LARC Audit

• Site conducted

  Select

• Audit Date

  Date

• Client

• Licensed Contractor and Job Number

• Audit Site Address
  Address

• Auditor Name

  Sign

• Supervisor

  Sign

• Contract Manager

• Removal under fully controlled conditions? (Yes/No/N/A)

• Detail approx. extent of work:

• Asbestos product type being worked on: Detail

• Vehicle Emergency Kit Checklist

• 2 x Fire Extinguishers 1 Water 1 Powder

• 1 x Spill Kit 2 Disposable Coveralls 4 Eye Wash Ampoules 2 Goggles 2 Disposable Masks 2 Protective Gloves

• undefined

undefined

• Yes

  No

  N/A

• Operatives Equipment PPE/RPE

• Kit Bag

• Full Face Mask

• Blower

• Battery

• Belt

• Half Face Mask

• Saftey Boots

• Pair Enclosure Saftey Boots

• Pair Transit Shoes

• Saftey Goggles

• undefined

• Operatives Tools (Recommended)

• Flat Bar

• Pair Of Pliers

• Staple Gun

• Craft Knife

• Claw Hammer

• Adjustable Spanner

• Wood Saw

• Hacksaw

• Pair Tin Snips

• Selection of Screwdrivers

• Tool Box

• undefined

• Yes

  No

  N/A

A. ASB5

• Is the project notifiable and has it been?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Are there any other licence holders involved in the works?

  Yes

  No

  N/A

• Details and checks made if paperwork available:

• Is the start date correct and is ASB5 still in date?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• If power tools are being used, are these justified in the method statement?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Is the asbestos Type/Amount correct?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Is the number of operatives on site correct and the same as or < that notified?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Are the address details including postcode correct?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Are the exact work location/description details correct?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Are details of the type of work being carried out completed with sufficient detail and specific to the site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Have suitable control measures been implemented?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• If the supervisor the same as that notified?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Have non-asbestos hazards been identified?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Have suitable controls been implemented to contain the non-asbestos hazards?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Are the contact person(s) and contact numbers correct?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

B. Method Statement

• Contract Supervisor (is Supervisor on site that listed in plan of work)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Scope of works on method statement adequately described and with specific detail?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Has licence and insurance been included with Method Statement or as a separate appendix and available on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Have all sections of the Method Statement been completed?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Adequate control measures / method of work for materials being worked on (i.e. CCTV, Vision Panels, Enclosure Entry and Fibre Suppressant)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Suitable waste disposal? (Transferring/skip), Consignment note

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• DCU connected to the enclosure, or if not, as close as possible and reasons justified in the POW?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• POW include local Authority / Hospital Addresses

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• NPU Calculation correct?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

• Adequate RPE/PPE Selection and correctly shown in POW

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

C. Air Monitoring

• Is the air monitoring being/due to be carried out by a UKAS accredited organisation?

  Yes

  No

  N/A

• Company and UKAS Number:

• NCR?

  Yes

  No

  N/A

• NCR Number?

• What air monitoring requirements are detailed in the plan of work?

  Select 4-Stage Clarence Reassurance Personal Monitoring Background/Leakage

  • 4-Stage Clarence
  • Reassurance
  • Personal Monitoring
  • Background/Leakage

• Has the strategy been followed on this site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number?

D. Sketch Plan & Risk Assessments

• Does the plan match up to the site? Detail observations of plan:

  Select Vision, panels, CCTV? Airlock, bag lock (with vision Panels)? Transit route(s) Skip and DCU NPU Enclosure vision panels or CCTV

  • Vision, panels, CCTV?
  • Airlock, bag lock (with vision Panels)?
  • Transit route(s)
  • Skip and DCU
  • NPU
  • Enclosure vision panels or CCTV

• Site Plan Comments:

• Is the site plan adequate?

  Yes

  No

  N/A

• Where appropriate have site specific risk assessment been undertaken for site activities? Detail of risk additional risk assessments undertaken:

  Select Work At Height (Inc. Mobile Tower Scaffolding) Hot works Confined space Live electrics Manual handling Work at elevated temperatures Noise / Vibration COSHH Fire Safety

  • Work At Height (Inc. Mobile Tower Scaffolding)
  • Hot works
  • Confined space
  • Live electrics
  • Manual handling
  • Work at elevated temperatures
  • Noise / Vibration
  • COSHH
  • Fire Safety

• Additional RA comments:

• If applicable, are additional RA's adequate?

