IPS - Non-Friable Asbestos Notification & Pit Replacement NEW

PROCESS

• These following steps shall be followed when dealing with NON-FRIABLE ASBESTOS
  1. NOTIFICATION-
  OPTION 1 - Notify NBN Co 24 hours prior to the works commenced (or otherwise agreed by NBN Co where this is not practicable) by completing this form for any of the above scope of work activity involving Non-Friable Asbestos via email (NBN Co HSE Contractor Drop box).
  OPTION 2 - For asbestos removal works greater than 10m2 of non-friable asbestos you will need to notify the applicable Regulator using the applicable Regulator's Asbestos Notification form and Cc the NBN Co HSE Contractor Drop box. You are not required to complete this internal Non-Friable Asbestos Notification form.
  
  2. TRAINING AND COMPETENCY - Verify that all personnel conducting the asbestos activities have been appropriately trained, inducted into the relevant SWMS and deemed competent to perform the task in line with the Company contractual requirements for the project and legal obligations for handling and working with asbestos.
  
  THE FOLLOWING STEP IS REQUIRED IN ADDITION TO THE ABOVE:
  - ROD, ROPING & HAULING: Engage only the persons who have completed an accredited Asbestos Awareness course/training or the NBN Co Asbestos Awareness Module level 2 and have been deemed competent to conduct the works;
  - REMOVING <10m2 OF NON-FRIABLE ASBESTOS: Engage only trained and competent class A or B ticketed persons to remove <10m2 of non-friable asbestos. Company shall hold a current License with the local Worksafe authority; and
  - REMOVING >10m2 OF NON-FRIABLE ASBESTOS: Engage only trained and competent class A or B ticketed persons to remove >10m2 of non-friable asbestos. Company shall hold a current License with the local Worksafe authority.
  
  3. JOB IDENTIFICATION: Principal Contractor shall record any work activity involving asbestos allocating a specific Job ID # for each activity. Information to make up a Job ID is FSAM FDA and Pit or Duct ID. This shall be recorded on this form, clearly recorded on the asbestos bags and recorded in the database.
  
  4. WASTE DISPOSAL DETAILS section shall be completed at the completion of any asbestos waste removal and email (NBN Co HSE Contractor Drop box) a copy of the completed form with the following:
  - Site Clearance Certificate attached
  - Waste Disposal Certificate attached (if applicable) and
  - Before and after site photos including time, date and GPS stamp
  
  NOTE: The Waste Disposal Details are also required to be completed for rod, roping and hauling activities that involve the removal of asbestos waste.
  
  

PRINCIPAL CONTRACTOR DETAILS

• COMPANY NAME - Silcar Communications

• Contact Name

• Telephone

• Email

• Mobile

• Job Identification Number (FSAM, FDA)

• Pit/Duct ID #

SITE LOCATION

• **NOTIFY NBN Co 24 HOURS PRIOR TO WORKS COMMENCED**

• Site Address
  Address

• Date of Notification

  Date

• Date of Work Commenced

  Date

• Date of Work Completed

  Date

SCOPE OF WORK INVOLVING NON-FRIABLE ASBESTOS

• Scope of Work Involving Non-Friable Asbestos

  Select Rod & Roping Hauling Removal of a Pit <10m2 Break out of a Pit <10m2 Removal of a Duct <10m2 Other

  • Rod & Roping
  • Hauling
  • Removal of a Pit <10m2
  • Break out of a Pit <10m2
  • Removal of a Duct <10m2
  • Other

• If 'Other' please provide details

SUBCONTRACTOR DETAILS

• Company Name
  THE TRUSTEE FOR MATABADA TRUST T/a Infrastructure Procurement Solutions

• Contact Name
  Greg Wright

• Telephone/Mobile
  0404 667 555

• Email
  matabada2@gmail.com

• Are they a licensed Asbestos Removalist?

  YES

  NO

• Asbestos Removalist: VAUNLEIGH CONSTRUCTIONS PTY LTD
  Contact No. is Owner / Manager / Project Coordinator:
  Name: Jarrett Lee Goodacre
  Mob: 0404 667 555
  Email: matabada2@gmail.com
  Licence Number: 2301482

PRINCIPAL CONTRACTOR APPROVAL

• I have verified that all personnel conducting the scope of asbestos activities have been appropriately trained, inducted and deemed competent to perform the task in line with Silcar Communications' contractual requirements for the project and legal obligations for handling and working with asbestos.

  Sign

WASTE DISPOSAL DETAILS

• THE SECTION BELOW IS TO BE COMPLETED AT THE COMPLETION OF ANY ASBESTOS WASTE REMOVAL

• Method of Waste Disposal

  Select Company Controlled Bin Approved Waste Disposal Site

  • Company Controlled Bin
  • Approved Waste Disposal Site

• Licensed Transport Vehicle Permit Number

• Driver Training/Permit Number

  077944229

  96566199

• Disposal Amount (estimation)

• Bags

  KGs

  m2

• Waste Disposal Certificate attached

  Media

• Site Clearance Certificate attached

  Media

• Photo of pit

  Media

• CPCCDE3014A Remove non-friable asbestos Certificate Number

• Site Photos Attached

  YES

  NO

• Disposal of ACM and soil procedure varies between disposal sites;
  
  1. in Toowoomba at Toowoomba Regional Council <250 kgs no waste certificate is required
  2. at TRC >250 kgs waste certificate is required
  3. in Ipswich Riverside waste disposal centre no waste certificate is required with disposal.
  

• Reason for removal/breakout

PIT REPLACEMENT

• NBN Sequence Number

• 02-03-04-02 Installation only of medium pits over existing infrastructure on OTR (other than rock)

Item #

• ESRI Dilapidation photo taken

  Yes

  No

  N/A

• Identifier

• Pit Size

• 02-03-04-03 Installation only of large pits over existing infrastructure on OTR (other than rock)

Item #

• ESRI Dilapidation photo taken

  Yes

  No

  N/A

• Identifier

• Pit Size

• 02-03-04-04 Installation only of extra large pits over existing infrastructure on OTR (other than rock)

Item #

• ESRI Dilapidation photo taken

  Yes

  No

  N/A

• Identifier

• Pit Size

• Reason for the pit replacement