Information

  • Job No:

  • Conducted on:

  • Site Photograph:

  • KCS PROJECT NUMBER:

  • CLIENT NAME:

  • SITE ADDRESS:
  • KCS CONTRACT MANAGER:

  • SUPERVISOR And OPERATIVES:

  • LICENSING STATUS:

  • REMOVAL DETAILS:

1 PLANNING

  • 1.01 RAMS - All sections complete?

  • 1.02 RAMS - Specific location of works is correct?

  • 1.03 RAMS - Scope of air monitoring is sufficient?

  • 1.04 RAMS - Emergency details are correct?

  • 1.05 RAMS - Planned welfare is sufficient?

  • 1.06 RAMS - Preliminary protection is adequate?

  • 1.07 RAMS - Type of RPE is appropriate for the works?

  • 1.08 RAMS - Other PPE is appropriate for the works?

  • 1.09 RAMS - CFM calculation is correct?

  • 1.10 RAMS - Detailed work sequence is clear and thorough?

  • 1.11 RAMS - Waste and removal arrangements are appropriate?

  • 1.12 RAMS - RA covers all significant risks and control measures are all applicable?

  • 1.13 ASB5 - All relevant sections have been completed accurately?

  • 1.14 ASB5 - All dates are correct (or copy of email notifying HSE of changes is present)?

  • 1.15 ASB5 - Total personnel on site is equal to (or less than) the number notified?

  • 1.16 DRAWING - Building drawn accurately?

  • 1.17 DRAWING - ACM is depicted clearly?

  • 1.18 DRAWING - Plant (NPU, lighting, H- vacs etc.) is correctly placed on drawing?

  • 1.19 DRAWING - Transit and waste routes are clearly described?

  • 1.20 DRAWING - DCU/skip/van all clearly placed?

2 COMPANY ADMINISTRATION

  • 2.01 CURRENT FORMS ON SITE: KCS H&S policy?

  • 2.02 CURRENT FORMS ON SITE: Asbestos License?

  • 2.03 CURRENT FORMS ON SITE: Waste Carriers License?

  • 2.04 CURRENT FORMS ON SITE: ARCA//UKATA Certs?

  • 2.05 CURRENT FORMS ON SITE: Liability Insurance Certificate?

  • 2.06 CURRENT FORMS ON SITE: KCS Environmental Policy?

3 SITE ADMINISTRATION

  • 3.01 FORMS COMPLETED CORRECTLY: Method Record and Work Plan?

  • 3.02 FORMS COMPLETED CORRECTLY: Site Induction?

  • 3.03 FORMS COMPLETED CORRECTLY: Daily Site Log?

  • 3.04 FORMS COMPLETED CORRECTLY: Daily Site Inspection?

  • 3.05 FORMS COMPLETED CORRECTLY: DCU Checklist?

  • 3.06 FORMS COMPLETED CORRECTLY: Scaffolding Tower Checklist?

  • 3.07 FORMS COMPLETED CORRECTLY: Proof of Isolation?

  • 3.08 FORMS COMPLETED CORRECTLY: Smoke Test Enclosure?

  • 3.09 FORMS COMPLETED CORRECTLY: Confined Space?

  • 3.10 PERSONNEL PAPERWORK: All Medicals current and available on site?

  • 3.11 PERSONNEL PAPERWORK: All Asbestos Training Certificates current and available on site?

  • 3.12 PERSONNEL PAPERWORK: All Face Fits current and available on site?

  • 3.13 PERSONNEL PAPERWORK: All 6-Monthly RPE Tests current and available on site?

  • 3.14 PERSONNEL PAPERWORK: All other relevant training for current tasks current and available on site?

  • 3.15 CURRENT PLANT CERTS ON SITE: DCU gas cert?

  • 3.16 CURRENT PLANT CERTS ON SITE: DCU Electrical?

  • 3.17 CURRENT PLANT CERTS ON SITE: DCU DOP Test Cert?