  Yes

  No

  N/A

E. Site Documentation

• Is there a copy of the asbestos license on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Contract Supervisor (is Supervisor on site that listed in plan of work and on the ASB5)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Have any required amendments been made to the POW and are these justified?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Detail what site information/inspection records are available and up to date?

  Select Enclosure / Airlock Inspection Sheet Site Diary DCU Inspection Sheet Vacuum & NPU Inspection Sheet Personal Exposure Record Ladder / Mobile Tower

  • Enclosure / Airlock Inspection Sheet
  • Site Diary
  • DCU Inspection Sheet
  • Vacuum & NPU Inspection Sheet
  • Personal Exposure Record
  • Ladder / Mobile Tower

• Have adequate site information/inspection records been kept?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR Number:

• General Site information comments, detailing any inspection records incomplete:

• Have any required amendments been made to the sketch and if required, relayed through the office?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a copy of the employer’s liability insurance certificate on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a job specific method statement on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a copy of the company standard procedures and COSHH assessments on site and available for inspection, and have assessments been made for site if required?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a set of site specific risk assessments on site and available for inspection?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a set of generic risk assessments on site and available for inspection, and are they up to date?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a Declaration of Satisfactory Works form available and is it being completed, and has the enclosure been inspected by the supervisor?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

F. Site Organisation/Method of Work

• Has all non-contaminated loose equipment and material been removed from the work area?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Has non–contaminated fixed plant and equipment been vacuum cleaned, covered and sealed?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• If on site, are site specific risk assessments being followed?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the method of work stated in the method statement appropriate to the work being carried out, the asbestos materials involved and the prevailing conditions?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the waste and transit route clean as far as reasonably practicable and is it being managed from other site work(i.e. construction site debris).

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are all standard procedures being adhered to?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the dust suppression method as indicated in the plan of work and being properly implemented on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the dust suppression method suitable for the type of work or material (if needle injection machine being used please state manufacture)?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are power tools being used in line with what is stated in the POW?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a suitably trained first aider on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a suitably stocked first aid kit & certified fire extinguisher near work area?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Has all electrical equipment been isolated or effectively protected from possible danger or ingress of water?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the area clear of all visible trip hazards (trailing wires/hosepipes)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the work area adequately illuminated?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

G. Plant on Site

• Are there at least 2 H type vacuums on site?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are the DOP test certificates/ plates relevant to each vacuum and NPU in date, and are paper/electronic certificates on site up to date?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• If outside area - are vacuum cleaners in good / clean condition, including hoses / attachments and fitted with HEPA filters?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Does the number and capacity of NPU in use correspond (or better) with that stated in the plan of work? Plant performance test certificates reviewed?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Does the NPU extract air from the enclosure at a point as far away from the airlock as possible and vented to outside atmosphere where practical?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is 240 volt electrical equipment on site PAT tested with legible labels / 110 volt supply where practicable?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Towers/Scaffolding erected by competent persons and certification available if requested?

  Yes

  No

  N/A

• Name of trained operative:

• NCR?

  Yes

  No

  N/A

• NCR number:

• If applicable, Is Mobile Tower Scaffolding being used correctly (operatives names to be noted)

  Yes

  No

  N/A

• Name of trained operative:

• NCR?

  Yes

  No

  N/A

• NCR number:

• MEWPS Trained operators?

  Yes

  No

  N/A

• Trained operative name:

• NCR?

  Yes

  No

  N/A

• NCR number:

• Ladders / stepladders in good condition and being used as stated in POW, inc inspections.

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

H. Enclosure/Airlocks

• Is the enclosure in sound condition to prevent the spread of asbestos, in accordance with CAR 2012?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are the smoke test records available for inspection? And witnessed?

  Yes

  No

  N/A

• Smoke test witnessed by:

• NCR?

