Proactive - Licensed Asbestos Removal Audit Form - 2022

• Site Photo

  Media

• Site Address

• PAC Number

• Client

• Audit Date

  Date

• Auditor

• Auditor Signature

  Sign

• Supervisor

• Supervisor Signature

  Sign

• Description of works

Scope Of Works

• Have the works been notified to the HSE? Is the ASB5 notification form on site?

  Yes

  No

  N/A

• Who is responsible for the notification? Have they been informed?

• Photo of ASB5

  Media

• Is the plan of works on site?

  Yes

  No

  N/A

• Why isn't it present? Whos responsibility was it to check before getting to site?

• Is the plan of work site specific?

  Yes

  No

  N/A

• What is the plan of works on site for? is it for a different job?

• Does the information in the ASB5 correspond with the detail in the plan of works?

  Yes

  No

  N/A

• What details are different compared to the ASB5?

• Do the plan of work and ASB5 accurately define the extent and type of ACM being removed or worked upon and its condition?

  Yes

  No

  N/A

• Please state extent & ACM Type being removed

• What are the differences?

• Has an Asbestos survey been carried out and is a copy in the site file?

  Yes & Yes

  Yes & No

  No & No

  N/A

• What type of survey was carried out, by what organisation and when?

• Has a copy of the survey been requested from the office? Has it been emailed to the supervisor?

  Yes

  No

  N/A

• Is the asbestos item being removed presumed within the plan of works?

  Yes

  No

  N/A

• Are the details of the Asbestos survey included within the plan of works?

  Yes

  No

  N/A

• Does the Office have a copy? Has this been checked?

Preliminaries

• Are the company vans on site kept in clean & tidy condition (inside & out)? Please note the condition.

  Good

  Fair

  Poor

  N/A

• Who is responsible for the vehicle? What elements require attention?

• Is the name of the supervisor given in the ASB5 & Plan of works the same?

  Yes

  No

  N/A

• What Name is stated on the ASB5, What Name is given in the Plan of works? The office will need to be notified immediately!

• Does the plan of work contain details of who is authorised to amend the plan of works & in what circumstances?

  Yes

  No

  N/A

• What has been done to rectify this issue?

• Who is authorised?

  Yes

  No

  N/A

• Is the site setup the same as what is stated within the plan of works or are there any variations on site from the plan of works and sketch plan?

  Yes

  No

  N/A

• Have the variations been recorded / amended in the plan of works / Smart form on EasyBop? What evidence exists to indicate the amendment has been briefed to the site team? Could this have been identified during the planning of the job? Have these amendments been discussed and agreed with the contracts manager?

• Please draw any site diagram amendments below

  Drawing

• When is the Four stage clearance booked in to commence?

  Date

• Who will be carrying out the Four stage clearance?

• Where a device is used to store site documentation, is the charge sufficient and is a means<br>of charging available?

  Yes

  No

  N/A

• How is this issue going to be resolved? How would the supervisor usually charge the device? Why wasnt it charged?

• Does the site supervisor receive regular visits from the company contracts manger / senior management and if so do they conduct an audit whilst on site?

Site Operatives

• Site Personnel Names & Positions

• Have all workers read & signed acknowledgement of the Rams?

  Yes

  No

  N/A

• Who has not read and signed the Rams & Why? How has this been rectified on site?

• Is the nominated supervisor present during the removal works?

  Yes

  No

  N/A

• Where is the nominated supervisor? Why are they not present on site? who is supervising the job while they are not present?

• Has the supervisor carried out a tool box talk before starting the works? If so please state subject/ date /time and details and add photo (media) of tool box talk. If no tool box talks have been carried out, why is this the case?

• Is the supervisor qualified for this type of work?

  Yes

  No

  N/A

• Why are they the nominated supervisor? Who is the Contracts manager in charge of the works? W

• Are the personnel training records available for those on site? Do the training certificates contain a clear image of the individual? Are they in date?

  Yes

  No

  N/A

• What is wrong or missing from the training certificates? Please take photos of any wrong items.

• Are the number of personnel present on site appropriate for the scope of work being carried out including providing adequate security and emergency cover (eg via an outside person)? Does this match what is stated within the Plan of works?

