Keltbray Birmingham

• Job Number

• Contracts Manager

• Prepared by

• Conducted on

  Date
• Location
  Address

• Personnel

• Main Task

  Select Environmental clean Clean removal Encapsulation Ancillary Supervisory Waste Handling

  • Environmental clean
  • Clean removal
  • Encapsulation
  • Ancillary
  • Supervisory
  • Waste Handling

• Asbestos Material

  Select Sprayed Coating Insulation AIB Cement Textured Coating Floor Tiles Gasket & Rope

  • Sprayed Coating
  • Insulation
  • AIB
  • Cement
  • Textured Coating
  • Floor Tiles
  • Gasket & Rope

• Asbestos Type

  Select Chrysotile Amosite Crocidolite Amosite/Chrysotile Actinolite Anthophylite Tremolite

  • Chrysotile
  • Amosite
  • Crocidolite
  • Amosite/Chrysotile
  • Actinolite
  • Anthophylite
  • Tremolite

• Priority visit?

  Yes

  No

  N/A

• Job Notified?

  Yes

  No

  N/A

SITE GENERAL

• Have all lads got ID cards ?

  Yes

  No

  N/A

• Are all lads wearing Keltbray clothing ?

  Yes

  No

  N/A

• Are pedestrian route and walkways clear?

  Yes

  No

  N/A

• Are first aid and fire equipment available?

  Yes

  No

  N/A

• Is there adequate lighting?

  Yes

  No

  N/A

PLANNING AND DOCUMENTATION

• Have you checked the POW, ASB5 and Risk assessments?

  Yes

  No

  N/A

• Is there a copy of the Asbestos licence and insurance on site?

  Yes

  No

  N/A

• Does the site site layout agree with the drawings and photos and include the correct enclosure sizes and location?

  Yes

  No

  N/A

• Does the POW include the following - Air monitoring arrangements, 4 Stage clearance, smoke testing and witnessing, Type of RPE and the hours of work?

  Yes

  No

  N/A

REGULATORY RECORDS

• Asbestos Training - Medicals - Face Fits - Mask Cert -

  Yes

  No

  N/A

• Asbestos Training - Medicals - Face Fits - Mask Cert -

  Yes

  No

  N/A

• Asbestos Training - Medicals - Face Fits - Mask Cert -

  Yes

  No

  N/A

• Asbestos Training - Medicals - Face Fits - Mask Cert -

  Yes

  No

  N/A

HYGIENE FACILITY/DECONTAMINATION UNIT

• Are the following certification in place and in date? - Gas/Electrical/DOP and air clearance

  Yes

  No

  N/A

• Is there any damage to the outside unit and is it clean?

  Yes

  No

  N/A

• Is the DCU compliant with HSG247? E.g legs down and earthed, warning signs on doors, are all doors self closing, adequate showering facility and supplies, vents clean, hooks available for masks and are all areas free of dust?

  Yes

  No

  N/A

• Is the gas detected fitted and working?

  Yes

  No

  N/A

SITE PREPARATION

• Are any of the following activities or equipment being used?

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Ladders and steps

  Yes

  No

  N/A

• Mobiles towers

  Yes

  No

  N/A

• Confined space

  Yes

  No

  N/A

• During preparation /sheeting is the correct PPE & RPE being used?

  Yes

  No

  N/A

• Has the supervisor confirmed all ducts, hidden voids and pipes have been sealed?

  Yes

  No

  N/A

AIRLOCK AND BAGLOCK

• Has the airlock, baglock and enclosure have vision panels/CCTV fitted, can all areas be viewed?

  Yes

  No

  N/A

• Is the airlock, baglock and enclosure clean and free of dirt? <br>Check flaps and signage?

  Yes

  No

  N/A

PPE

• Are all operatives wearing and using the PPE correctly?

  Yes

  No

  N/A

• Have all masks been checked by a competent person?

  Yes

  No

  N/A

CONTROL MEASURES-DUST REDUCTION/WET STRIPPING

• Are dust levels being reduced to the lowest practicable levels?

  Yes

  No

  N/A

• Do the results of air monitoring indicate that the methods used are effective?

  Yes

  No

  N/A

PLANT AND EQUIPMENT

• Is the NPU working correctly? Check air flow indicator

  Yes

  No

  N/A

• Is the NPU correctly sheeted to the enclosure?

  Yes

  No

  N/A

• Does the NPU vent to the outside atmosphere? If venting inside is there regulars air monitoring taking place?

  Yes

  No

  N/A

• Are DOP/Electrical certificates available and in date for the NPU's and HVAC's?

  Yes

  No

  N/A

WASTE HANDLING AND DISPOSAL

• Is there a suitable waste route with signage? And does it follow the POW?

  Yes

  No

  N/A

• Have all waste bags been sufficiently soaked? Check for moisture content.

  Yes

  No

  N/A

• What condition is the skip? Is it lockable? Are suitable signs present?

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

TRANSIT PROCEDURE

• Is the transit procedure being followed correctly and signs in place?

  Yes

  No

  N/A

VAN

• Has it been air tested within the last one month?

  Yes

  No

  N/A

• Is the van compliant to the company's policy?

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Select from range

• Select date

  Date

• Supervisor

  Sign

• Auditor

  Sign