HB59

• Site address

• Job no.

• Client

• Conducted on

  Date

• Prepared by

• Personnel

• Main Task

  Select Environmental Clean Clean Removal Encapsulation Ancillary Supervisory Waste Handling

  • Environmental Clean
  • Clean Removal
  • Encapsulation
  • Ancillary
  • Supervisory
  • Waste Handling

• Asbestos Material

  Select Sprayed Coating AIB Insulation Cement Textured Coating Gaskets & Rope Floor Tiles

  • Sprayed Coating
  • AIB
  • Insulation
  • Cement
  • Textured Coating
  • Gaskets & Rope
  • Floor Tiles

• Asbestos Type

  Select Amosite Chrysotile Crocidolite Actinolite Anthophylite Tremolite

  • Amosite
  • Chrysotile
  • Crocidolite
  • Actinolite
  • Anthophylite
  • Tremolite

• Priority Visit?

  Yes

  No

  N/A

• Job Notified?

  Yes

  No

  N/A

PLANNING AND DOCUMENTATION

• Has the supervisor completed the pre start checklist on the M/S?

  Yes

  No

  N/A

• Is there a copy of the POW including the ASB5, risk assessment and method statement on site?

  Yes

  No

  N/A

• Are the risk assessments suitable, sufficient and relevant to the outside activities?

  Yes

  No

  N/A

• Have they been read and understood and have they signed?

  Yes

  No

  N/A

• Does the ASB5 match the POW?

  Yes

  No

  N/A

• Is there a copy of the asbestos licence & waste carriers licence on site?

  Yes

  No

  N/A

• Is a copy of general procedures guide available on site?

  Yes

  No

  N/A

SITE SPECIFIC DETAILS

• Does the site layout agree with the drawings and photos and include the correct enclosure sizes and locations?

  Yes

  No

  N/A

• Is the supervisor on site the one listed in plan of work?

  Yes

  No

  N/A

• Is the scope of works/methodology/material adequately described in the plan of work?

  Yes

  No

  N/A

• Does the plan of work detail when the work is to be carried out? (including start/finish times and weekend variations)

  Yes

  No

  N/A

• Does the plan of work detail the air monitoring arrangements for the duration of the works?

  Yes

  No

  N/A

• Does the plan detail the person or company providing the 4stage clearance and to whom they are contracted to?

  Yes

  No

  N/A

• If the plan of work has been amended, has it been signed/dated and do other records (e.g site diary) show the authorisation procedure has been followed?

  Yes

  No

  N/A

• Does the plan of work detail the type of respirators to be used?

  Yes

  No

  N/A

• Does the plan of work detail the arrangements for smoke testing and witnessing? Has this been witnessed?

  Yes

  No

  N/A

SUPERVISORS & OPERATIVES

• Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes

  No

  N/A

• Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes

  No

  N/A

• Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes

  No

  N/A

• Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes

  No

  N/A

• Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes

  No

  N/A

HYGIENE FACILITY/DECONTAMINATION UNIT

• Are the gas installation and safety certificates and the air clearance certificate for the DCU available?

  Yes

  No

  N/A

• Is the DCU connected to the enclosure?

  Yes

  No

  N/A

• Is the transit procedure in accordance to the plan of work?

  Yes

  No

  N/A

• Is the outside of the unit clean?

  Yes

  No

  N/A

• Are there sufficient DCU's/showers for the number of personnel on site? (1shower: 4persons)

  Yes

  No

  N/A

• Are the DCU legs down and is it level and is it connected to the mains water and power? Is the unit adequately earthed?

  Yes

  No

  N/A

• Are there usable warning signs on the external clean/dirty entry doors?

  Yes

  No

  N/A

• Have lockers been provided in the clean end?

  Yes

  No

  N/A

• Are there adequate methods of heating the DCU in cold weather?

  Yes

  No

  N/A

• Do the showers have adequate supply of hot water?

  Yes

  No

  N/A

• Is there a gas detector fitted?

  Yes

  No

  N/A

• Are all doors (internal and external) self closing?

  Yes

  No

  N/A

• Is the waste water from the DCU filtered and discharging to foul sewer?

  Yes

  No

  N/A

• Does the DCU have an extraction fan fitted with a HEPA filter fitted on the dirty external wall? (does it have a current DOP/electrical test cert)

  Yes

  No

  N/A

• Are the latest emergency evacuation instructions posted in the clean end of the DCU?