  Yes

  No

  N/A

• NCR number:

• Does the enclosure have a viewing panel/CCTV? Can all areas be seen inside the enclosure as far as is practical?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are correct warning signs displayed?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• If the enclosure is not directly connected to the DCU does the airlock consist of three compartments (two for decorative coating) 1m² x 2m with vision panels (minimum 1 vision panel in dirty end)?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are the airlock/baglock flaps weighted and hanging on the enclosure side of the compartment barriers?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are the airlock/baglock flaps free from any obstruction, so that they will seal the enclosure if negative pressure fails?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are the airlocks/baglocks free from visible asbestos debris?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is suitable primary decontamination equipment available in the compartment closest to the enclosure (i.e. buckets, spray, sponge), and transit overalls/shoes in the third stage with adequate hanging/storage? (SOP's of LARC to be consulted for exact individual company procedure)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there a separate bag-lock for asbestos waste, If not, is this in line with the POW?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

I. Waste

• Are the waste disposals arrangement as described in the plan of works, consignment note(s) present (if applicable) and being taken to a licensed tip?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are asbestos waste bags marked with appropriate warning symbols and information?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is double-bagging of asbestos waste taking place and bags being swan-necked?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is Waste Skip as close as practical to work area:

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is Waste Skip sealed and locked at all times

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is waste skip marked and signed:

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• If skip not close to place of work is suitable transport arrangements in place (i.e. Van / Trolley)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are waste bags of suitable quality (500 gauge)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

J. Hygiene Facility

• Unit connected / unconnected to work area as per plan of work and in working order (water, electrics, water filter, drains)?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Transit route as short as possible and away from occupied areas, adequately signed, marked and protected?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Current/past clearance test for unit conducted in dirty end and shower compartment of the unit? If company procedure, between these sections?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Does the unit comply with HSG 247 and include:

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

K. PPE, Vehicle, Tool Storage Standards, waste

• RPE and filter used as stated in plan of work (i.e. suitable)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Examination of individual operator’s respiratory equipment. Is the RPE issued to an individual in a sound condition, well maintained and identifiable as a complete kit? (Reference to the content checklist)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is company uniform (or compatible) being worn by all operatives/supervisor (no jeans or shorts)?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are all observed operatives/supervisor(s) clean shaven?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there evidence of examination of the RPE by users? Inspection records etc.

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Do the individual operatives have their Record of Achievement file (containing medical, face fits, asbestos training and any other relevant training) and are the certificates in date and stamped as per ALU?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is any other necessary PPE required, e.g. goggles, hard hats and is it being worn?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are spare filters on site, and are there suitable means for disinfecting respirators after use?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Colours of coveralls for all stages of work as stated in the plan of work Type 5/6 Cat3 & have no rips or tears?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are transit shoes suitable e.g. standard issue rubber slip-on’s with no laces (i.e. not home use trainers etc.)?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is the company /hire vehicle on site of a suitably clean and tidy standard? (including equipment/bulkhead being free of asbestos debris/contamination)

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are operatives tools kept separate from their masks and are the tools free of asbestos

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Is there an emergency clean up kit in vehicle, if waste is transferred in site van?

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Are all other items of plant / equipment of suitable quality

  Yes

  No

  N/A

• NCR?

  Yes

  No

  N/A

• NCR number:

• Check of random operative #1 documentation available:

• Name

• Current medical certificate

  Yes

  No

  N/A

• Training Records inc. TNA if required (12 Months)

  Yes

  No

  N/A

• Face Fit Test For RPE In Use

  Yes

  No

  N/A

• Emergency Proceedures Awareness

  Yes

  No

  N/A

• Operative Clean Shaven

  Yes

  No

  N/A

• RPE Examination Record Within Last Month

  Yes

  No

  N/A

• Check of random operative #2 documentation available:

• Name

• Current medical certificate

  Yes

  No

  N/A

• Training Records inc. TNA if required (12 Months)

  Yes

  No

  N/A

• Face Fit Test For RPE In Use

  Yes

  No

  N/A

• Emergency Proceedures Awareness

  Yes

  No

  N/A

• Operative Clean Shaven

  Yes

  No

  N/A

• RPE Examination Record Within Last Month

  Yes

  No

  N/A