Title Page
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Conducted on
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Prepared by
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Location
Check the project file
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Does the file contain the correct method statement?
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Has the method statement been read and signed by all the operatives?
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Does the file contain the waste certificate?
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Does the file contain the relevant risk assessment?
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Has the risk assessment been completed and signed by all operative?
Are the daily inspection records available?
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Vacuum cleaner
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Integrity of the enclosure
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Exposure levels
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Scaffolding
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Mobile tower
- Yes
- No
- N/A
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Hop-ups
- Yes
- No
- N/A
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Ladders
- Yes
- No
- N/A
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Half face mask
- Yes
- No
- N/A
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Full face mask
- Yes
- No
- N/A
Are there emergency procedures in place?
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Breach of enclosure or bag breaking procedure?
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Medical emergency inside the enclosure?
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Loss of electric power?
PPE / RPE
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Are all operatives wearing protective overalls?
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Are all removal operatives wearing RPE as stated within the method statement?
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Are all operative wearing gloves?
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Are all operatives wearing protective shoes/boots?
Site operative certificate
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Site supervisors name
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Current medical certificate (2 Years)
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Training records (12 months)
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Face-fit test (12 months)
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Aware of emergency procedure?
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Operative clean shaven?
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Name of operative
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Current medical certificate (2 years)
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Training record (12 months)
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Face -fit test (12 months)
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Emergency procedure awareness?
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Operative clean shaven?
Waste
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Is the waste bagged correctly?
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Is the waste being transported by a suitable vehicle?
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Is the waste being transported in a separate compartment?
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Is the waste route adequately protected?
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Is the work area and waste / transited route free from residual or spilt waste?
Scaffolding
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Was a sub-contractor used to erect the scaffolding?
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Does the scaffolding form part of the enclosure or was it liable to disturb asbestos when erected?
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If the scaffolding is over 2 metres in height, are there guard rails, toe boards fitted along all open edges?
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Has a scaffolding inspection form been completed and placed in the file?
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Is there a safe means of access to every working platform?
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Is there a handover certificate and is the scaffolding tagged and up to date?
On site cleaning and decontamination arrangements
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Are there sufficient heavy duty wipes within the vehicle for removing grease and grime?
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Are there sufficient wipes for final cleaning?
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Are there sufficient hand towels for drying after cleaning?
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Are wipes being disposed of as contaminated waste after use?
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Site supervisors signature
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Add signature
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Auditors signature
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Add signature
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Select date