Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
INTRODUCTION
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Front of building
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Enquiry Number
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Client details
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Date of Visit
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Type of building
- Office
- Warehouse
- Construction site
- School / College
- Residential
- Demolition
- Other
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Start Date
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Finish Dates
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Shift Starts
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Shift Ends
1.0 SCOPE OF WORKS
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Location of Task 1
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Removal Task 1
- AIB Door Linings
- AIB Ceilings
- AIB Partitioning
- Thermal Insulation
- Sprayed Coatings
- Textured Coating
- Floor tiles
- Cement Products
- Other
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Condition Task 1
- Good
- Encapsulated
- Poor
- Debris
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Photo Task 1
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Notes
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Location of Task 2
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Removal Task 2
- AIB Door Linings
- AIB Ceilings
- AIB Partitioning
- Thermal Insulation
- Sprayed Coatings
- Textured Coating
- Floor tiles
- Cement Products
- Other
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Condition Task 2
- Good
- Encapsulated
- Poor
- Debris
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Photo Task 2
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Notes
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Location of Task 3
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Removal Task 3
- AIB Door Linings
- AIB Ceilings
- AIB Partitioning
- Thermal Insulation
- Sprayed Coatings
- Textured Coating
- Floor tiles
- Cement Products
- Other
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Photo 3
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Notes
1.1 Site Constraints and Conditions
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General Conditions
- Void property
- Tenanted
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Notes
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Parking <br>
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Add media
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Notes
1.1.1 Pre-cleaning and decanting information
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Add media
1.1.2 Electrical and Gas Isolations required
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NO
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YES
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If isolations required state whose responsibility
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Kershaw
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Client to arrange
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Electrical and gas installations requiring isolations
1.1.3 Mechanical Isolations, including AC, required
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NO
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YES
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Add media
1.2 AIB Specific information on how the material has been secured
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- Not Applicable
- Nailed
- Screwed
- Not Determined
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Add media
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Notes
1.3 Survey type
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Notes
1.4 Air monitoring arrangements
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- 4 stage
- 4 stage, PM, Vehicle
- PM
- Vehicle
- Reasurance
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Notes
1.5 Anticipated Exposure
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- AIB 0.5 f/ml
- Thermal Insulation 1 f/ml
- Sprayed Coating 2f/ml
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Notes
1.6 CDM Information
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- Applicable see below
- Not Applicable
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Notes
2.0 Enclosure, Airlocks, DCU and Other Controls
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Task 1 Enclosure Size
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Task 2 Enclosure Size
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Task 3 Enclosure Size
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Notes
2. 3 Airlocks and Baglocks Dimensions
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Airlock Size
- 1 Sq m
- 0.75 Sq m
- 0.60 Sq m
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Bag lock
- Not Applicable - No Room
- 1 Sq m
- 0.75 Sq m
- 0.60 Sq m
- other arrangements - see notes
2.4 Airlocks and Baglocks VPS
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- Baglock NA
- Baglock/Airlock 3rd Stage
- Airlock 3rd Stage
2.4.1 Enclosure VPs
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- Enclosure Wall
- Due to configuration, no VP
2.5 Provision of CCTV and Monitors
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- Not required
- Required details in notes below
2.6 Smoke Testing Arrangement
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Smoke detectors are present
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Client and or consultant will be present
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Security will need to be advised about the smoke test details below
2.7 DCU Location and Parking Arrangements
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The DCU will be set up in the area specified in the notes below
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The DCU will set up in the roadway at the front of the property or on the drive to the property
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Location of DCU
2.8 DCU to Enclosure Description of Transit Route
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Not Applicable - Direct Connection
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Transit Route Required - description in notes below
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Description, including length of transit route
2.9 DCU Information and Waste Management
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DCU is self contained in both Power and Water
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DCU is not self contained in power and water- see notes below for details
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Waste Water from the DCU will discharge to foul drain
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Foul Drain
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Waste Water will be stored in a receptacle before discharging to foul drain
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Water Bowser will be checked at start and finish of each shift
2.10 DCU Direct Connection
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Direct Connection will be undertaken
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No Direction Connection, on first floor, impedes footpaths, fire exits etc
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Explain the reason for non connection
2.11 RPE and PPE information - Standard
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Ori-nasal for preparing work
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Full face for Removal
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Other information
2.12 Access Equipment
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Ladders
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Podiums
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Tower
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Fixed Scaffolding and will this need to be Licenced?
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Will a Licenced scaffolder be required?
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MELP
2.13 Waste Management Estimate of Waste
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Waste Skip size
- 20
- 40
2.14 Waste Management - Disposal Arrangements
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Returned in by Kershaw to Transfer Station
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Waste Collection needs to be arranged
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Skip Required see above for selection of skip size
2.15 Weather Protection of Enclosure, Airlocks and Baglocks
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Not Applicable - all internal
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Applicable - weather protection required
2.16 Loading List
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Other Tools and equipment required
3.00 MANAGEMENT ARRANGEMENTS
3.1.1 WC Welfare Arrangements
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Portaloo Requried
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Client has extend use of their facilities
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Short duration work - ad hoc arrangements
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Principal Contractor has arrangements place
3.1.2 General Welfare Arrangements
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Client has extend use of their facilities
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Short duration work - ad hoc arrangements
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Principal Contractor has arrangements place
3.2 Emergency Plan
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Client has the identified arrangements in place
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Client led Emergency Arrangements
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The default Assembly point is the DCU
3.3 Non Asbestos Risks
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Electrical
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Notes
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WAH
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Notes
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Manual Handling
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Notes
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Fire
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Notes
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Other
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Notes