  • 3.18 CURRENT PLANT CERTS ON SITE: DCU Previous Clearance Certificate?

  • 3.19 CURRENT PLANT CERTS ON SITE: NPU DOP Certificate(s)?

  • 3.20 CURRENT PLANT CERTS ON SITE: H-Vac DOP Certificate(s)?

  • 3.21 CURRENT PLANT CERTS ON SITE: All plant is PAT Tested?

4 SITE OPERATIONS

  • 4.01 PERSONNEL: All operatives are wearing KCS uniform or correctly coloured overalls?

  • 4.02 PERSONNEL: All PPE appropriate to current task is in use?

  • 4.03 PERSONNEL: RPE is clean and boxed (or in use)?

  • 4.04 PERSONNEL: All operatives are clean shaven?

  • 4.05 VEHICLE: Externally clean and in good condition?

  • 4.06 VEHICLE: Considerately parked?

  • 4.07 VEHICLE: Waste compartment is free from storage?

  • 4.08 VEHICLE: Storage compartment is free from waste?

  • 4.09 VEHICLE: All equipment stowed safely and tidily?

  • 4.10 VEHICLE: The rear of the van is clean (particularly waste box and step)?

  • 4.11 DCU: On site, set up and operational?

  • 4.12 DCU: Attached to enclosure or as near as possible (as per MS)?

  • 4.13 DCU: KCS number attached?

  • 4.14 DCU: Correct Vehicle number plate?

  • 4.15 DCU: Level - support legs down?

  • 4.16 DCU: Externally clean and in good condition?

  • 4.17 DCU: Secure (clamped and locked)?

  • 4.18 DCU: All internal surfaces are clean?

  • 4.19 DCU: All internal surfaces are in good condition?

  • 4.20 DCU: Clean end contains sufficient supplies of Tyveks, towels etc?

  • 4.21 DCU: Warm running water?

  • 4.22 DCU: Doors fully self-closing?

  • 4.23 DCU: Correct signage to doors?

  • 4.24 DCU: Free from inappropriate items stored inside?

  • 4.25 DCU: Sufficient shower gel and nail brushes?

  • 4.26 DCU: Drainage filter is clean?

  • 4.27 DCU: Water is being drained correctly (as per MS)?

  • 4.28 DCU: Spare filters present?

  • 4.29 DCU: More than one shower per 4 operatives?

  • 4.30 DCU: Waste bags filled to safe and manageable level?

  • 4.31 DCU: Clean filter in NPU?

  • 4.32 DCU: Internal fixtures are as per guidance?

  • 4.33 DCU: DCU is earthed?

  • 4.34 NPU: Externally clean?

  • 4.35 NPU: Placed as per MS?

  • 4.36 NPU: Gauge working and readable?

  • 4.37 NPU: Gauge reading is ok (<12 o'clock, in the green)?

  • 4.38 NPU: Correctly attached to the outside of the enclosure (or sheeted if not practicable)?

  • 4.39 NPU: Stickers are legible and match certificates on iFile?

  • 4.40 NPU: Spare filters on site?

  • 4.41 NPU: Vented externally if practicable?

  • 4.42 H-VACS: Sufficient number on site (minimum 2no)?

  • 4.43 H-VACS: All green-banded H-Vacs are outside the enclosure only?

  • 4.44 H-VACS: Bagged/boxed correctly when outside the enclosure?

  • 4.45 H-VACS: Stickers legible and match certificates on iFile?

  • 4.46 OTHER PLANT/EQUIPMENT: Smoke machine is on site with accessories?

  • 4.47 OTHER PLANT/EQUIPMENT: All tools specified in MS are on site and in good condition?

  • 4.48 OTHER PLANT/EQUIPMENT: Sharps are managed appropriately?

  • 4.49 WELFARE: Welfare on site matches MS?

  • 4.50 AREA CONTROL: Signage clearly identifies 'Asbestos Work Areas'?

  • 4.51 AREA CONTROL: Heras fencing/safety barriers/barrier tape in use to control access?

