Title Page

  • Prepared by

  • Location
  • Is the client present ?

  • Licensed

Job details

  • Job Ref Number

  • Client Contact

  • Contact Number

  • Clients Address

Risk assesment

  • Use of generators

  • Asbestos removal

  • Are there (redundent or not) services on site that need to be removed to allow for the safe removal of the ACM

  • Use of Propane with Decontamination Units

  • Siting a DCU in road

  • COSSH

  • Loading and unloading a Van

  • Manual Handling of Materials, Plant, Tools, Equipment and Waste Materials

  • Working Around Electrical Equipment and Plant

  • Use of Electrical Plant and Equipment

  • Working In an Enclosure – Severe Weather Conditions

  • Lone Working Within an Enclosure

  • Working at Height – Fixed Tubular Scaffolding

  • Working on Roofs

  • Working Above Ceilings (LOFT)

  • Working on Ladders and Steps

  • Erection and Use of Mobile Scaffold Tower

  • Use of Mobile Elevated Work Platforms (MEWPS)

  • Use of Sack/Wheelbarrow/Wheelie Bin

  • Use of Hand Operated and Mechanical Power Tools

  • Use of Reciprocating Saws

  • Removal of Tools and Equipment from Work Area

  • Removal of Bulk Waste

  • Use of Asbestos Waste Vehicle

  • Carrying Class H Vacuum Cleaners Outside an Enclosure

  • Working on Tenanted Housing

  • Coronavirus

  • General work movement on site (Slips trips and falls)

  • Working near general public

  • Working on site with other trades

  • Manual handling above head Height

Site arrangements

  • Days of Work

  • Amount of man power

  • Working Hours

  • who will supply Site Power

  • What type of power

  • Who will supply Water

  • What type of supply

scope of works

  • Scope of work

  • Amount to be removed

  • Condition

  • Fixing

  • Largest ACM

  • weight of largest ACM

  • Any ACM Left

Arrangements for air monitoring

  • 4 stage

  • Background leaks

  • vans

  • Personal

Welfare arrangements

  • Who is responsible for welfare

  • Contact details for person responsible for welfare

  • Who is responsible for the welfare maintenance/Cleaning

  • How many times should the welfare be cleaned

  • Who do defects get reported to

  • What is included in the welfare

  • toilet

  • drinking water

  • toaster

  • microwave

  • area for rest

  • Is there hot and cold running water available

  • Describe the cleaning materials

  • Actions to be taken if welfare is no as detailed above

Site security

  • who has responsabilty for site security

  • Enclosure security

RPE

  • Half Mask

  • Full Face

Isolations

  • Isolation required

  • Gas

  • by whom and when

  • Water

  • By whom and when

  • By Whom and when

  • Electric

  • Other (lift ect ect)

DCU

  • DCU Location

  • Direct connection –

Power source

  • Generator

  • Mains

  • Other detail

Water supply

  • Direct feed

  • storage tank

Waste water

  • Foul Drain

  • collect and transport

Control measures

  • Enclosure

  • Spray and remove

  • RPE and PPE

  • Shadow vac

  • Wrap and Cut

  • Injection

Airlock and baglock

  • speed frames

  • smaller

Baglock

  • Speed frames

  • smaller

Arrangements for waste

  • The Waste Carrier will be:

  • The waste disposal site will be:

  • How many Bags

  • How many Wraps

  • Is a waste storage area to be used

  • Is waste to be left in enclosure

  • Skip location and size

Supervision of works

  • Enclosure entry

  • how will we communicate in the enclosure

  • Vision panels

  • Supervisors estimated visual time

  • Analyst estimated visual time

  • Number of enclosures

  • CCTV required and number of cameras

Enclosure 1

  • AL/BL

  • POD

  • Waste roue length

  • Transit route

  • Duct In

  • Duct ext

Enclosure 2

  • AL/BL

  • POD

  • Waste

  • Transit

  • Duct In

  • Duct ext

enclosure 3

  • AL/BL

  • POD

  • Waste

  • Transit

  • Duct In

  • Duct ext

Enclosure 4

  • AL/BL

  • POD

  • Waste

  • Transit

  • Duct In

  • Duct ext

Enclosure diagrams

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.