Pre-Checklist- Removal of Asbestos Class A/B

• Job No

• Site Address
  Address

• Start Date

  Date

• Client

• COC/NS Name

• Prepared by

Removal Personnel Names

General Information

• Consultant

• Independent Consultant / Assessor

• Contact Phone Number

• Assessor License Number

• Is the Assessor and Air monitoring Agents the same?

  Yes

  No

  N/A

• Air Monitoring Locations

• Background air monitoring completed

  Yes

  No

  N/A

• Decon/s

  Yes

  No

  N/A

• Location 1

• Location 2

• Location 3

• Location 4

• Date of Monitoring: Results:

  Date

• Friable

  Yes

  No

  N/A

• Non Friable

  Yes

  No

  N/A

• Modular Decon

  Yes

  No

  N/A

• Trailerised Decon

  Yes

  No

  N/A

• Pop Up Decon

  Yes

  No

  N/A

• Textured coating

  Yes

  No

  N/A

• ACM Dust

  Yes

  No

  N/A

• Lagging

  Yes

  No

  N/A

• ACM Soils

  Yes

  No

  N/A

• Millboard / durolux

  Yes

  No

  N/A

• Limpet

  Yes

  No

  N/A

• Damaged ACM sheeting

  Yes

  No

  N/A

• AC Plaster

  Yes

  No

  N/A

• ACM Rope

  Yes

  No

  N/A

• Other

Documentation

• Worksafe Notification onsite

  Yes

  No

  N/A

• Current and relevant to works

  Yes

  No

  N/A

• Supervisor details correct

  Yes

  No

  N/A

• Asbestos Removal Control Plan onsite and relevant to the works

  Yes

  No

  N/A

• Site plan drawn up clearly showing locations to:

• Decontamination facilities

  Good

  Fair

  Poor

  N/A

• Negative air locations

  Yes

  No

  N/A

• Enclosure set up

  Safe

  At Risk

  N/A

• Emergency assembly point

• Disposal routes and bin set up

  Yes

  No

  N/A

• First aid / fire fighting equipment

  Yes

  No

  N/A

• JSEA / SWMS onsite Communicated and signed off by all removal personnel

  Yes

  No

  N/A

• Relevant ARCP's / Guidelines available

  Yes

  No

  N/A

• Hazard Register

  Yes

  No

  N/A

• Additional hazards identified Communicated and signed off by all removal personnel

