Information

  • DOCUMENT NUMBER

  • SITE PHOTOGRAPH

  • PROJECT NUMBER

  • SITE ADDRESS
  • DESCRIPTION OF NON-LICENSED WORK

  • AUDIT DATE

  • AUDITOR

  • SUPERVISOR

  • OPERATIVES

1 Company Certificates

  • 1.1 Standard operating procedures on site?

  • 1.2 Asbestos License is on site?

  • 1.3 Waste carriers license is on site?

  • 1.4 Insurance Cert is on site?

  • 1.6 All personnel Certs (medical, face fits, training and mask Certs) are on site?

  • 1.7 Current certificates are on site for all plant?

2 PLANNING/SET UP

  • 2.1 Has this project been notified to HSE if necessary (NNLW) with evidence in the RAMS?

  • 2.2 Is the Method Statement on site?

  • 2.3a Is the MS specific to this site, accurate and adequate to describe works?

  • 2.3b Does generic MS cover this project thoroughly, and are all associated risks assessed sufficiently?

  • 2.4 Does the Risk Assessment cover all risks and are specified Control Measures all appropriate?

  • 2.5 Is the type of RPE & other PPE identified on the RAMS appropriate to the works?

  • 2.6 Work at height has been sufficiently planned?

  • 2.7 Has any necessary isolation been sufficiently planned, and arranged?

  • 2.8 Is a DCU specified or necessary for this project?

  • Is the DCU on site, setup and operational?

  • Is the DCU as close to the works as possible?

  • Are all DCU internal surfaces clean and in good condition?

  • Does DCU have ID number?

  • Does DCU have correct vehicle registration plate?

  • Is DCU level (support legs down) and secure (clamped and locked)?

  • DCU has warm running water?

  • Are all DCU doors fully self closing?

  • Does the DCU contain sufficient supplies (Overalls, towels, shower gel, nail brush etc.)?

  • Are DCU fixtures and signage as per guidance (seats, hooks, rails etc.)?

  • Are DCU filters clean, and are spares available?

  • Has sufficient decontamination equipment been set up (buckets, sponges, waste bag etc)?

  • Has suitable decontamination of equipment and personal decontamination been undertaken?

  • 2.9 Is an enclosure necessary on this site? This will be a 2 stage airlock and NPU for major artex works.

  • Is the enclosure constructed well, and completely as per MS/Envirocall procedures?

  • Is the enclosure adequately signed?

  • Does vision panels or CCTV provide adequate view of work areas?

  • Are the airlocks constructed as per MS, with adequately weighted flaps?

  • 2.10 Is a NPU necessary for this project?

  • Is NPU externally clean?

  • Has it been placed for optimum position and effectivness?

  • Is it correctly attached to the enclosure or if inside is sheeted out properly?

  • Is the gauge working and readable?

  • Is the gauge reading ok (in the green)?

  • Is the sticker on the unit legible and does it match cert?

  • 2.11 Has welfare been sufficiently planned?

  • 2.12 For works within an enclosure is there an idealised or specific drawing?

3 SITE OPERATION

  • 3.1 Vehicle is externally clean and considerately parked?

  • 3.2 The internal areas of the van are clean and tidy - particularly around waste bin)?

  • 3.3 A first aid kit is available on site, and fire extinguisher and air horn as necessary?

  • 3.4 All operatives are clean shaven?

  • 3.5 RPE is either in use, or clean and boxed?

  • 3.6 All RPE necessary for the current task is in use and been worn correctly?

  • 3.6a Is all relevant PPE available and being worn correctly?

  • 3.7 There are sufficient H-Vacs on site?

  • 3.8 H-Vacs are double bagged if in storage/transit?

  • 3.9 All other necessary plant is on site and in good condition?

  • 3.10 Asbestos Area is well controlled with fencing, barriers or tape as appropriate?

  • 3.10a Does the set up match the specific supplied drawing or has the Supervisor used best practice placement where generic drawings exist?

  • 3.10b Respirator Zone is marked on the enclosure or flapped door?

  • 3.11 All equipment is stored tidily, and good housekeeping is evident on site?

  • 3.12 Work at height - access equipment is appropriate and correctly constructed

  • 3.13 Have any planned isolations been done, and do the operatives have proof of this?

  • 3.14 ACMs are being sufficiently wetted?

  • 3.15 ACMs are being wrapped if too large for the bags (i.e. not being broken)?

  • 3.16 All waste is double bagged/wrapped?

  • 3.17 Waste bins are sufficient and secure?

  • 3.18 Skip is in good condition, locked and signed?