  Yes

  No

  N/A

• What is different? How many staff on site and what would improve the job?

• Are valid face fit certificates available on site for all personnel and are they in date?

  Yes

  No

  N/A

• Who's Face fit certificate is missing or out of date? Has the Office been informed? Has an email copy been requested?

• Are all employees clean shaven?

  Yes

  No

  N/A

• Name of unshaven operative & instructions given on site

• Have all employees been medically certified fit for working with asbestos & medicals present on site?

  Yes

  No

  N/A

• Which operative does not have an in date medical? Has this action been noted noted? Has the office been informed? What has been done to rectify this?

• Do all site staff hold a valid ACAD skill card or similar (CSCS)

  Yes

  No

  N/A

• Who is missing a card? What has been done on site to rectify this problem on site? Has the office been informed?

• For any temporary or agency workers on site, have all there certificates been checked and authenticated by the office manager and has there competence been checked?

  Yes

  No

  N/A

• What has been done on site to rectify the above problem? Has the office been informed so they can carry out the required checks?

• What proof of authentication has been carried out. is this noted on the site certificates / documents?

• Can random employees demonstrate the correct fitting and tests for their RPE?

  Yes

  No

  N/A

• Name of operative who carried out demonstration and what actions have been taken

  Yes

  No

  N/A

• Name of random employee who carried out demonstration

  Yes

  No

  N/A

• Is the RPE stored and cleaned correctly?

  Yes

  No

  N/A

• How is the RPE being stored?

• Is there spare PPE & RPE available on site / in work vehicle?

  Yes

  No

  N/A

• What PPE/RPE is missing? Where is the Spare RPE stored? Would it have been easy to deliver to site <15mins?

• Vehicle Folders present?

  Yes

  No

  N/A

• Where is the vehicle folder?

• Please take photo to show up to date folder

  Media

• Is the vehicle Folder up to date?

  Yes

  No

  N/A

• What is out of date in folder? What has been done to rectify the problem?

  Yes

  No

  N/A

Site Documentation

• Have any tool box talks been carried out prior to the start of the works?

  Yes

  No

  N/A

• Why have no tool box talks been carried out?

• Have any site inductions been carried out and by whom?

• Is there a copy of Proactive Asbestos removal licence on site?

  Yes

  No

  N/A

• Why isn't there a copy on site? Have you notified anyone at the office, if so who?

• Is there a valid copy of Proactive's Employer's Liability & Public Liability insurance policy on site and is it in date?

  Yes

  No

  N/A

• Where is a copy usually kept? What has been done to rectify this?

• Is there a copy of the company's Waste Carriers licence on Site?

  Yes

  No

  N/A

• Why isn't there a copy on site? Have you notified anyone at the office, if so who?

• Is a copy of the Plan of work available on site?

  Yes

  No

  N/A

• What has been done to rectify this? Why is it not on site?

• Does the Plan of works detail the names, job titles & telephone numbers of all relevant contacts, including the Site Supervisor, Manager or Director responsible for the job?

  Yes

  No

  N/A

• What information is missing? has the contracts manager been notified? What has been done to rectify the problem?

• Does the Plan of works contain the clients details and name whom Proactive is working for?

  Yes

  No

  N/A

• What information is missing? Has the contracts manager been informed? What has been done to rectify this?

• Does the Plan of works detail the number of employees on the job at one time and it is correct to the amount of operatives on site?

  Yes

  No

  N/A

• How many employees are on site per shift Min & Max? Has the contracts manager been informed?

• How many employees are on site per shift Min & Max?

• Does the Plan of works have a description of the works, its location & Removal method?

  Yes

  No

  N/A

• What information is missing? Who Wrote the Plan of works?

• Does the Plan of works detail how often the supervisor, manager or director will be on site?

  Yes

  No

  N/A

• Does the Plan of works detail the expected exposure using the control measures?

  Yes

  No

  N/A

• Has the contracts manager been notified? What has been done to rectify this?

  Yes

  No

  N/A

• Please state the expected exposure as stated within the plan of works

• Does the Plan of works detail the volume of enclosure, size, number of npu's and number of air changes? Does this match the ASB5?

