Title Page
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Prepared by
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Location
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Is the client present ?
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Licensed
Job details
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Job Ref Number
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Client Contact
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Contact Number
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Clients Address
Risk assesment
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Use of generators
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Asbestos removal
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Are there (redundent or not) services on site that need to be removed to allow for the safe removal of the ACM
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Use of Propane with Decontamination Units
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Siting a DCU in road
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COSSH
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Loading and unloading a Van
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Manual Handling of Materials, Plant, Tools, Equipment and Waste Materials
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Working Around Electrical Equipment and Plant
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Use of Electrical Plant and Equipment
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Working In an Enclosure – Severe Weather Conditions
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Lone Working Within an Enclosure
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Working at Height – Fixed Tubular Scaffolding
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Working on Roofs
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Working Above Ceilings (LOFT)
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Working on Ladders and Steps
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Erection and Use of Mobile Scaffold Tower
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Use of Mobile Elevated Work Platforms (MEWPS)
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Use of Sack/Wheelbarrow/Wheelie Bin
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Use of Hand Operated and Mechanical Power Tools
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Use of Reciprocating Saws
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Removal of Tools and Equipment from Work Area
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Removal of Bulk Waste
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Use of Asbestos Waste Vehicle
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Carrying Class H Vacuum Cleaners Outside an Enclosure
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Working on Tenanted Housing
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Coronavirus
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General work movement on site (Slips trips and falls)
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Working near general public
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Working on site with other trades
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Manual handling above head Height
Site arrangements
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Days of Work
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Amount of man power
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Working Hours
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who will supply Site Power
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What type of power
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Who will supply Water
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What type of supply
scope of works
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Scope of work
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Amount to be removed
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Condition
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Fixing
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Largest ACM
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weight of largest ACM
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Any ACM Left
Arrangements for air monitoring
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4 stage
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Background leaks
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vans
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Personal
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Welfare arrangements
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Who is responsible for welfare
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Contact details for person responsible for welfare
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Who is responsible for the welfare maintenance/Cleaning
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How many times should the welfare be cleaned
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Who do defects get reported to
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What is included in the welfare
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toilet
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drinking water
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toaster
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microwave
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area for rest
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Is there hot and cold running water available
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Describe the cleaning materials
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Actions to be taken if welfare is no as detailed above
Site security
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who has responsabilty for site security
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Enclosure security
RPE
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Half Mask
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Full Face
Isolations
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Isolation required
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Gas
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by whom and when
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Water
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By whom and when
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By Whom and when
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Electric
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Other (lift ect ect)
DCU
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DCU Location
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Direct connection –
Power source
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Generator
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Mains
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Other detail
Water supply
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Direct feed
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storage tank
Waste water
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Foul Drain
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collect and transport
Control measures
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Enclosure
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Spray and remove
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RPE and PPE
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Shadow vac
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Wrap and Cut
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Injection
Airlock and baglock
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speed frames
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smaller
Baglock
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Speed frames
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smaller
Arrangements for waste
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The Waste Carrier will be:
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The waste disposal site will be:
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How many Bags
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How many Wraps
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Is a waste storage area to be used
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Is waste to be left in enclosure
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Skip location and size
Supervision of works
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Enclosure entry
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how will we communicate in the enclosure
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Vision panels
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Supervisors estimated visual time
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Analyst estimated visual time
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Number of enclosures
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CCTV required and number of cameras
Enclosure 1
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AL/BL
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POD
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Waste roue length
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Transit route
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Duct In
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Duct ext
Enclosure 2
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AL/BL
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POD
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Waste
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Transit
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Duct In
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Duct ext
enclosure 3
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AL/BL
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POD
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Waste
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Transit
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Duct In
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Duct ext
Enclosure 4
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AL/BL
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POD
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Waste
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Transit
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Duct In
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Duct ext
Enclosure diagrams
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Add media