Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Auditor

  • BY SIGNING THIS FORM, THE SITE SUPERVISOR AGREES THAT THESE OBSERVATIONS AND RECOMMENDATIONS ARE A TRUE REFLECTION OF THE FINDINGS OF THIS AUDIT.

  • Supervisor

  • Conducted on

  • Departure time

  • Personnel

  • Location
  • * THE FOLLOWING SECTION (1.0) MUST BE COMPLETED AND CONSIDERED SATISFACTORY BEFORE CONTINUING FURTHER WITH THIS AUDIT.

1.0 Preliminary Requirements

  • 1.1 Is there a valid ( I.e in date) ASB 5 Notification Form on site for the works to be audited

  • 1.2 Is there (or will there be) asbestos removal work or cleaning in progress within the enclosure during the audit.

  • 1.3 Is there provision to observe work practices within the enclosure by means of CCTV and / or viewing panel(s)

  • 1.4 Is there a site specific Plan of Work available on site for the works

  • 1.5 Is there a copy of the Company Standard operating Procedures v0 available on site

  • 1.6 Is the Decontamination Unit fully functional in terms of power, ventilation and the provision of hot and cold running water for showering

  • 1.7 Identify all isolations that have been confirmed

  • Comments / Clarifications

  • * DO NOT PROCEED WITH THE AUDIT UNLESS EACH RESPONSE ABOVE IS AFFIRMATIVE. SHOULD ANYTHING ABOVE BE AMISS THAT CAN BE RECTIFIED IMMEDIATELY, THEN CONTINUE WITH THE AUDIT ONCE RECTIFIED.

    * SHOULD ANYTHING ABOVE BE AMISS THAT CANNOT BE RECTIFIED IMMEDIATELY THEN INFORM THE SUPERVISOR THAT THE AUDIT CANNOT CONTINUE.

    * INFORM THE COMPLIANCE MANAGER WITHOUT DELAY 029 2047 1040 THAT THE AUDIT COUL NOT BE CONTINUED AND STATE THE REASON(s)

2.0 ASB 5 Notification Form

  • 2.1 What form of asbestos containing material does the ASB 5 state is being worked upon

  • 2.2 What is the approximate extent of the works stated in the ASB 5

  • square m

  • Linear m

  • No of bags

  • 2.3 What is the maximum number of employees per shift stated on the ASB 5

  • How many operatives (including the supervisor) are on the site

3.0 Site Documentation

  • 3.1 Is the Contract Supervisor the same person as specified in the plan of work

  • 3.2 Does the plan of work detail whom the contractor is contracted

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

  • 3.4 Does the plan of work detail the analytical company providing the 4 stage clearance

  • 3.5 Does the plan of work detail who the analytical company is contracted to

  • 3.6 Does the plan of work detail the type of asbestos involved

  • 3.7 Does the plan of work detail the condition of the asbestos containing material to be removed

  • 3.8 Does the plan of work (or standard procedures) detail who is authorised to amend the plan of work

  • 3.9 Are welfare facilities detailed in the plan of work and are they available for use as described

  • 3.10 Does the plan of work (or standard procedures) detail decontamination entry and exit procedures

  • 3.11 Does the plan of work (or standard procedures) detail the type of respirators to be used

  • 3.12 Does the plan of work (or standard procedures) detail the construction method for enclosures and air locks

  • 3.13 Does the plan of work (or standard procedures) detail the arrangements for smoke testing and witnessing

  • 3.14 Please record name / title of proposed witness

  • 3.15 Does the plan of work detail the asbestos removal technique to be used

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

  • 3.17 Is the scope of works adequately described in the plan of work, and does it match the details recorded on the ASB 5

  • 3.18 Is there a site specific risk assessment available for inspection for hazards other than asbestos? (Hot work, work at heights, use of hand tools, confined spaces, electricity, manual handling etc)

  • 3.19 Is there a set of COSHH assessments on site? (Smoke Fluid, Foam Spray Adhesive etc) NB Material Safety Data sheets on their own are insufficient

  • 3.20 Is there a copy of the current valid licence available for inspection

  • 3.21 Is there documented evidence on site confirming current insurance cover for both employers liability and public liability? E.g insurance schedule