  Yes

  No

  N/A

• What is different? What is missing?

  Yes

  No

  N/A

• Does the Plan of work detail the steps taken to reduce exposure as low as reasonably practicable?

  Yes

  No

  N/A

• What information is missing? What has been done to rectify this? Has the contracts manager been informed?

• Does the plan of work give start and finish dates for the work to be carried out? (Dates & Times / Day / Night / Weekend). Do these match the ASB5?

  Yes

  No

  N/A

• What is missing or wrong? What is different on the ASB5 to the plan of works? How has this been rectified? Has the contracts manager been informed?

• Does the Plan of works contain details of who is authorised to amend the plan of works?

  Yes

  No

  N/A

• If not, who is authorised?

• Does the Plan of works detail the type of Asbestos involved / Condition / Extent? Does this correspond with the ASB5?

  Yes

  No

  N/A

• Does the information in the ASB5 correspond with the detail within the Plan of works?

  Yes

  No

  N/A

• How does the ASB5 differ from the Plan of works? Has this been raised with the office?

  Yes

  No

  N/A

• Does the Plan of works contain details for the nearest A & E Hospital details including full address and post code?

  Yes

  No

  N/A

• Has the contracts manager been informed? What has been done to rectify this? What is the nearest A & E Hospital?

• Does the plan of work detail the size/weight of the ACM to be removed?

  Yes

  No

  N/A

• Does the Plan of works reference the emergency procedures or where these can be read? Does the supervisor know where to find them?

  Yes & Yes

  Yes & No

  No & No

  N/A

• Has the auditor shown the supervisor where these can be found? Please state where these can be found on site

• Has the contracts manager been informed? What has been done to rectify this problem?

• Does the Plan of work include a job specific Risk Assessment?

  Yes

  No

  N/A

• Where is the risk assessment? Has the contracts manager been informed? What has been done to rectify this?

• Are the risk assessments suitable and sufficient?

  Yes

  No

  N/A

• What other risks should have been considered?

• Are there any other licence holders involved in the contract? If Yes, Are they detailed in the ASB5? Please name the other licensed company.

• Does the Plan of works include any non asbestos risks?

  Yes

  No

  N/A

• What non asbestos asbestos risks are on site that need to be recorded within the plan of works? What has been done to rectify this? Has the plan of works been amended to show non asbestos risks?

• What non asbestos risks are mentioned within the plan of works?

• Is there a procedure on site for the precautions taken when preparing for and transporting<br>negative pressure units and vacuum cleaners to and from site?

  Yes

  No

  N/A

• What precautions are being taken? How are the Negs & Vacs transported? Can the supervisor explain the process? What has been done to rectify this?

• For large/heavy waste items, is the movement of these risk assessed?

  Yes

  No

  N/A

• What has been done to rectify this? Has the contracts manager been informed? Has the supervisor amended the risk assessment to include this?

• Is there a site diary available for inspection? Is it up to date? Does the site diary reflect the times stated in the Plan of works & the ASB5?

  Yes

  No

  N/A

• What information is missing? Who hasn't completed the diary

• Please take a photo of the current site diary

  Media

• Does the plan of work give the name of the laboratory and details of who will be undertaking the air monitoring and 4 stage clearance? Is the organisation UKAS accredited ?

  Yes

  No

  N/A

• Name of organisation & UKAS number? Who has appointed the Analyst?

• Has the contracts manager been informed? Has this been checked with the office to ensure the Four stage clearence has been booked in? is there email evidence within the site file?

• is there (or will there be) asbestos removal work or cleaning in progress within the enclosure during the audit?

• What is the anticipated duration for the analyst visual? Is the supervisors visual time similar?

• Does the Plan of works contain a clear, logical sequence of works (timeline/programme)? Are key steps detailed via hold points? Are the significant findings of the risk assessment integrated into the timeline? For multi day jobs, does this indicate the amount of removal work the site team is expected to achieve?

• Does the POW include a list of hazardous materials being used on site which require a COSHH<br>Assessment?

  Yes

  No

  N/A

• Has the contracts manger been informed? What materials are being used on site that require a COSHH assessment? What has been done to rectify this?