  • 4.52 AREA CONTROL: Transit Route and Waste Route clearly signed?

  • 4.53 AREA CONTROL: All equipment is stored tidily and safely

5 ENCLOSURE

  • 5.01 ENCLOSURE: Well constructed?

  • 5.02 ENCLOSURE: Adequately signed?

  • 5.03 ENCLOSURE: VP/CCTV provides adequate view of current work areas?

  • 5.04 ENCLOSURE: All gaps (eg. vents/risers/pipes) have been suitably sealed?

  • 5.04 AIRLOCK: Well constructed?

  • 5.05 AIRLOCK: 3 stages 2mx1mx1m (or equivalent - please justify)?

  • 5.06 AIRLOCK: All necessary decontamination equipment in dirty end?

  • 5.07 AIRLOCK: Appropriately signed?

  • 5.08 AIRLOCK: Vision panel in dirty end?

  • 5.09 AIRLOCK: Clean end is clean?

  • 5.10 AIRLOCK: Flaps are adequately weighted and overlap opening?

  • 5.11 AIRLOCK: Transiting clothing/footwear in place?

  • 5.12 BAG LOCK: Well constructed?

  • 5.13 BAG LOCK: Appropriately signed?

  • 5.14 BAG LOCK: Vision panel in dirty end?

  • 5.15 BAG LOCK: Flaps are adequately weighted?

  • 5.16 BAG LOCK: Entrance is taped unless bag run in progress?

6 ACCESS

  • 6.01 Height is accessed as per MS?

  • 6.02 Access equipment is in good condition?

  • 6.03 Access equipment is correctly and completely erected?

7 OTHER RISKS

  • 7.01 Risks have been controlled on site as per RAMS?

  • 7.02 Any new hazards found on site have been managed effectively?

  • 7.03 Trip hazards are well managed (hoses/cables/equipment)

  • 7.04 First aid kit is on site (sufficient for number of operatives)?

  • 7.05 Appropriate fire extinguishers are on site?

  • 7.06 Air horn is available (or suitable method of attracting attention reliably from outside the enclosure)?

  • 7.07 Adequate lighting is in place throughout all work areas?

8 ASBESTOS REMOVAL

  • 8.01 All Control Measures specified in the RAMS are in place?

  • 8.02 ACM is being sufficiently wetted - as per MS?

  • 8.03 All wetting equipment specified in the RAMS for the current task is in use on site?

9 WASTE MANAGEMENT

  • 9.01 To the extent reasonably practicable, waste bags are being quickly removed from the enclosure?

  • 9.02 All waste is double bagged?

  • 9.03 From observation, waste bags are being sufficiently cleaned?

  • 9.04 Waste bags show evidence of sufficient wetting?

  • 9.05 Waste bins are secure?

  • 9.06 Waste bags are being filled appropriately (not over filled)?

  • 9.07 ACMs are not being broken to fit in the bags - larger items are wrapped?

  • 9.08 Skip is present?

  • 9.09 Skip is locked?

  • 9.10 Skip is well signed?

  • 9.11 Skip is of adequate size for the ACM?

10 OTHER CONTRACTORS WORKING ON BEHALF OF KCS (analysts/scaffolders/electricians etc)

  • Tick if other companies contracted by EAS are currently working on site

  • Please enter contractor details for each Company on site:

  • Contractor
  • Name of Company:

  • Name(s) of Operatives:

  • Reason for being on site:

  • Are the contractors RAMS on site?

  • Do we have evidence of Contractors competence to perform task at hand?

  • Please specify this evidence:

  • Are the Contractors performing their task in accordance with their RAMS?

SUMMARY

  • Tick if there are any non-conformances above

  • NON-CONFORMANCE SUMMARY:

  • Non-conformance
  • Non-conformance detail:

  • Describe action taken to complete non-conformance:

  • Non-conformance completed by:

  • Date of non-conformance completion:

  • FURTHER DETAILS:

  • SITE MANAGER:

  • AUDITED BY:

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