Title Page

Starting the LARC Audit

  • when your ready to start the audit click 'Start'

  • Audit Refernce Number

  • Site conducted

  • LARC Name

  • LARC Address
  • Site Address
  • Auditor

  • Date Undertaken

  • Issue Date

Customer Information and Preliminaries

Customer Information

  • Customer Name

  • Customer Address

  • Customer Contact

  • Contact Number

Preliminarie

  • Scope of Remedial Work

  • ACM Removed

  • Specify Other

  • Asbestos Type

  • Specify Other

  • Type of Site

  • LARC POW Reference Number

  • Issue / Version

  • HSE License Number

  • Expiry Date

  • ASB5 Reference Number :

  • > From

  • > To

  • Waiver required?

  • Hours of Work

  • Duration of work (days)

  • Size of Enclosure

  • Supervisor Name

  • No of Operatives

  • NB: A quota of 3 operatives will be assessed during the audit, if less than 3 operatives are on site each question will be a green response.

Site Details

  • auditing score.png
  • please ensure as much detail as possible is recorded. use 'Media' to capture photographic evidence and use 'notes' to record additional information

1. Planning and Documentation

  • Has the supervisor completed site set up in a good safe manner?

  • Is the site diary up to date and entries show a true reflection?

  • Is there a site information board displaying the site POW, Enclosure Plans and Emergency<br>contacts, various Licenses and Notifications required for jobs over 2 days

  • Is there a copy of the POW including revisions

  • Are the risk assessments suitable, sufficient, and relevant for all site activities?

  • Are there COSHH Assessments and SDS information available

  • Are all enabling works documentation in place? (Isolation, scaffolding, PTW etc)

  • Have they been read and understood, and have they signed?

  • Does the ASB5 match the POW?

  • ASB5 (new, updated and waivers if applicable) and copy of waiver information (if applicable)

  • Is the asbestos license on site?

  • Is the waste carriers license on site?

  • Does the plan of work detail when the work is to be carried out? (Including start/finish times and weekend variations)

  • Does the plan of work detail the air monitoring arrangements for the duration of the works?

  • Does the plan detail the person or company providing the 4stage clearance and to whom they<br>are contracted to?

  • If the plan of work has been amended, has it been signed/dated and do other records (e.g. site diary) show the authorisation procedure has been followed?

  • Does the plan of work detail the type of respirators to be used?

  • Does the plan of work detail the arrangements for smoke testing and witnessing? Has this been<br>witnessed?

  • Has the Smoke Test been completed/witnessed?

2. Site Specific Details

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

  • Is the supervisor on site the one listed in plan of work?

  • Is the scope of works/methodology/ACM adequately described in the plan of work?

3. Supervisor

  • please ensure details are recorded from certificates and use 'Media' to capture photographic evidence and use 'notes' to record date of certs and Verified date

  • Name

  • Training Documents

  • Additional Training

  • Medical

  • FF Face Fit

  • HM Face Fit

  • Mask Daily Inspection

  • Mask Monthly Inspection

4. Operative 1

  • please ensure details are recorded from certificates and use 'Media' to capture photographic evidence and use 'notes' to record date of certs and Verified date

  • Name

  • Training Documents

  • Additional Training

  • Medical

  • FF Face Fit

  • HM Face Fit

  • Mask Daily Inspection

  • Mask Monthly Inspection

5. Operative 2

  • Name

  • Training Documents

  • Additional Training

  • Medical

  • FF Face Fit

  • HM Face Fit

  • Mask Daily Inspection

  • Mask Monthly Inspection

6. Operative 3

  • Name

  • Training Documents

  • Additional Training

  • Medical

  • FF Face Fit

  • HM Face Fit

  • Mask Daily Inspection

  • Mask Monthly Inspection

7. Site

  • Are first aid kits, fire extinguishers and air horns located in accordance with the Plan of Work?

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

  • Have all floor ducts, risers, electrical sockets and other openings been covered and sealed inside the area?

  • Has a supervisor confirmed all openings in plant, pipes, walls & ceilings (including hidden voids) been sealed?

  • Has all electrical plant been isolated or effectively protected from the ingress of water or surfactant materials?

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

  • Are all employees wearing supplied company clothing? Is it clean? Do they look and act 'professional'?

  • Is the Equipment register available?

  • Are Equipment service, test and inspection dates in date?

8. Air Lock / Bag Lock

  • Is there a method/facility to clean RPE and PPE at the inner stage?

  • Does airlock consist of at least 3 (1x1x2m) compartments with vision panel (600x300mm located in dirty end?

  • Is the outer flap in place?

  • Are the flaps weighted at the bottom and taped?

  • Do the flaps overlap and cover the openings?

  • Is there a hand-held spray in the dirty end?

  • Is the airlock tidy and free of all dust, dirt and debris?

  • Does the airlock have suitable signage?

  • If present does the bag lock consist of at least 3 (1x1x2m) compartments with vision panel (600x300mm) located in dirty ends?

9. Work Area / Enclosure

  • Is the enclosure constructed in accordance with the general procedures (1000-gauge ploy; 50mm2 timber or use cleanable surfaces of area)

  • If flame retardant polythene is required by POW, is it being used?

  • Has a clear Perspex inspection/viewing panel (600x300mm min) or CCTV been incorporated into the enclosure?

  • Are all parts of the enclosure visible via the panel(s) or CCTV?

  • Are the work areas/enclosures on carpet? If so, has boarding been used to overlay the carpet?

  • Are there sufficient ASBESTOS warning signs displayed around the area?