• What materials are being used?

• Are there copies of the COSHH assessments in site file for substances on site?

  Yes

  No

  N/A

• What has been done to rectify this? Has the supervisor called the office to request the assessments?

• Please take photos of a COSHH assessment on site

  Media

• Waste consignment note/s present and correct?

  Yes

  No

  N/A

• What is wrong with WCN?

  Yes

  No

  N/A

• Is there a copy of the company standard procedures available on site

  Yes

  No

  N/A

• Is there a procedure on site for precautions to be taken when preparing for and transporting negative pressure units and vacuum cleaners to and from site?

• Is there a procedure available for: Removal of tools and equipment?

• Is there a procedure available for DCU setup (Blue DCU Folder) ?

  Yes

  No

  N/A

• Where is the procedure / blue DCU folder?

  Yes

  No

  N/A

• Is there a procedure available for: Cleaning the decontamination unit and the personal protective equipment to wear while doing so? Does the procedure include the use of propane gas?

• Are there any other groups on site who may be affected by the works. If yes, what steps have been put in place to ensure there safety?

• Where relevant, is rescue from height or confined or difficult to access workspaces suitably<br>managed?

  Yes

  No

  N/A

• What has been done to rectify this?

• How is this being managed?

  Yes

  No

  N/A

• Are the removal techniques and control measures detailed in the Plan of works suitable for the type of<br>work and asbestos material?

  Yes

  No

  N/A

• What other control measures should be put in place? Have these been organised?

• Is there a procedure available for Removal & cleaning of tools and equipment?

  Yes

  No

  N/A

• What is in place? Can the site team explain the procedure / process?

• Has the daily site log been completed with all corresponding information recorded? Has any information been missed off?

• Please complete what has been missed off.

Site Organisation, Welfare & DCU

• Please take photos of Site setup, Welfare & DCU

  Media

• Does the site match up with the sketch plan in the PoW?

  Yes

  No

  N/A

• What are the differences and why? Have these been agreed and documented?

• Does the site plan in the Plan of works show the following; size of enclosure and location, location of viewing panels /cctv, Npu, H-type vac, dcu, transit & Waste route including distances, airlocks, baglocks, skip, waste vehicle, fire exits details?

  Yes

  No

  N/A

• What is missing and why? What has been done to rectify this? Has the contracts manager been informed?

• Are any isolations (including deenergising and/or purging) identified of services including electricity, water and gas? If so, does the Plan of work state who is responsible for these and the provision of any certification? And is any stated certification available?

• Are the work areas segregated?

  Yes

  No

  N/A

• Does the Plan of works detail how Viewing panels & CCTV will be used?

  Yes

  No

  N/A

• What has been done to rectify this? Has the contracts manager been informed?

• Do the viewing panels and/or CCTV allow all areas of the enclosure, airlock & baglock to be viewed clearly and distinctly?<br>

  Yes

  No

  N/A

• Please explain Why not? What Has been done to rectify this?

• Do all viewing panels have minimum dimensions of 600mm x 300mm?

  Yes

  No

  N/A

• What are the dimentions?

  Yes

  No

  N/A

• Are adequate warning signs displayed?

  Yes

  No

  N/A

• What has been done to rectify this?

• Photo of Proactive Site board

  Media

• Has the Proactive Site board been setup and placed where the plan of works states position?

  Yes

  No

  N/A

• If not, why is it in a different place than originally stated?

• Does the Proactive site board contain the correct reliant, up to date information & the first aid kit?

  Yes

  No

  N/A

• What information is wrong? What information is missing? Is the first aid box fully stocked?

• Are there fire extinguishers located as per the plan of works? What is the service date and type?

• How does the outside man & operatives working inside the enclosure communicate with each other? Is this suitable?

• Have adequate provisions been provided for staff welfare on site?

  Yes

  No

  N/A

• What are the operatives doing for Welfare?

• Are welfare facilities being supplied by the client / Site or Proactive?

• Are vehicle air monitoring records available / displayed for vans and do these include the cabin area?

  Yes

  No

  N/A

• Is there a First Aid trained personnel on site?

