Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Project Contract Details
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Site Address
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Photo of Site Entrance
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Client Details
Client
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Client
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Client Contact
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Site Contact
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Analyst?
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Type of air monitoring
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Preferred Analyst
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CDM Applicable?
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Principle Contractor
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CDM Client
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CDM Co-Ordinator
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Welfare?
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What and supplied by who?
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Other Sub-contract Works?
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Other Sub-Contractors
Sub-Contractors
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Sub Contractor Details
Waste Management
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Waste Management
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How many bags?
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Skip or collection?
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How many bags?
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Who?
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Add media
Project Details
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Are the works Non-Notifiable?
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Scope of Works
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Project Start Date
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Project Completion Date
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Start Time
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Finish Time
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Weekend Working
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Start Time
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Finish Time
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Comments
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Site Survey Details
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Additional Site PPE
- Appropriate Gloves
- Hi-Viz
- Hard Hat
- Safety Glasses
- Other
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What?
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Site Parking
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Site Parking Location
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Parking Photo
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DCU required?
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Attached to the enclosure
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Location Details
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Location Photo
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Power
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Water
Pre-Start Checks
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Pre-Start Checks? (e.g. Isolations, site temps etc.)
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Comments
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Asbestos to be removed
- rope
- gasket
- cement
- floor tiles
- artex
- AIB
- sprayed insulation
- insulation to pipework
- other
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What?
Respirator Zone
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Access Equipment
- Hop-ups
- Steps
- Podium Steps
- Access Towers
- Scaffolding
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Fixings
- screw
- nail
- n/a
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Pre-Clean?
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What and Where
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Enclosure Sheeting
- Building Fabric
- Timber Studwork
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Airlock & Baglock
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Why?
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Airlocks/Baglock Construction
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What Size?
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Vision Panels and/or CCTV
- Vision Panels
- CCTV
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Negative Pressure Unit Vented to Atmosphere
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Why?
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Negative Pressure Unit With Roving Head
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Height x Width x Length
Comments
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Comments
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Photo
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Are the works Notifiable?
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Scope of Works
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Project Start Date
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Project Completion Date
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Start Time
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Finish Time
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Weekend Working
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Start Time
-
Finish Time
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Comments
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Site Survey Details
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Additional Site PPE
- Appropriate Gloves
- Hi-Viz
- Hard Hat
- Safety Glasses
- Other
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What?
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Site Parking
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Site Parking Location
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Parking Photo
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Skip requirement
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Skip Size
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Skip Location
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Skip Location Photo
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Decontamination Unit
DCU
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Attached to the enclosure
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Location Details
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Location Photo
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Power
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Water
Pre-Start Checks
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Pre-Start Checks? (e.g. Isolations, site temps etc.)
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Comments
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Enclosure Details
Enclosures
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Asbestos to be removed
- rope
- gasket
- cement
- floor tiles
- artex
- AIB
- sprayed insulation
- insulation to pipework
- other
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What?
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Access Equipment
- Hop-ups
- Steps
- Podium Steps
- Access Towers
- Scaffolding
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Fixings
- screw
- nail
- n/a
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Pre-Clean?
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What and Where
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Enclosure Sheeting
- Building Fabric
- Timber Studwork
-
Airlock & Baglock
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Why?
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Airlocks/Baglock Construction
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What Size?
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Vision Panels and/or CCTV
- Vision Panels
- CCTV
-
Negative Pressure Unit Vented to Atmosphere
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Why?
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Negative Pressure Unit With Roving Head
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Height x Width x Length
Comments
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Comments
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Photo
COSHH Assessments
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Wet Strip
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Spray Tak
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Expanding Foam
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MMMF
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General Dusts
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Smoke Fluid
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X-Tex Artex Removal Agent
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Other
Other RA's
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Add media
Risk Assessments
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Asbestos
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Live Mechanical Services
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Live Electrical Services
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Confined space
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Poor Lighting
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Electric Plant & Equipment
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Slips, Trips & Falls
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Noise
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Hand Cutting Timber
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Hand Tools
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Power Tools Cutting/Grinding
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Hand Arm Vibration (HAVS)
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Hand Cutting Timber
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Manual Handling - less than 20kg
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Manual Handling - more than 20kg
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Fire
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Working At Height - Steps
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Working At Height - Podium Steps
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Working At Height - Access Towers
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Working At Height - Scaffolding
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Working At Height - Roof
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Working At Height - MEWP's
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Needles & Sharps
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Traffic Management Plan (CDM)
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Vehicle Movements & Deliveries
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Drug Use
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Bio-Hazard (vermin/animal infestation)
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Pigeon Guano
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Dry Ice
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Other
Other RA's
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Add media
Drawing
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Add drawing
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Add media
Additional Infomation
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Add media
Caswell Group Representative Signature
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- Stephen Summerfield
- Carl Lewis
- Mark Barker
- Gordon Averall
- Carl Caswell
- Other
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Who?
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Add signature
