Type of work undertaken

  • Removal

  • Repair

  • Encapsulation

  • Environmental Clean

General site information

  • ASB5

  • NNLW

  • F10

  • Project team details

Site access and working arrangements

  • Start date

  • Finish date

  • Duration of project

  • Working times?

  • Mon-Fri?

  • Weekend Working?

  • Shift working?

  • Shift pattern?

  • Continual works?

  • Out of hours working?

  • Number of operatives per shift?

  • Number of supervisors per shift?

  • Void property?

  • Access arrangements?

  • Occupied property?

  • Access control to asbestos removal working area?

Type of premises

  • School

  • Office

  • Factory

  • Retail

  • Residential

  • Other

  • Please state

Vehicle and skip access

  • Good

  • Poor

  • Other

  • Please state

  • Photo where van is located

  • Please state

  • Photo where waste van/skip is located

  • Please state

Hygiene Facility (DCU)

  • Direct connection?

  • If NO justification? (Eg flat)

  • Modular

  • Standard

  • Alley cat

  • Self contained

  • Photo where DCU is to be located

  • Photo were water is to be obtained

  • Please state

  • Photo were power is to be obtained

  • Please state

  • Photo were foul drain is located

  • Please state

Quantity of asbestos waste and disposal arrangements

  • Estimated amount of waste generated by works (bags, wraps, weight)

  • Is skip required?

  • Photo were skip is to be located

  • Location and size

  • Coharts

  • ATS

  • Bowmers

  • Pinden

Survey details (if any)

  • Analytical company name

  • Management

  • Refurbishment

  • Bulk samples

  • Other

Type of asbestos

  • Amosite

  • Chrysotile

  • Crocidolite

  • Other

  • state which type

Type of application

  • Pipe work

  • Soffit

  • Ceiling

  • Wall

  • Debris

  • Floor

  • Beams/cross sections

  • Internal/External

  • Photo(s) of asbestos location(s)

Type of ACM

  • Spray coating

  • Cement

  • Insulation

  • AIB

  • Textured coating

  • Debris (material type unknown)

  • Other

  • state which

Condition of asbestos

  • Good

  • Poor

  • Fair

  • Requires pre clean

  • Other

  • state which

Asbestos fixings

  • Nailed

  • Screwed

  • Bolted

  • Other (eg glued)

  • state which

Existing services (pipe work, plant)

  • In service

  • Off line

  • Redundant

  • N/A

  • Photo(s) of services (if any)

Emergency arrangements

  • Fire

  • First Aid

  • Client/ PC arrangements

  • Photo(s) of muster points

  • state where

Control measures to be taken

  • Fully controlled

  • Two stage

  • Respirator zone

  • Two stage

  • Speed frame

  • Timber frame

  • state what size

  • Bag lock?

  • If NO justification?

  • CCTV

  • How many

  • VIsion panels?

  • How many?

Working techniques to be used

  • Injection machine (BS8520)

  • Spray bottle

  • Airless sprayer

  • Encapsulation

  • Internal/External

  • Wrap and cut

  • Shadow vac

  • Partial enclosure

  • Other (eg ALG Memo 03/12)

  • State which

Working at height requirements

  • None

  • Ladders

  • Steps

  • Podiums

  • Internal/External

  • Hop ups

  • Tower scaffolds

  • Fixed scaffolds

  • Does the scaffold need a licence or design?

  • Qty

  • Types

  • Mobile elevated working platform?

  • Type required

Analytical services

  • Sensible Asbestos Solutions

  • Ace Consultants

  • Environtec

  • Leftfield Environmental

  • REC

  • CARE

  • DMV

  • Shield Onsite Services

  • Anchem

  • PCS Asbestos Consultants

  • PCS Asbestos Consultants

  • 4 stage

  • Reassurance

  • Air test RIS van

  • Personal, background and leaks

  • Perimeter testing

Enclosure(s) details (location and sizes)

  • Enclosure 1

  • Photo of enclosure location

  • Enclosure 2

  • Photo of enclosure location

  • Enclosure 3

  • Photo of enclosure location

  • Enclosure 4

  • Photo of enclosure location

  • Enclosure 5

  • Photo of enclosure location

Fibre control equipment

  • 500 NPU

  • 1000 NPU

  • 1500 NPU

  • 2000 NPU

  • 4000 NPU

  • H type vac

  • Multi point injection

  • Is water available on site?

  • Photo of water location

  • If no how is to be sourced?

  • Is power available on site?

  • If no how is to be sourced?

  • 240 volt, 110 via transformer

  • 10kva hard wired

  • Photo of power supply

  • If no how is to be sourced?

Transit and waste route

  • Waste route to skip or waste van

  • Photo of route

  • Transit route to DCU

  • Photo of route

Safety wear

  • Full face mask

  • Half face mask

  • Type 5/6 disposable overalls

  • Safety boots

  • Gloves

  • Hard hats

  • Ear protection

  • Googles

  • Hi vis vest

  • Fall arrest (harness and lanyard)

  • Other

  • State type

Non asbestos risk assessment

Access and egress

  • Any restricted access?

  • Confined spaces?

  • Working at height?

  • Work equipment?

  • Adequate lighting?

  • Fragile roofs?

  • Unstable work areas?

Work at height

  • Edge protection?

  • Hand rails?

  • Harnesses?

  • Fragile roof?

  • Equipment?

Work environment

  • Adequate lighting?

  • Floors/walkways in good condition?

  • Any spill ages or even ground?

  • Are stairs in good condition?

  • Explosive atmosphere?

  • Hot/cold environment? (Plant room, boiler/chill store)

  • Hot/cold surfaces? (Radiators/pipe work)

  • Noise

  • Sharps? (Needles, broken glass etc)

Services

  • Are services are to be isolated?

  • Isolated by?

  • Are services are concealed?

  • Where?

  • Gas

  • Water

  • Steam

  • Electric

  • Other

  • State type

Debris

  • Existing debris

  • Sharps?

  • Guano?

  • Other

  • State type

Water

  • Is there area likely to be flooded?

  • Is the area near water?

Fire

  • Rats

  • Pigeons

  • Dermatitis

  • Mold

  • Hand Arm Vibration

  • Manual Handling

Fire

  • Sources of heat?

  • Sources of fuel (flammable materials, liquids)

  • Hot works?

COSHH

  • Hazardous chemicals present or to be used?

  • Special PPE/RPE required?

Welfare

  • Supplied by the client?

  • Supplied by RIS?

Additional comments

  • Add drawing

  • Add drawing

  • Add media

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