  Yes

  No

  N/A

• Who is responsible for first aid on site?

• Is there First Aid Equipment on site?

  Yes

  No

  N/A

• Where is the First Aid equipment? Why wasn't this checked before leaving the yard? What has been done to rectify this?

• Are transit/waste routes as short as possible? Do they follow the same routes as stated within the plan of works? Are these clearly identified and labelled with warning signs?

  Yes

  No

  N/A

• If not, please explain the reasoning for the changes and what the changes are? Has the plan of works been amended to show these changes? Has the contracts manager been informed?

• Do transit/waste routes avoid occupied areas where possible?

  Yes

  No

  N/A

• If not, what Control measures have been put in place by the Contracts Manager/site supervisor

• Are decontamination facilities available?

  Yes

  No

  N/A

• Why are no Decontamination facilities in place?

• Has the DCU been setup correctly as per plan of works and within Blue DCU site file.

  Yes

  No

  N/A

• Please explain any differences / variations from the DCU

  Yes

  No

  N/A

• Are the clean and dirty ends clearly identified and kept locked when not in use? Do the doors self close? Are they<br>adequately sealed?

  Yes

  No

  N/A

• What is wrong? What has been done to rectify any issues?

• If the decontamination unit is not connected directly to the work area, is it as close as reasonably possible? Has this been justified this in the plan of works?

  Yes

  No

  N/A

• Why was direct connection not possible?

• Is the decontamination unit earthed if required? If so how?

• Where is the power supply provided from for the DCU? Has it been checked? If using a generator, is it below 10Kva or earthed?

• Is the waste water filtered correctly? How often is filter changed and is this recorded? Is water discharged to a foul drain? Is the DCU leaking water in any way?

• Does the decontamination unit have an air clearance certificate from previous site?

  Yes

  No

  N/A

• If the certificate is not present, what has been done to rectify this?

• Is there a carbon monoxide monitor in the clean end where applicable?

  Yes

  No

  N/A

• Is there a record kept of decontamination unit inspections and any actions taken? How often is the decontamination unit inspected? How often is the decontamination unit cleaned?

• Are there sufficient showerheads for the number of operatives on site?

  Yes

  No

  N/A

• What needs to be done to rectify the problem?

• Where do operatives dry themselves? What is done with used towels?

• Does the DCU have a current certificate to say that the boiler was serviced by a registered gas engineer, an in date electrical test certificate and a valid in date DOP certificate for the NPU?

  Yes

  No

  N/A

• What is the issue & What needs to be done to rectify this?

  Yes

  No

  N/A

• Is there a mirror fitted in the clean end? Are sufficient towels, liquid soap, nailbrushes<br>provided? Is the decontamination unit clean with no clothes or equipment stored in the wrong areas?

  Yes

  No

  N/A

• Please note what was wrong & what has been done to rectify the problem?

• is a modular decontamination unit being used? If so, who has supplied the unit and is it setup correctly with all corresponding equipment and relevant information?

Plant & Equipment

• Does the air management figures and calculation appear to be correct? Are they in line with Approved Code of Practice of at least 8 air changes per hour for enclosures greater than 120m3 or an airflow of at least 1,000m3 for enclosures less than 120m3?

  Yes

  No

  N/A

• What is wrong? Please state the calculation difference. Has the contracts manager been informed?

• Does the number and sizes of negative pressure units on site match those in the detailed in the plan of work?

  Yes

  No

  N/A

• If not, please state what the differences are and what has been done to rectify any problem

• Have suitable barriers and warning signs been erected before work commences? Do they show clearly respirator and asbestos zones?

  Yes

  No

  N/A

• What has been done to rectify this?

• Does the NPU vent to external?

  Yes

  No

  N/A

• If not, what arrangements are in place for leak monitoring?

• Is there physical evidence that there is sufficient negative pressure being generated into the enclosure? Flap deflection?

  Yes

  No

  N/A

• Please take photo to show flap deflection and enclosure walls

  Media

• What has been done to rectify this?

• Are there at least two H type vacuum cleaners on site? Include ID & Test cert dates

• Do the negative pressure units and type H vacuum cleaners have valid DOP certificates in date?