10. PPE and RPE

  • Are there sufficient mask filters available and in date?

  • Are the asbestos removal operatives wearing full overalls, with a hood (type 5, cat 3}?

  • Are operatives wearing Wellington boots?

  • Are the overalls on the outside of their boots?

  • Are their hoods on the outside of their RPE harness strap

  • If a transit procedure is being operated, are work and transit overalls of a different colour

  • Are masks worn as stated in the POW?

  • Is any other PPE required on site and is it being used?

Control Measures

  • please ensure as much detail as possible is recorded. use 'Media' to capture photographic evidence and use 'notes' to record additional information

11. Control Measures - Dust Reduction / Wet Stripping

  • Are the removal techniques being used in accordance with that specified in the plan of work?

  • Do the removal techniques appear to be effective?

  • If Personal Monitoring is being undertaken, has the Supervisor been informed of the results?

  • Has Air Monitoring been undertaken during the removal work?

  • Are the surfactants/wetting agents only being used on cold surfaces?

  • Are exposure records available on site?

12. Negative Pressure Units

  • Are NPU’s employed effectively?

  • Is there sufficient negative pressure?

  • Is NPU(s) correctly sheeted to enclosure wall, or if inside, sheeted over including vent hose?

  • Does the unit(s) vent to atmosphere outside the building? Or if venting inside, is regular air monitoring being undertaken?

  • Does the pre filter appear to be working efficiently (Pa gauge)?

  • Does the unit(s) have DOP/electrical test certificates?

  • Is the ducting in good condition?

13. H Type Vacuums

  • Is there a minimum of two vacs on site?

  • Is there one in the area near the airlock for decontamination?

  • Are the hoses and electric flex in good condition?

  • Are the vacuum cleaners working efficiently?

  • Have they got current DOP/electrical test certificates?

14. Waste Handling and Disposal

  • Is there a suitable waste disposal route for the bags with suitable signage?

  • Are the bags marked in accordance with the current legislative requirements?

  • Is the waste double bagged?

  • Are bags being filled to a correct level, so that they can be easily handled and not ruptured?

  • If waste is being temporarily stored, is the area labelled and secure?

  • What condition is the skip/van?<br>Is it lockable? Are suitable signs present?

  • Does the waste route follow the one in the plan of work?

15. Transit Procedures

  • Is transit footwear available and is it stored in clean section of airlock?

  • Are the sufficient pairs for the number of people in the work area?

  • Are transit coveralls stored in clean end of airlock?

  • Are carpeted/grassed areas protected along transit route?

  • Is the transit route clean?

  • Is there signage to show transit route?

16. Hygiene Facility

  • Does the HF have a Serial/Asset Number:

  • Electrical Test Date:

  • Gas safety certificate Date:

  • Air Clearance Date:

  • DOP Test Certificate:

  • Is the transit procedure in accordance to the plan of work?

  • Is the outside of the unit clean?

  • Are there sufficient showers for the number of personnel on site? (1shower - 4persons)

  • Are the HF legs down, is it level and is fully operational?

  • Are there usable warning signs on the external clean/dirty entry doors?

  • Have lockers been provided in the clean end?

  • Are there adequate methods of heating the HF in cold weather?

  • Do the showers have adequate supply of hot water?

  • Is there a gas detector fitted and tested and working?

  • Are all relevant doors (internal and external} self - closing?

  • Is the waste water from the HF filtered and discharging to foul sewer?

  • Does the HF have an extraction fan fitted with a HEPA filter fitted on the dirty external wall?

  • Has the HF check sheet been completed and is up to date?

  • Have liquid soap, shampoo, nail brushes and clean dry towels been provided for the thorough decontamination of the removal personnel?

  • Are all door grilles free of dust and ingrained dirt?

  • Are all seals (wall to floor, wall to wall sinks etc} in place?

  • Are all doors and door surrounds free of dust?

  • Are hooks available in the shower to hang RPE whilst showering

  • Is a mirror installed in the clean end of the HF?

  • Are the sinks and waste system free of dust?

  • Is the flooring level and clean?

  • Is the NPU and area underneath clear of dirt and in a dry condition?

  • Are there sufficient, working power points in the clean end to charge RPE battery packs?

  • Is the gas cylinder setup correctly? (Outside unit, single piece hose (and in good condition), regulator fitted

  • Is the supply and waste hose in good condition?

  • Is the HF connected to the enclosure?

  • Is there signage to show the transit route?

17. Communication

  • Is there a suitable system in place to allow easy two-way communication between workers inside the enclosure and those working outside the enclosure?

  • Are there records of meetings on site?

  • Are there daily meetings/briefing by the supervisor?

18. Emergency Procedures

  • Is the First Aider as per the POW? (Record name and training cert)

  • Loss of electrical power?

  • Failure of the enclosure?

  • Split waste bag during transit?

  • Failure of NPU?

  • Failure of HF?

19. Vehicle

  • Record Vehicle(s) Registration

  • Has an air test been carried out in the vehicle(s) recently?

  • Do tyres appear legal?

  • Are all light lenses present?

  • Is storage area clean and well ordered?

  • Does the vehicle have a separate waste area?

  • Is the van cabin tidy and clean?

Completion

  • Summary

  • Auditor Signature

  • Date

  • Confidentiality Statement

    To maintain the integrity and credibility of the audit process and to protect all parties involved, it is understood that the Auditor and Staff of ESSS Ltd will not divulge to unauthorised persons any information obtained and recorded during this audit unless legally obligated to do

Completion of Audit

  • When Audit is Complete select 'FINISH'

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.