  Yes

  No

  N/A

• Has the check sheet been completed and is the log book up to date?

  Yes

  No

  N/A

• Have liquid soap, shampoo, nail brushes and clean dry towels been provided for the thorough decontamination of the removal personnel?

  Yes

  No

  N/A

• Are hooks available in the shower to hang RPE whilst showering?

  Yes

  No

  N/A

• Are all vents clear of dust and ingrained dirt?

  Yes

  No

  N/A

• Are all seals (wall to floor, wall to wall sinks etc) in place?

  Yes

  No

  N/A

• Are all doors and door castings clear of dust?

  Yes

  No

  N/A

• Are the sinks and waste system clean of dust?

  Yes

  No

  N/A

• Is flooring worn to a level that ingrained dirt cannot easily be removed?

  Yes

  No

  N/A

• Is the NPU and area underneath clear of dirt and in a dry condition? Can you see the flow meter

  Yes

  No

  N/A

• Are there sufficient, working power points in the clean end to charge RPE battery packs?

  Yes

  No

  N/A

• Is the DCU set correctly in accordance with above?

  Yes

  No

  N/A

• Have you checked the DCU hose?

  Yes

  No

  N/A

SITE PREPARATION

• Has all non-contaminated loose equipment and material been removed from the working area?

  Yes

  No

  N/A

• Have all floor ducts, risers, electrical sockets and other openings been covered and sealed inside the area?

  Yes

  No

  N/A

• Has a supervisor confirmed all openings in plant, pipes, walls & ceilings (including hidden voids) been sealed?

  Yes

  No

  N/A

• Has all electrical plant been isolated or effectively protected from the ingress of water or surfactant materials?

  Yes

  No

  N/A

• During preparation/sheeting is the correct PPE & RPE being used?

  Yes

  No

  N/A

AIRLOCK/BAGLOCK

• Does airlock consist of at least 3 (1x1x2m) compartments with vision panel (600x300mm located in dirty end?

  Yes

  No

  N/A

• Is the outer flap in place.

  Yes

  No

  N/A

• Are the flaps weighted at the bottom and taped?

  Yes

  No

  N/A

• Do the flaps overlap and cover the openings?

  Yes

  No

  N/A

• Is there a hand held spray in the dirty end?

  Yes

  No

  N/A

• Is the airlock tidy and free of all dust, dirt and debris?

  Yes

  No

  N/A

• Does the airlock have suitable signage?

  Yes

  No

  N/A

• Is there a baglock? If not, please state reason why? If yes does it consist of at least 3 (1x1x2m) compartments with vision panel (600x300mm) located in dirty ends?

  Yes

  No

  N/A

WORK AREA/ENCLOSURE

• Is the enclosure constructed in accordance with the general procedures (1000 gauge ploy; 50mm2 timber or use cleanable surfaces of area)

  Yes

  No

  N/A

• If flame retardant polythene is required by POW, is it being used?

  Yes

  No

  N/A

• Has a clear Perspex inspection/viewing panel (600x300mm min) or CCTV been incorporated into the enclosure?

  Yes

  No

  N/A

• Are all parts of the enclosure visible via the panel(s) or CCTV?

  Yes

  No

  N/A

• Are the work areas/enclosures on carpet? If so, has boarding been used to overlay the carpet?

  Yes

  No

  N/A

• Are there sufficient ASBESTOS warning signs displayed around the area?

  Yes

  No

  N/A

PPE

• Are the asbestos removal operatives wearing full overalls, with a hood (type 5, cat 3)?

  Yes

  No

  N/A

• Are they wearing gloves and Wellington boots?

  Yes

  No

  N/A

• Are the overalls on the outside of their boots?

  Yes

  No

  N/A

• Are their hoods on the outside of their RPE harness strap

  Yes

  No

  N/A

• If a transit procedure is being operated, are work and transit overalls of a different colour

  Yes

  No

  N/A

• Are the masks worn as stated in the POW?

  Yes

  No

  N/A

• If any personnel are entering the area or have just exited the DCU, are they clean shaven?

  Yes

  No

  N/A

• Is any other PPE required on site and is it being used?

  Yes

  No

  N/A

CONTROL MEASURES: - DUST REDUCTION/WET STRIPPING

• Is the system being used in accordance with that specified in the plan of work?