  Yes

  No

  N/A

• COC / Nominated Super copy onsite Relevant restrictions on COC / NS

  Yes

  No

  N/A

• Disposal permit applied for Worksite GPS ringfenced

  Yes

  No

  N/A

• Training Matrix onsite

  Yes

  No

  N/A

• All removal personnel

  Yes

  No

  N/A

• COC Log onsite

  Yes

  No

  N/A

• Competency Assessments

  Yes

  No

  N/A

All other relevant documentation

• Service isolations / disconnections

  Safe

  At Risk

  N/A

• Emergency Procedures

  Yes

  No

  N/A

• Site inductions

  Yes

  No

  N/A

• Toolbox Meetings

  Yes

  No

  N/A

• SSSP

  Yes

  No

  N/A

• Asbestos Survey

  Yes

  No

  N/A

• Fit testing for RPD's

  Yes

  No

  N/A

• Air monitoring results

  Yes

  No

  N/A

• Medicals employees

  Yes

  No

  N/A

Removal Personnel Competencies

• ACA completed for all personnel

  Yes

  No

  N/A

• Use of Decontamination facilities

  Yes

  No

  N/A

• Correct use of PPE/C

  Yes

  No

  N/A

• Correct use of all other equipment

  Yes

  No

  N/A

Exterior to Removal Area/s

• Barriers in place to prevent entry

  Safe

  At Risk

  N/A

• Entry / exits free from clutter

  Good

  Fair

  Poor

  N/A

• Hazard / warning signage

  Yes

  No

  N/A

• Danger Asbestos Signage

  Yes

  No

  N/A

• Other

Decontamination Facilities

• Clean and tidy

  Good

  Fair

  Poor

  N/A

• Can be locked when not in use

  Yes

  No

  N/A

• Fit for intended purpose

  Yes

  No

  N/A

• NAU installed

  Yes

  No

  N/A

• Daily inspections recorded

  Yes

  No

  N/A

• H20 filtration installed & working

  Good

  Fair

  Poor

  N/A

• Cubicle doors seal correctly

  Yes

  No

  N/A

• Air monitoring in place

  Yes

  No

  N/A

Removal area

• All movable items cleared

  Yes

  No

  N/A

• Soft furnishings cleared

  Yes

  No

  N/A

• Other items fully covered

  Yes

  No

  N/A

• All ducts, voids sealed / covered

  Yes

  No

  N/A

• Enclosure lining

  Good

  Fair

  Poor

  N/A

• Dbl lining Black poly to floor

  Good

  Fair

  Poor

  N/A

• Lined to ceiling clear poly

  Good

  Fair

  Poor

  N/A

• Sticky side of tape not exposed

  Yes

  No

  N/A

• No lifting ends on tape

  Yes

  No

  N/A

• Plastic in good condition

  Good

  Fair

  Poor

  N/A

• No tears / rips

  Yes

  No

  N/A

• Overlay good

  Good

  Fair

  Poor

  N/A

• Viewing panel / camera installed

  Yes

  No

  N/A

• Sufficient supplies onsite

  Yes

  No

  N/A

• Obvious billowing in to enclosure

  Yes

  No

  N/A

• Visual inspection completed

  Yes

  No

  N/A

• Smoke test validation complete

  Pass

  Fail

  N/A

• Date of Smoke Testing Validation :

  Date

• Verified by (Client / Independent):

• Air pressure at 12Pa or greater pressure monitor installed and recording

  Yes

  No

  N/A

• Area free of clutter

• Dust suppression during removal

  Good

  Fair

  Poor

  N/A

• ABC / PVA

  Yes

  No

  N/A

• Dust buster

  Yes

  No

  N/A

• Water misting / spray

  Yes

  No

  N/A

• No Asbestos debris

  Safe

  At Risk

  N/A

• All ACM wrapped / bagged

  Safe

  At Risk

  N/A

• NAU installed

  Yes

  No

  N/A

• Filters changed and recorded

  Yes

  No

  N/A

Removal Equipment

Negative Air Units

• DOP's / Service current and will be current for duration of job

  Yes

  No

  N/A

• NAU free of dust and debris

  Yes

  No

  N/A

• Ducting free of damage and rips

  Yes

  No

  N/A

• Air extracted to outside of Bldg

  Yes

  No

  N/A

• Ducting not laid on access ways

  Yes

  No

  N/A

• Filters / prefilters clean and regularly inspected / changed

  Yes

  No

  N/A

• 7 day Records of Inspections onsite

  Yes

  No

  N/A

NAU Register

• NAU

HEPA Vacuums

• Vacuums are H Class and comply with AS.NZS 60335.2

  Yes

  No

  N/A

• Bags installed and disposable

  Yes

  No

  N/A

• Filters clean / unclogged and changed regularly

  Yes

  No

  N/A

• Vacs are correctly sealed and no damage to outer casing

  Yes

  No

  N/A

• Vacs have current inspection certification ( every 6 mths)

  Yes

  No

  N/A

• Weekly inspections recorded

  Yes

  No

  N/A

• Vacs are clean and good cond

  Good

  Fair

  Poor

  N/A

Vacuum Register

All electrical equipment tagged

• HEPA vacs total No

• NAU's total No

• Electrical tools

  Yes

  No

  N/A

• Portable lighting

  Yes

  No

  N/A

• Leads

  Yes

  No

  N/A

• Decon water filter

  Yes

  No

  N/A

• Other:

• Use of Life Guards onsite

  Yes

  No

  N/A

Scaffolding is safe and fit for purpose

• Fully planked

  Safe

  At Risk

  N/A

• Guardrails

  Safe

  At Risk

  N/A

• Access ladders

  Safe

  At Risk

  N/A

• Correctly braced

  Safe

  At Risk

  N/A

• All scaf pipes are sealed at both ends with tape or caps to prevent materials falling inside

  Safe

  At Risk

  N/A

• Poly lining to platform

  Safe

  At Risk

  N/A

Tools appropriate and safe

• Pre use inspections conducted

  Yes

  No

  N/A

• No damaged blades

  Yes

  No

  N/A

• Deadmans fitted and working

  Yes

  No

  N/A

• Guards fitted

  Yes

  No

  N/A

Use of high pressure water blasters and compressors is prohibited for ACM removal

• Are still using Water Blaster

  Yes

  No

  N/A

Personnel wearing correct PPE/C

• Respirators full/half

  Yes

  No

  N/A

• Coveralls

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

Personnel know to correctly

• Fit Test conducted on all workers

  Yes

  No

  N/A

• Maintain / store PPE/C

  Yes

  No

  N/A

The emergency alarm for this site is

Signed by Inspector

• Add signature

  Sign

• Date & Time

  Date

Additional Comments / Obeservations