Landmark Asbestos Annual Workplace Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit

• 1. Person conducting inspection is competent eg trained in Asbestos inspection?<br>

  Yes

  No

  N/A

• Date of last training:

  Date

• 2. Asbestos register for site up-to-date (< 5 years) eg includes all facilities and equipment?<br>

  Yes

  No

  N/A

• Date Register prepared/ last updated:

  Date

• 3. All asbestos labelled or signage displayed to warn of asbestos risks?

  Yes

  No

  N/A

• 4. An asbestos management plan up-to-date (<5 years) and includes:<br>

  Compliant

  Non-compliant

• - Training for workers involved with asbestos;

  Yes

  No

  N/A

• - Reference to asbestos register;<br>

  Yes

  No

  N/A

• - Safe work procedures;

  Yes

  No

  N/A

• - Control measures eg no power, brooms, or implements that cause fibre release;

  Yes

  No

  N/A

• - Procedures for emergency and incident response eg damage to building clad with ACM;

  Yes

  No

  N/A

• - Signage and labelling of asbestos;

  Yes

  No

  N/A

• - Licensed removalist, unless < 10 sqm of non-friable asbestos (eg AC sheeting).

  Yes

  No

  N/A

• 5. Inspection of condition of all asbestos on site completed in last 12 months (Co. Std.)?<br>

  Yes

  No

  N/A

• Date of last inspection:

  Date

• 6. All external (wall and roof cladding) surfaces in good condition?

  Yes

  No

  N/A

• External audit

Building inspection

• Specific Location

• Condition.

• Photo of current condition.

  Media

• 7. Internal (wall and roof cladding) surfaces in good condition?

  Yes

  No

  N/A

• Internal audit

Building inspection

• Specific Location

• Condition

• Photo of current condition.

  Media

• 8. All other sources of asbestos, per register, in good condition?

  Yes

  No

  N/A

Key Observations, by exception, from site inspection.

• Add drawing

  Drawing

Recommendations from site inspection.

Sign off

• Branch managers signature

  Sign

• Auditors signature

  Sign