4 INDIVIDUAL COMPETENCE REVIEW

  • Tick to undertake individual competency assessment:

  • Repeat for each individual assessed:

  • Non-Conformance
  • Name of person completing this assessment:

  • Assessment Catagory:

  • RPE

  • 1 Describe common faults you may be looking out for during RPE pre-use checks:

  • 2 Explain the importance of RPE cleanliness:

  • 3 Why should RPE always be kept boxed when not in use?

  • 4 Give examples of non-licensable projects where it would usually be best practice to wear full-face RPE:

  • 5 For what reasons would an operative need to rearrange a face fit test even when it is still in date?

  • 6 What other factors may effect a suitable face fit?

  • DECONTAMINATION:

  • 1 Failure to decontaminate properly could lead to what?

  • 2 There are three stages of decontamination, the third of which is in the DCU, explain the first and second stage:

  • 3 In a direct connection, explain the importance of, and the features of the intervening tunnel between airlock and DCU:

  • 4 Specify the equipment needed for each of the three airlock stages:

  • 5 Explain under what rare circumstances the full-face RPE wouldn't be used during transiting, and explain the alternative arrangements that should be used:

  • 6 Describe the decontamination equipment that should be set up on non-licensed projects where no DCU is required:

  • 7 Specify what needs to be done inside a DCU before leaving site each day:

  • H-VAC:

  • 1 Explain why brushes or brooms should never be used for cleaning:

  • 2 explain suitable transportation of the H-Vac (ALG 01/09 p20):

  • 3 Why would the analyst need the H-Vac to be left in place for the 4-stage clearance?

  • 4 Why should overly wet materials never be cleaned with the H-Vac?

  • 5 What pre/post use checks do you perform on your H-vacs?

  • NEGATIVE PRESSURE:

  • 1 Describe the importance of negative pressure:

  • 2 What factors could affect the uniformity of negative pressure within the enclosure?

  • 3 Describe when additional air inlets should have been planned, and describe precautions you need to take when they are used:

  • 4 Why should stripping operations stop during a pre-filter change?

  • 5 How does smoke testing aid you in determining the sufficiency of planned airflow?

  • 6 Describe how the NPU nanometer (gauge) can help you manage adequate negative pressure?

  • VAN:

  • 1 Why should all areas of the van (cab, storage, waste) be as clean as reasonable practicable?

  • 2 Explain the importance of stowing all equipment safely and tidily:

  • 3 Under what circumstances is it permissible to carry waste in the storage section of the van?

  • REMOVAL/WETTING TECHNIQUES:

  • 1 What factors on site would cause you to question (contact the CM) regarding the suitability of planned stripping techniques?

  • 2 What are some potential problems with wetting techniques?

  • 3 How can the Supervisor ensure operatives are pre-wetting ACMs adequately?

  • 4 Describe the adequate use of wetting agents (Astrip):

  • 5 What factors can lead to poor (under or over) wetting?

  • 6 What problems can be caused by poor (under or over) wetting ACMs?

  • 7 Describe correct placing of needles for injection wetting:

  • 8 What is the aim of effective spraying?

  • AREA CONTROL:

  • 1 At what point does signage need to be placed to warn 3rd parties that work is in progress?

  • 2 Explain the difference between an 'Asbestos Work Area' and a 'Respirator Zone':

  • 3 Regarding welfare, what activities should never take place within an asbestos work area?

  • GENERAL HEALTH & SAFETY:

  • 1 Describe potential risks (other than asbestos) that you need to manage on site?

  • 2 When is work 'at height'?

  • 3 What is a confined space?

  • 4 Why can electricity be a particular hazard on site?

  • 5 What pre-use equipment checks do you employ to eliminate or reduce electrical risks?

  • 6 What practices/ equipment can be used to reduce risks of slips/trips?

  • 7 How could the work of other (non-Envirocall) contractors impact on the management of your site?

  • 8 What H&S considerations apply to driving?

  • 9 Apart from Envirocall operatives, who else do we need to consider when managing site risks?

  • 10 Apart from RPE, overalls and STC boots, what other PPE may be necessary on some sites?

  • Competency assessment completed by:

6 ANONYMOUS OPERATIVE SAFETY FEEDBACK

  • Tick to fill in Anonymous Safety Feedback

  • If you have any safety concerns on site, how could that be effectively communicated to Management (are current methods - like the suggestion form - sufficient or do you have better suggestions)?

  • Do you feel that your concerns are always taken seriously?

  • How approachable do you find Envirocall Contract Managers, Directors or the H&S team?

  • Do you know of any equipment or methods that could make our work easier?

7 SUMMARY

  • Tick if there are any non-conformances above:

  • Non-Conformance Summary

  • Non-Conformance
  • Non-conformance details:

  • Describe the action taken to complete non-conformance:

  • Person/People responsible for non-conformance completion:

  • Date of non-conformance completion:

  • Non-conformance completed by?

  • FURTHER DETAILS:

  • Auditor:

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.