  Yes

  No

  N/A

• Please state what is wrong. Missing certificates, out of date

• Are there daily inspection records for all plant and equipment available for inspection and are they up to date?

  Yes

  No

  N/A

• Why has this not been completed? What has been done to rectify this?

• Has all of the electrical equipment including leads, transformers, CCTV monitors and RCDs been PAT tested and are in date?

  Yes

  No

  N/A

• What has been done to rectify this?

• Are there daily inspection records for all plant and equipment available for inspection, are the checklists<br>sufficient, and are they up to date?

  Yes

  No

  N/A

• Why has this not been completed?

Airlocks & Baglocks

• Airlock / Baglock Photo

  Media

• Is the enclosure connected by direct connection? If direct connection is not possible, does the plan of work mention why not?

• Is there a separate baglock? If not is there a written justification of why not and the extra precautions that will be taken?

• Are the removal techniques and control measures detailed in the Plan of works suitable for the type of work and asbestos material?

  Yes

  No

  N/A

• What should be done different?

• Are the dimensions of each stage of the airlocks and baglocks at least 1m x 1m x 2m? or as stated within the Plan of works?

  Yes

  No

  N/A

• Why are they different? What size are they?

• Are the openings in the airlocks and baglocks of sufficient size and are the flaps fitted correctly and weighted sufficiently?

  Yes

  No

  N/A

• What is wrong?

• Is there a vacuum available for decontamination purposes, with brush attachment?

  Yes

  No

  N/A

• What is wrong? What are the operatives using?

• Are the Airlocks/Baglocks free from visible debris?

  Yes

  No

  N/A

• What was in the airlocks and why? What has been done to rectify this?

• Are the correct warning signs displayed in sufficient numbers on the airlocks and baglocks and around the enclosure?

  Yes

  No

  N/A

• What is missing and what has been done to rectify this?

• Do baglock & airlock have a suitably signed external flap attached?

  Yes

  No

  N/A

• Why has this not been fitted?

• Is the flap deflection adequate?

  Yes

  No

  N/A

• What has been done to rectify this?

• Has the flap deflection been marked on the airlock?

• Are the Blue and yellow buckets in the dirty stage of the airlocks and Red within the enclosure?

  Yes

  No

  N/A

• Why are they not in the dirty stage? Where are they located? What has been done to rectify this?

Asbestos Work Area (Enclosure)

• Enclosure Photo - External photos & through vision panel / CCTV if removal in progress

  Media

• Has the appropriate 1000 gauge polythene been used?

  Yes

  No

  N/A

• Is the enclosure constructed robustly? Is the integrity being maintained?

  Yes

  No

  N/A

• What is wrong with the enclosure? What has been done to rectify the issues?

• Have the viewing panels and cctv been fitted correctly in the places where stated on the plan of works?

  Yes

  No

  N/A

• What are the differences? Have these been amended within the plan of works?

• Are roving heads & ducting being used? Is the correct length and number of bends being used as calculated?

• Is the NPU located outside the enclosure?

  Yes

  No

  N/A

• Why not?

  Yes

  No

  N/A

• If the NPU is positioned externally, has it been covered to protect it from the elements?

  Yes

  No

  N/A

• Why has it not been covered?

• Are all surfaces inside the enclosure covered?

  Yes

  No

  N/A

• What is not covered any why not?

• Has a smoke test been carried out? Who witnessed it? Are the results recorded?

• Time & Date of smoke test

  Date

• Were any corrective actions necessary as a result of the smoke test

• Is the lighting within the enclosure adequate?

  Yes

  No

  N/A

• What has been done to rectify the problem?

• Was the work area cleaned of loose debris prior to enclosure construction? Pre Cleaning?

• Is compliance/leak air monitoring being conducted? Who is carrying out the monitoring?

• Name of Analyst & Analytical company?

• Are the air monitoring results available on site?

  Yes

  No

  N/A

• How will these be delivered to Proactive?

• Is there a record kept of enclosure inspections and any actions taken? How often is the enclosure inspected? i.e. daily? And how many times per day?

  Yes

  No

  N/A

• Is there a designated emergency exit? Does it provide an unobstructed route to a safe haven?

