Information
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Name of Operative
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Name of Assessor
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Project Number
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Date
Assessment - Operative
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The following assessment shall be completed by a person authorised by the Managing Director to do so. The assessor should include direct reference to documentation witnessed during the assessment and ensure a photographic record is made of relevant witnessed activities.
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Scoring criteria / guidance
0 - Individual shows no compliance against the criteria and should be prohibited from working with asbestos until retrained and reassessed
1 - Individual demonstrates some knowledge and understanding but requires retraining in this element
3 - Individual demonstrates sufficient knowledge, skill and understanding to perform their allocated duties
5 - Individual demonstrates a good level of knowledge, skill and understanding of their allocated duties -
Brief description of the works being undertaken during the assessment
Assessment Modules 1 - 10
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1 - Plan of work
Assessment criteria;
The work is properly planned and executed with the operative demonstrating understanding of the POW and confirmation that the contents of the plan have been communicated to them
Core Modules applicable from HSG 247;
modules 1, 2, 3, 15, 17 & 18 -
Assessed?
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Summary of evidence
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2 - PPE & RPE
Assessment criteria;
Personal & respiratory protective equipment is effectively used. This achieved by;
• Inspecting and testing RPE/PPE, recording the findings of these inspections and reporting any faults
• Correctly wearing RPE/PPE
• Cleaning, storing and charging of RPE/PPE
Core Modules applicable from HSG 247;
modules 6 & 7 -
Assessed?
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Summary of evidence
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3 - Site set-up, maintenance, dismantling & Fault Finding
Assessment criteria;
A safe and secure site is set-up in accordance with the POW to enable asbestos works to be carried out safely by;
• Setting up and checking functionality of the DCU
• Pre-cleaning of the work area (if required)
• Establishing and maintaining the site and any necessary containment
Core Modules applicable from HSG 247;
Modules 4 & 14 -
Assessed?
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Summary of evidence
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Photographs taken?
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4 - Controlled stripping techniques
Assessment criteria;
Exposure to asbestos is minimised by;
• Following the work methods stated within the POW
• Using the correct methods and equipment for fibre / dust suppression
Core Modules applicable from HSG 247;
Modules 5 -
Assessed?
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Summary of evidence
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5 - Plant & Equipment
Assessment criteria;
Plant and equipment is inspected, set-up and used in accordance with the POW by;
• Inspecting and testing plant and equipment, recording the findings of these inspections and reporting any faults
• Using the plant and equipment correctly and in accordance with the POW
• Cleaning, maintaining and storing plant and equipment
Core Modules applicable from HSG 247;
Modules 10 & 16 -
Assessed?
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Summary of evidence
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6 - Decontamination & Transit Procedures
Assessment criteria;
Effective decontamination of people, premises and plant is achieved by;
• Use of correct decontamination procedures for personal decontamination
• Using the correct decontamination procedure for plant and equipment
• Using the correct decontamination procedures for premises
Core Modules applicable from HSG 247;
Modules 8 -
Assessed?
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Summary of evidence
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Photographs taken?
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7 - Cleaning & Clearance procedures
Assessment criteria;
Cleaning and procedures for establishing safe reoccupation are achieved by;
• Using the correct decontamination procedures for premises
• Assisting the appointed analytical contractor in the 4-stage clearance procedure
Core Modules applicable from HSG 247;
Modules 9 & 16 -
Assessed?
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Summary of evidence
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8 - Emergency Procedures
Assessment criteria;
Suitable arrangement for dealing with emergency situations are achieved by;
• Demonstrate undertaking emergency arrangements for loss of electrical power, fire, first aid, failure of equipment / RPE
Core Modules applicable from HSG 247;
Modules 12 -
Assessed?
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Summary of evidence
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9 - Waste Management & Disposal
Assessment criteria;
Waste materials are packaged, handled and disposed of by;
• Use of correct waste bagging techniques
• use of appropriate waste handling and transfer procedures
• Demonstrate correct waste handling and disposal
Core Modules applicable from HSG 247;
Modules 11 & 16 -
Assessed?
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Summary of evidence
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Photographs taken?
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10 - Non-asbestos hazards
Assessment criteria;
Non-asbestos hazards are identified and controlled by;
• Demonstrate hazard identification
• Describe and where appropriate establish control measures to reduce risks to an acceptable level
Core Modules applicable from HSG 247;
Modules 13 & 18 -
Assessed?
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Summary of evidence
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Summary of assessment (include any additional information that could be used to assess the operative or identify any additional training needs.
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Signature of Operative
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Signature of Assessor
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Assessment review by
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Score entered on to CMS database?
