Information
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Asbestos Inspection No.
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SAM-DA No.
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Sub-contractor:
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Inspected on:
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Inspected by:
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Location
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Asbestos Licence Holder:
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Asbestos Licence Number:
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Removal Type:
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Site Supervisor:
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Sub-contractor representative:
Contractor Crew Member:
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Checklist Rev History
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Inspection Checklist - Asbestos Rev1.0 11/Jan/2016
Inspection - Asbestos
1 General
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1.1. Has a division 5 (or Division 6) asbestos register that covers the entire scope of works been provided to, (or obtained by) the licence holder? This is available for each SAM from the supervisor.
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1.2. Is the person performing the removal licenced? <br>Licence required for: (1) all friable and (2) non friable >10m2 or > 1 hour/7days
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1.3. Is the removal licence kept on site and available for inspection? <br>If yes, sight licence, If not on site stop job until it can be sighted.
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1.4. Is the licence appropriate for the type of removal being conducted?<br>Sight the licence – pay particular attention to “specific” licences
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1.5. Was WorkSafe correctly notified or removal?<br>At least 5 days before commencing removal, in writing; or<br>At least 24 hrs before commencing removal, in writing, for non-friable <=10 m2 ; or<br>within 24 hrs of commencing removal for an “unexpected situation”
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1.6. Is the removal being conducted in a manner consistent with the notification?<br>Eg. Correct location, same type, form & quantity of asbestos
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1.7. Has the person who commissioned the removal work informed employers in adjacent areas of where the removal work will take place?<br>In the case of domestic premises this duty falls to the licence holder
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1.8. Is there a control plan?<br>If there is no plan the job must not proceed
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1.9. Is the control plan complete?
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1.10. Is the control plan accessible to employees, employers and persons engaged to do work at the workplace?
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1.11. Are the controls identified in the control plan appropriately installed, used and maintained for this removal?
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1.12. Will asbestos that is likely to be disturbed during demolition be removed prior to demolition commencing?
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1.13. Will asbestos that is likely to be disturbed during refurbishment, be removed?
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1.14. Are records of training for all employees conducting removal readily accessible at the removal site? Sight copies
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1.15. Have all employees had appropriate training for the type of removal they are conducting?<br>Eg. A friable course for Class A work, Class B course for Non friable removal etc.
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1.16. Has the licence holder arranged medical examinations in the past 2 yrs for employees conducting asbestos removal work?<br>Ask Employees to verify
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1.17. Are signs of barricades used to identify the asbestos removal area?
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1.1 Has a division 5 (or Division 6) asbestos register that covers the entire scope of works been provided to, (or obtained by) the licence holder?
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1.19. Is PPE being worn correctly (Eg respirator worn correctly with straps under the hood, sleeves down, trouser cuffs outside boots, etc.) and maintained (Eg spare filters and coveralls available on site for employees, compressor air – where a compressor is used – tested in accordance with AS/NZS 1715 – Appendix A)?
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1.20. Are all employees conducting asbestos removed clean-shaven?
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1.21. Can employees demonstrate a fit check with their respirator?
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1.22. Are log books kept to record maintenance of controls?<br>i.e for non-disposable respirators, HEPA vacuum cleaners, neg air units, etc.
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1.23. If power tools are being used on asbestos, is the area controlled*?<br>*That is – to ensure a person is not exposed to more than half the exposure standard by enclosure or engineering controls or a combination of these methods
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1.23. If power tools are being used on asbestos, is the area controlled*?<br>*That is – to ensure a person is not exposed to more than half the exposure standard by enclosure or engineering controls or a combination of these methods
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1.25. Is dust and debris being appropriately collected?<br>Eg HEPA vac, damp rags, NO sweeping or brushing (unless within an enclosure). The amount of dust likely to be generated may dictate whether a HEPA vac is needed.
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1.26. Are appropriate decontamination facilities provided for employees?<br>Eg vacuum down, wet wiping, decon unit for large non-friable jobs and for friable jobs (others than globe bags)
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1.27. Are control measures properly used, installed and maintained?<br>This includes decontamination units where provided (eg segregated compartments, sufficient hot water, water filtered (0.5 micron), clean), neg air units, HEPA vacs
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1.28. Is asbestos waste contained so as to eliminate the release of airborne asbestos fibres?<br>Eg. Double bagged, goose-necked, placed in secure lined skip
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1.18. Has the licence holder provided PPE appropriate to the removal work being conducted?<br>Eg. Respirators approved to AS/NZS1716 (or its equivalent): half face for non-friable, glove bag and wrap and cut; full face for other friable removes and coveralls
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1.30. Is the exterior of the asbestos waste container labelled to indicate the presence of asbestos?
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1.32. Has the person who commissioned removal of friable asbestos or non-friable >10m2 arranged for a clearance certificate from an independent person? <br>Domestic premises this is duty of the licence holder <br>Confirm the ‘independence’ of the person issuing the Clearance Certificate
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1.31.Are appropriate systems in place for disposal of asbestos waste?<br>Eg. Disposed as soon as reasonably practicable, EPA licensed transport vehicle, EPA licensed tip, etc
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1.33. Are all vehicles used for transport of asbestos EPA Licenced?<br>Note: this includes vehicles used to move asbestos to an approved collection point.
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1.28. Is asbestos waste contained so as to eliminate the release of airborne asbestos fibres?<br>Eg. Double bagged, goose-necked, placed in secure lined skip
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3. Specific Controls for Non friable removals
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3.1. For sensitive sites, is air monitoring taking place?<br>This is NOT a regulatory (hence it is not enforceable) but it may be helpful in some situations eg in or near kindergartens, schools, hospitals, adjacent to public areas etc
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4. Specific Controls for friable removals
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4.2. Has 200um thick (as a minimum) plastic sheet been used for the enclosure?
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4.3. Is a neg air unit being used?<br>Apart from glove bags, wrap and cut and mini-enclosures a neg air should be used
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4.4. If yes to question 4.3, is it correctly located and does it have warning alarms?<br>Should, as far as possible, be located opposite the decon unit to allow smooth passage of air, alarms should be both audible and visual
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4.5. Was the enclosure smoke tested prior to removal commencing?
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4.6. Is paraoccupational air monitoring being conducted?*<br>*Duty of person who commissioned friable removal work. Not req’d for glovebag removals
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4.7. Did air monitoring commence prior to removal work?
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4.1. Is the asbestos removal area, so far reasonably practicable, enclosed?
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2. Supervisor details
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2.2. For friable removal, is the nominated supervisor accessible*?<br>*That is either onsite or contactable by phone and able to attend site within 20 minutes.
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2.3. For non-friable removal, is the nominated supervisor accessible*?<br>*That is either onsite or contactable by phone and able to attend site within 20 minutes
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2.1. Is the supervisor for the job nominated and accepted by Work Safe?<br>Refer to the Licence or the Services Provider Directory. Note: supervisors do not have to be listed on the licence.
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Risk Ranking Reference
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Risk Ranking Reference
Inspection Sign-Off
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Contractor Rep:
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Contractor Rep Signature
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Date:
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Service Stream Rep:
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Service Stream Rep Signature
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Date: