Plan of Work Scoping Document

• Job Number

• Location
  Address

• Client Details

• Conducted on

  Date

• Prepared by

Type of work undertaken

• Removal

• Repair

• Encapsulation

• Environmental Clean

General site information

• ASB5

• NNLW

• Non Licenced Work

• 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

  Media

• Please state

• Photo where waste van/skip is located

  Media

• Please state

Hygiene Facility (DCU)

• Direct connection?

  Yes

  No

  N/A

• If NO justification? (Eg flat)

• Modular

• Standard

• Alley cat

• Self contained

• Photo where DCU is to be located

  Media

• Photo were water is to be obtained

  Media

• Please state

• Photo were power is to be obtained

  Media

• Please state

• Photo were foul drain is located

  Media

• Please state

Quantity of asbestos waste and disposal arrangements

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

• Is skip required?

  Yes

  No

  N/A

• Photo were skip is to be located

  Media

• Location and size

• Clear Environmental dedicated waste compartment

• ADR waste carrier

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

• Roof

• Beams/cross sections

• Internal/External

• Photo(s) of asbestos location(s)

  Media

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)

  Media

Emergency arrangements

• Fire

• First Aid

• Client/ PC arrangements

• Photo(s) of muster points

  Media

• state where

Control measures to be taken

• Fully controlled

• Two stage

• Respirator zone

• Speed frame

• Timber frame

• state what size

• Bag lock?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• Qty

• Types

• Mobile elevated working platform?

• Type required

Analytical services

• Eton Environmental

• WSP

• 4 stage

• Reassurance

• Air test Clear Environmental van

• Personal, background and leaks

• Perimeter testing

Enclosure/respirator zone(s) details (location and sizes)

• Enclosure/respirator zone 1

• Photo of enclosure/respirator zone 1

  Media

• Enclosure/respirator zone 2

• Photo of enclosure/respirator zone 2

  Media

• Enclosure/respirator zone 3

• Photo of enclosure/respirator zone 3

  Media

• Enclosure/respirator zone 4

• Photo of enclosure/respirator zone 4

  Media

• Enclosure/respirator zone 5

• Photo of enclosure/respirator zone 5

  Media

Fibre control equipment

• 1500 NPU

• 2000 NPU

• 4000 NPU

• H type vac

• Multi point injection

• Is water available on site?

  Yes

  No

  N/A

• Photo of water location

  Media

• If no how is to be sourced?

• Is power available on site?

  Yes

  No

  N/A

• If no how is to be sourced?

• 240 volt, 110 via transformer

• 10kva hard wired

• Photo of power supply

  Media

• If no how is to be sourced?

Transit and waste route

• Waste route to skip or waste van

• Photo of route

  Media

• Transit route to DCU

• Photo of route

  Media

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?

  Yes

  No

  N/A

• Confined spaces?

  Yes

  No

  N/A

• Working at height?

  Yes

  No

  N/A

• Work equipment?

  Yes

  No

  N/A

• Adequate lighting?

  Yes

  No

  N/A

• Fragile roofs?

  Yes

  No

  N/A

• Unstable work areas?

  Yes

  No

  N/A

Work at height

• Edge protection?

  Yes

  No

  N/A

• Hand rails?

  Yes

  No

  N/A

• Harnesses?

  Yes

  No

  N/A

• Fragile roof?

  Yes

  No

  N/A

• Equipment?

  Yes

  No

  N/A

Work environment

• Adequate lighting?

  Yes

  No

  N/A

• Floors/walkways in good condition?

  Yes

  No

  N/A

• Any spill ages or even ground?

  Yes

  No

  N/A

• Are stairs in good condition?

  Yes

  No

  N/A

• Explosive atmosphere?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Sharps? (Needles, broken glass etc)

  Yes

  No

  N/A

Services

• Are services are to be isolated?

  Yes

  No

  N/A

• Isolated by?

• Are services are concealed?

  Yes

  No

  N/A

• Where?

• Gas

  Yes

  No

  N/A

• Water

  Yes

  No

  N/A

• Steam

  Yes

  No

  N/A

• Electric

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• State type

Debris

• Existing debris

• Sharps?

• Guano?

• Other

• State type

Water

• Is there area likely to be flooded?

  Yes

  No

  N/A

• Is the area near water?

  Yes

  No

  N/A

Over hazards

• 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?

  Yes

  No

  N/A

• Special PPE/RPE required?

  Yes

  No

  N/A

Welfare

• Supplied by the client?

• Supplied by Clear Environmental

Additional comments

• Add drawing

  Drawing

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  Drawing

• Add media

  Media