HB59 Asbestos removal & site conditions audit form - duplicate

• Site address

• Job no.

• Client

• Conducted on

  Date

• Prepared by

• Personnel

• Main Task

  Select Environmental Clean Clean / Removal Encapsulation Ancillary Suervisory Waste Handling

  • Environmental Clean
  • Clean / Removal
  • Encapsulation
  • Ancillary
  • Suervisory
  • 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

• Job Notified?

  Yes

  No

  N/A

HYGIENE FACILITY/DECONTAMINATION UNIT

• Is the DCU/Modular Unit operational? (This includes adequately earthed, all legs down and level)

  Yes, the DCU/Modular is operational (Connected to Mains power & Water)

  Yes, DCU/Modular unit operational (Self Contained)

  No, the DCU is not operational

• If the DCU is on unsuitable ground i.e grass. Is adequate protection being used to ground the DCU (Ply sheets)

  Yes

  No

  N/A

• Is the outside of the unit clean?

  Yes

  No

  N/A

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

  Yes

  No

• Is the NPU and area underneath clear of dirt and in a dry condition? (Is the flow meter visible?)

  Yes, NPU free from Dirt and flow meter visible

  Yes, NPU Free from Dirt flow meter NOT visible

  No, NPU not free from dirt

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

  Yes (Either discharged into onsite drain or into containers)

  No

• Is the water and waste inlet hose in good condition?

  Yes

  No

• Are adequate adapters/connector being used for the water inlet and waste pipe?

  Yes

  No

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

  Yes

  No

• Is there a carbon monoxide detector fitted within the DCU?

  Yes

  No

  N/A

• Are the gas installation and Electrical test, air clearance certificate and DOP certificate for the DCU available?

  Yes

  No

• Has the DCU log diary been completed from the previous project?

  Yes

  No

  N/A

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

  Yes

  No

• Have lockers been provided in the clean end?

  Yes

  No

  N/A

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

  Yes

  No

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

  Yes

  No

• Is there sufficient warning signs on the internal clean end to shower door?

  Yes

  No

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

  Yes

  No

• Do the showers have adequate supply of hot water?

  Yes

  No

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

  Yes

  No

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  No

  Yes

WORK AREA/ENCLOSURE

• Is the enclosure constructed in accordance with the SOP's?

  Yes

  No

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

  Yes

  N/A

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

  Yes

  No

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

  Yes

  No

• Are the work areas/enclosures on carpet? If so, has correx/polythene been used to protect the carpet?

  Select No, there are no carpets within the areas/enclosures Yes, there is carpets but has not been covered/protected. Yes, there is carpet and they have been protected with correx/polythene

  • No, there are no carpets within the areas/enclosures
  • Yes, there is carpets but has not been covered/protected.
  • Yes, there is carpet and they have been protected with correx/polythene

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

  Yes

  No

AIRLOCK/BAGLOCK

• Does airlock meet the minimum size requirement?

  Yes

  No - due to space restriction on site.

• Is the outer flap in place.

  Yes

  No

  N/A

• Are the flaps weighted at the bottom and taped?

  Yes

  No

  N/A

• Is there sufficient airlock flap deviation to indicate adequate airflow throughout the airlock?

  Yes

  No

  N/A

• Do the flaps overlap and cover the openings?

  Yes

  No

  N/A

• Is there a hand held spray in the third stage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the airlock/baglock have suitable signage?

  Yes

  No

  N/A

• Is there a baglock? If yes does it consist of at least 3 (1x1x2m) compartments with vision panel (600x300mm) located in dirty ends?

  Yes

  No

  N/A

• If no baglack is present, is the absence of a baglock justifiable by site constraints?

  Yes

  No

• Is the bag lock big enough for the waste size being removed?

  Yes

  No

• Is there a spray bottle in the baglock?

  Yes

  No

  N/A

• Is the baglock free from visible asbestos debris?