  • 3.22 Are daily site and plant inspection records (including DCU, enclosure, air locks, NPU's & vacuum cleaners) available for inspection and up to date

  • 3.23 Does the NPU inspection record include manometer / pressure gauge readings for each NPU in use (including DCU)

  • 3.24 Has the smoke test record for the enclosure been completed and do the witness details match those stated in the plan of work ? (I.e as 3.14)

  • Comments / Clarifications

4.0 Site Supervisor and / or Operative(s)

  • 4.1 Supervisor's Name

  • In enclosure

  • Current Medical Certificate

  • Evidence of competence<br>Either RSPH Competence Certificate no more than 12 months old or current Training Certificate or evidence through Training Needs Analysis

  • Face fit test certificate for RPE in use

  • Examination record for RPE in use<br>Daily if in enclosure, current monthly if not

  • Adequate response when questioned regarding emergency procedure? (If not in enclosure)

  • Supervisor / Operative(s) Clean shaven. (If out of enclosure, or if seen before entry)

  • Operatives

  • Operative 4.2
  • 4.2 Name

  • In enclosure

  • Current Medical Certificate

  • Evidence of competence<br>Either RSPH Competence Certificate no more than 12 months old or current Training Certificate or evidence through Training Needs Analysis

  • Face fit test certificate for RPE in use

  • Examination record for RPE in use<br>Daily if in enclosure, current monthly if not

  • Adequate response when questioned regarding emergency procedure? (If not in enclosure)

  • Supervisor / Operative(s) Clean shaven. (If out of enclosure, or if seen before entry)

  • Comments / Clarifications

  • 4.3 For certificates where the name of HAS has not been recorded on the certificate.<br> Has each copy been individually authenticated by or under the direction of senior management, with a statement confirming their validity.

5.0 Site Organisation

  • 5.1 Does the sketch plan included in the plan of work match the site set up, including the positions of the NPU, air lock, bag lock (if applicable), viewing panels / CCTV and DCU as a minimum including waste and transit routes

  • 5.2 Do viewing panels and / or CCTV show all areas so far as is reasonably practicable

  • 5.3 Is each viewing panel (where applicable) at least 600 x 300 mm

  • 5.4 Are there adequate warning signs which comply with the Safety Signs and Signals Regulations? (Including the black hand prohibition symbol)

  • 5.5 Is there a suitably stocked First Aid Kit available on site

6.0 Plant on Site / Certification

  • 6.2 Are current DOP test certificates (or copies) available and relevant to each vacuum on site

  • 6.1 Are there at least 2 H-type vacuum cleaners on site

  • 6.3 Does the number and capacity of the NPU's in use correspond with that stated in the plan of work

  • 6.4 Are current DOP test certificates (or copies) available and relevant to each NPU on site

  • 6.5 Is there a current DOP test certificates ( or copy) available on site for the NPU within the dirty end of the DCU

  • Comments / Clarifications

7.0 Enclosure / Airlock

  • 7.1 Is the enclosure in sound condition and constructed so as to prevent the spread of asbestos

  • 7.2 Is the airlock free from visible asbestos debris

  • 7.3 Is a bucket and sponge (or similar) available for decontamination of respirator

  • 7.4 Does the pow mention about flap deflection being between 20-25cm within the airlock and has the supervisor carried this out

  • 7.5 Do the flaps cover the airlock openings adequately

  • 7.6 Are all the airlock flaps weighted

  • 7.7 Is each stage of the airlock at least 1m x 1m x 2m (height)

  • 7.8 If 7.7 is No was this variation justified in the Plan of Work

  • 7.9 Does the inner stage of the airlock have a viewing panel at least 600 x 300 mm

  • 7.10 If 7.9 is No, please indicate why not

  • Comments / Clarifications

8.0 Air Extraction Equipment

  • 8. 1 Is the extract sited in relation to ideal air management

  • 8.2 is the extract capable of providing either a minimum of 8 air changes per hour (enclosures > 120 cubic m) or airflow at least 1000 cubic m per hour for smaller enclosures

  • 8. 3 Is the extract vented to outside atmosphere where practical

  • 8. 4 Does each NPU have a non return flap on the exhaust side of the HEPA filter

  • Comments / Clarifications

9.0 Observed Work Practices

  • 9.1 Is the pre filter (or roving head) the only part of the NPU exposed to the working area ( I.e NPU sheeted out if inside enclosure)

  • 9.2 Does the RPE (including filter) being used, match that stated in plan of work

  • 9.3 Are all components of full face RPE uniquely identifiable ? E.g mask, blower and battery identified / marked / tagged with name or item / serial number.

