Title Page

  • Conducted on

  • Prepared by

  • Location

Check the project file

  • Does the file contain the correct method statement?

  • Has the method statement been read and signed by all the operatives?

  • Does the file contain the waste certificate?

  • Does the file contain the council risk assessment?

  • Has the risk assessment been completed and signed by all operative?

Are the daily inspection records available?

  • Vacuum cleaner

  • Integrity of the enclosure

  • Exposure levels

  • Scaffolding

  • Mobile tower

  • Hop-ups

  • Ladders

  • Half face mask

  • Full face mask

Are there emergency procedures in place?

  • Breach of enclosure or bag breaking procedure?

  • Medical emergency inside the enclosure?

  • Loss of electric power?

PPE / RPE

  • Are all operatives wearing protective overalls?

  • Are all removal operatives wearing RPE as stated within the method statement?

  • Are all operative wearing gloves?

  • Are all operatives wearing protective shoes/boots?

Site operative certificate

  • Site supervisors name

  • Current medical certificate (2 Years)

  • Training records (12 months)

  • Face-fit test (12 months)

  • Aware of emergency procedure?

  • Operative clean shaven?

  • Name of operative

  • Current medical certificate (2 years)

  • Training record (12 months)

  • Face -fit test (12 months)

  • Emergency procedure awareness?

  • Operative clean shaven?

Waste

  • Is the waste bagged correctly?

  • Is the waste being transported by a council vehicle?

  • Is the waste being transported in a separate compartment?

  • Is the waste route adequately protected?

  • Is the work area and waste / transited route free from residual or spilt waste?

Scaffolding

  • Was a sub-contractor used to erect the scaffolding?

  • Does the scaffolding form part of the enclosure or was it liable to disturb asbestos when erected?

  • If the scaffolding is over 2 metres in height, are there guard rails, toe boards fitted along all open edges?

  • Has a scaffolding inspection form been completed and placed in the file?

  • Is there a safe means of access to every working platform?

  • Is there a handover certificate and is the scaffolding tagged and up to date?

On site cleaning and decontamination arrangements

  • Are there sufficient heavy duty wipes within the vehicle for removing grease and grime?

  • Are there sufficient wipes for final cleaning?

  • Auditors signature

  • Are there sufficient hand towels for drying after cleaning?

  • Are wipes being disposed of as contaminated waste after use?

  • Site supervisors signature

  • Add signature

  • Add signature

  • Select date

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.