  Yes

  No

PPE

• Are the asbestos removal operatives wearing full overalls, with a hood (type 5/6, Category 3)?

  Yes

  No

• Are good practices observed? (i.e masks not being hung around the neck when not being worn)

  Yes

  No

• 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

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

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?

  Yes

  No

  N/A

• Is there sufficient negative pressure?

  Yes

  No

  N/A

• Additional air inlets suitability positioned and in use? where applicable.

  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

• Have the unit(s) been DOP/electrical tested within the last 6 months? (Evidence of testing sticker on the machine)

  Yes

  No

  N/A

• Is the ducting in good condition?

  Yes

  No

  N/A

CLASS-H- VACUUM CLEANERS

• Are there a minimum of 2 x H Type vacuum cleaners on site?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Have the VAC(s) been DOP/electrical tested within the last 6 months? (Evidence of testing sticker on the machine)

  Yes

  No

  N/A

SITE SPECIFIC & PLANNING

• Is there a copy of the POW including the ASB5 & risk assessments on site?

  Yes

  No

  N/A

• Has the POW been read, understood and signed by all employees? (Including handover by management)

  Yes

  No

  N/A

• Does the ASB5 match the POW?

  Yes

  No

  N/A

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

  Yes

  No

  No, However the POW has been amended to reflect the new layout

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

  Yes

  No

  N/A

• Is the scope of works/removal method/asbestos material adequately described in the plan of work?

  Yes

  No

  N/A

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

  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?

  Yes

  No

  N/A

• Has the smoke test been witnessed by the person stated on the POW?

  Yes

  No

  N/A

• 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

• Loss of electric power?

  Yes

  No

• Breach of the enclosure?

  Yes

  No

CONTROL MEASURES: - DUST REDUCTION/WET STRIPPING

• Is the dust suppression method being used suitable for the asbestos being removed?

  Yes

  No

  N/A

• is the dust suppression method being used in accordance with that specified in the plan of work?

  Yes

  No

  N/A

• Is the dust suppression 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

• If personal air monitoring has been conducted on this project, does the results indicate that the methods used are effective?

  Yes-Results indicate methods are effective

  Yes - However results indicate results are NOT effective

  No Personal air monitoring being conducted on this project

• 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

TRANSIT PROCEDURES

• Is transit footwear available and is it stored in stage 1 of the airlock?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are transit coveralls stored in stage 1 of the airlock?

  Yes

  No

  N/A

• Is the transit route on carpet? If so, has correx/polythene been used to protect the carpet?

  Yes- On carpet and is protected

  No- Not on Carpet

  Yes - Not protected

• Is there adequate signage along the transit route?

  Yes

  No

  Direct Connection

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

  Yes

  No

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

• Is the skip in good condition and labelled with sufficient signage?

  Yes

  Skip not being used

• Is the skip lockable?

  Yes

  No

• If the waste is being transported via van, is there suitable sealed compartment/lockable container to keep waste separate from equipment?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

DOCUMENTATION

• Has the supervisor completed the pre-start checklist HB03?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there a copy of HB Standard operating procedures on site?

  Yes

  No

  N/A

• Has a visual inspection been carried out by the site supervisor prior to handing over to the analyst?

  Yes

  N/A - Asbestos removal still be carried out.

• Is there copies of DOP/PAT testing certificates on site? (PAT testing spreadsheet)

  Yes

  No

SUPERVISORS & OPERATIVES

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

  Yes, copies of certificates are available on site and are all in date

  No, copies are not available

• Operative 1 - Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes, copies of certificates are available on site and are all in date

  No, copies are not available

• Operative 2 - Asbestos Training : Medical : Face fits : Mask Sheet :

  Yes, copies of certificates are available on site and are all in date

  No, copies are not available

VAN REGISTRATION

• Has the van on site been air tested within the last 2 months?

  Yes

  No

• Is the outside of van clean?

  Yes

  No

  N/A

• Is storage area clean and well ordered?

  Yes

  No

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