  Yes

  No

  N/A

• Is the system set up and working?

  Yes

  No

  N/A

• Satisfied that the dust levels are being reduced to the lowest practicable levels?

  Yes

  No

  N/A

• Do the results of personal air monitoring indicate that the methods used are effective?

  Yes

  No

  N/A

• Are the surfactants/wetting agents only been used on cold surfaces?

  Yes

  No

  N/A

• Are exposure records available on site?

  Yes

  No

  N/A

• Check the service records of the equipment. Has it been serviced according to the manufacturers schedule?

  Yes

  No

  N/A

NEGATIVE PRESSURE UNITS

• Does the unit(s) extract from the enclosure at a point far enough away from the airlock enclosure as possible to ensure good air flow through the enclosure without any dead spaces, or is a roving head in place? Is the sufficient negative pressure?

  Yes

  No

  N/A

• Is NPU(s) correctly sheeted to enclosure wall, or if inside, sheeted over including vent hose?

  Yes

  No

  N/A

• Does the unit(s) vent to atmosphere outside the building? Or if venting inside, is regular air monitoring being undertaken?

  Yes

  No

  N/A

• Does the pre filter look to be working efficiently?

  Yes

  No

  N/A

• Does the unit(s) have DOP/electrical test certificates?

  Yes

  No

  N/A

• Is the ducting in good condition?

  Yes

  No

  N/A

CLASS-H- VACUUM CLEANERS

• Is there one in the area near the airlock for decontamination?

  Yes

  No

  N/A

• Are the hoses and electric flex in good condition?

  Yes

  No

  N/A

• Are the vacuum cleaners working efficiently?

  Yes

  No

  N/A

• Have they got current DOP/electrical test certificates?

  Yes

  No

  N/A

WASTE HANDLING & DISPOSAL

• Is there a suitable waste disposal route for the bags with suitable signage?

  Yes

  No

  N/A

• Are the bags marked in accordance with the current legislative requirements?

  Yes

  No

  N/A

• Is the waste double bagged?

  Yes

  No

  N/A

• Are bags being overfilled?

  Yes

  No

  N/A

• If waste is being temporarily stored, is the area labelled and secure?

  Yes

  No

  N/A

• What condition is the skip? Is it lockable? Are suitable signs present?

  Yes

  No

  N/A

• Does the waste route follow the one in the plan of work?

  Yes

  No

  N/A

TRANSIT PROCEDURES

• Is transit footwear available and is it stored in clean section of airlock?

  Yes

  No

  N/A

• Are the sufficient pairs for the number of people in the work area?

  Yes

  No

  N/A

• Are transit coveralls stored in clean end of airlock?

  Yes

  No

  N/A

• Does the transit route go over 'exposed' carpeted areas?

  Yes

  No

  N/A

• Is there signage to show transit route?

  Yes

  No

  N/A

• If site is occupied (other trades etc) is transit route barriered off or are personnel accompanied?

  Yes

  No

  N/A

AIR MONITORING ARRANGEMENTS

• Is the company and regime identified in the POW undertaking the air monitoring?

  Yes

  No

  N/A

• Is a visual inspection carried out by the supervisor once the stripping is complete?

  Yes

  No

  N/A

COMMUNICATION

• Is there a suitable system in place to allow easy two-way communication between workers inside the enclosure and those working outside the enclosure?

  Yes

  No

  N/A

EMERGENCY PROCEDURES- are they in place/available for:

• Medical emergency inside the enclosure?

  Yes

  No

  N/A

• Loss of electric power?

  Yes

  No

  N/A

• Failure of the enclosure?

  Yes

  No

  N/A

VAN REGISTRATION

• Has it been air tested within 2 months

  Yes

  No

  N/A

• Is the outside of van clean?

  Yes

  No

  N/A

• Are all light lenses present (is it legal)?

  Yes

  No

  N/A

• Is storage area clean and well ordered? NB if there are asks hung up or loose, this is 3pts

  Yes

  No

  N/A

• Is there any sign that smoking has taken place inside the vehicle?

  Yes

  No

  N/A

ADDITIONAL COMMENTS & CORRECTIVE ACTIONS

• Please enter comments -

  Yes

  No

  N/A

• List contract managers non conformances and points -

  Yes

  No

  N/A

• Auditor

  Sign

• Supervisor

  Sign

• Points given