk Assessment & Control Measures
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Has the surveyor completed an on-site dynamic risk assessment before starting survey?
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Are control measures adopted suitable?
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Is the surveyor aware of Fusion emergency procedures in the event of an accident on site?
ACM’s Identified;
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Have ACM’s been identified by the surveyor?
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Any additional ACM's Identified during audit? (not picked up by surveyor)
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Is sample data collection accurate?
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Is material assessment scoring correct?
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Is Priority assessment scoring correct?
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Are sample bags uniquely identifiable as per company procedures?
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Plans/Rooms uniquely identifiable as per company procedures?
Drawings / Plans
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Hand drawn sketch plans used?
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Digital Xodo app used?
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Are samples accurately marked on plans?
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Are rooms uniquely identifiable on plans?
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Is project number, building address, date and pagination on plan(S)
Sampling Strategy
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Was the correct sampling strategy adopted for the material type?
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Was ACM sufficiently dampened with water & surfactant mixture?
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Is sample of sufficient size as per HSG264 & Fusion surveying procedures?
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Has the sample location been adequately sealed and/or labelled?
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Was all PPE & RPE worn correctly?
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We’re sampling tools cleaned after use to avoid any possible cross contamination?
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Was all waste disposed of correctly?
No Access Areas
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Have all areas been accessed as per scope of works? If not have plans been demarcated and data recorded correctly?
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Has the client been notified of non accessible locations before leaving site?
Limitations
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Are there any limited accesses?
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Have the limitations been recorded as per scope of works?
Assessment Sumary
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Audit outcome
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Auditor signature
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Date & time