  • 9.4 Are colours of coveralls as stated in the plan of work or standard procedures

  • 9.5 Are disposable working coveralls and transit coveralls 'category 3 type 5/6'

  • 9.6 Are all items of necessary PPE being properly worn? (E.g overalls not tucked into boots, overall hood headstraps etc)

  • 9.7 Does the dust suppression method being used match that stated in the plan of work

  • 9.8 Is the dust suppression method suitable for type of work or material? ( if needle injection machine used, please state manufacturer)

  • 9.9 Does the asbestos removal technique being used match that stated in the plan of work

  • 9.10 Has the waste been appropriately bagged? ( e.g immediately and single bagged if still in enclosure )

  • Comments / Clarifications

10.0 Hygiene Facility

  • 10.1 Is the unit positioned in relation to the work area as stated in the plan of work

  • Direct connection ?

  • Transit arrangement ?

  • 10.2 If the unit is not directly connected to the enclosure, would it have been reasonably practicable to do so

  • 10.3 Is the transit route as short as possible and away from occupied areas

  • 10.4 In addition to item 1.6 above, is the unit fully functional / in working order ? (Heating, lighting, water filter, drains etc)

  • 10.5 Are the internal doors and external door to the dirty end all fully self closing

  • 10.6 Is there an adequate number of shower heads for operatives ? (I.e at least one for every 4 operatives)

  • 10.7 Is there a nailbrush provided in the shower area

  • 10.8 Is the unit in good condition and clean so far as is reasonably practicable

  • 10.9 Are towels provided

  • 10.10 Are the clean end and dirty end doors marked (including prohibited entry and mandatory PPE signage, where required)

  • 10.11 Is there a clearance test certificate from the previous job, for the dirty and shower compartments of the hygiene unit

  • Date of DCU clearance test

  • Comments / Clearance

11.0 Waste

  • 11.1 Are the waste disposal arrangements as described in the plan of work with skip or waste carrier as stated within the pow.

  • 11.2 Is the waste transit route free from residual or spilt waste

  • 11.3 Where applicable, is there sufficient means to segregate waste from equipment / supplies within the company vehicle

  • 11.4 Has a separate bag lock been provided

  • 11.5 If 11.4 is No, was this justified in the plan of work? ( NB "small amount of waste" is not a valid justification

  • 11.6 Is each stage of the bag lock at least 1m x 1m x 2m (height)

  • 11.7 If 11.6 is No was this variation justified in the Plan of a Work

  • 11.8 Is the bag lock free from visible asbestos debris

  • 11.9 Does the inner stage of the bag lock have a viewing panel at least 600 x 300mm

  • 11.10 If 11.9 is No please indicate why not

  • Comments / Clarifications

12.0 Company Vehicle(s)

  • Enter Reg, Make and Model

  • Vehicle 12.
  • 12.1 Reg, Make and model

  • Is the van reasonably tidy and with minimal risk of the spread of asbestos

  • Is the waste section free of all asbestos material

13.0 Scaffolding

  • 13.1 Is the asbestos removal contractor using any scaffolding on site

  • 13.2 Was a subcontractor used to erect the scaffolding

  • Is there a pow on site for the scaffolding and has the scaffolding been tagged

  • 13.3 Was the scaffolding liable to disturb asbestos while being erected

  • Name the subcontractor and write down their licence number

14.0 Further Comments / Clarifications

  • Did you note any new hazards not previously identified

  • Please list the hazards

  • PPE<br>Is ppe as being worn as within the pow ? <br>Is there any PPE that hasn’t been recorded required on site ?

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