  Yes

  No

  N/A

• Where is the muster point?

• How do the outside men & operatives working inside the enclosure communicate with each other? Is this suitable?

  Yes

  No

  N/A

• What changes have been made to rectify the problem?

• Is the floor of the enclosure being kept clean with no accumulation of waste?

  Yes

  No

  N/A

• What is wrong and what has been done to rectify the problem?

Dust Suppression

• Are the removal techniques and other control measures being employed for dust suppression as described in the plan of work and ASB5 notification?

  Yes

  No

  N/A

• What are the differences?

• Are they appropriate for the type of work and material?

  Yes

  No

  N/A

• If not, what is being used and what should be used? What has been done to rectify this?

• Where injection is specified, is the needle pattern defined and is it effective?

  Yes

  No

  N/A

• Are checks made that the material is sufficiently soaked / saturated prior to removal?

  Yes

  No

  N/A

• Is there adequate spare amounts of surfactant on site within the works vehicle?

  Yes

  No

  N/A

PPE & RPE

• Does the plan of work detail the type of RPE to be used during work removal/repair of asbestos?

  Yes

  No

  N/A

• Is the type of RPE being used as detailed in the plan of work? Is it being worn correctly?

  Yes

  No

  N/A

• Is the RPE appropriate for the type of work?

  Yes

  No

  N/A

• What RPE should be used?

• Are all items of RPE uniquely identified? Does this apply to half masks as well as power assisted respirators? Give details of method used?

  Yes

  No

  N/A

• Please add mask type and associated wearers number

• Is any of the RPE missing the unique reference id number?

• Is all RPE suitably stored? is it clean?

  Yes

  No

  N/A

• Is RPE well maintained?

  Yes

  No

  N/A

• Are inspection and maintenance records available and up to date? How often is RPE inspected?

• Are there adequate spare filters on site?

  Yes

  No

  N/A

• What would the operatives do if they required a spare?

  Yes

  No

  N/A

• Are all overalls Cat 3 TYPE 5? Are they being worn correctly including hoods up over mask straps?

  Yes

  No

  N/A

• Are all overalls the colours stated in the plan of work?

  Yes

  No

  N/A

• Are the ankles, wrists & hood of coveralls elasticated?

  Yes

  No

  N/A

• What type of RPE and PPE is used for removing bags from enclosure to load skip/vehicle?

• Is any other PPE being used and is it in accordance with risk and/or COSHH assessments, please give details?

• Do operatives have there high viz tabards available to use?

  Yes

  No

  N/A

• Where are the vests located? Why are they not in the vehicle?

• Do operatives have hard hats / bump caps available?

  Yes

  No

  N/A

• Where are they? Why are they not in the vehicle?

  Yes

  No

  N/A

• Do operatives have hearing protection available?

  Yes

  No

  N/A

• Where are they? Why are they not in the vehicle?

  Yes

  No

  N/A

Waste / Transit Route

• Are there separate Waste & Transit routes? please describe if two separate routes

• Are the Waste / Transit routes closed off from the public?

  Yes

  No

  N/A

• Why is this not closed off from the public? What procedures have been put in place for when the operatives are transiting or carrying out a waste run?

• Are transit and waste routes free from asbestos debris? Are any parts of the transit route requiring covering detailed within the plan of works? How is waste moved (eg manual, wheelie bin...)?

• Does the Waste / Transit routes avoid occupied areas where possible? Do these allow for adequate segregation from others?

  Yes

  No

  N/A

• What has been put in place in occupied areas when transiting or carrying out a waste run?

• Does the emergency / fire exit route follow the same route?

  Yes

  No

  N/A

• Why is the route different?

• Is the waste / Transit route as short as possible? Are these clearly identified and labelled with warning signs?

  Yes

  No

  N/A

• What was wrong & what has been done to rectify the problem?

• Are copies of the consignment notes available for inspection?

  Yes

  No

  N/A

• Is the consignment note correct for the type of asbestos material being removed? Does it have the corresponding waste code?

  Yes

  No

  N/A

• Is any waste receptacle on site (including any temporary storage) fit for use? i.e. sealed,<br>cleanable, readily accessible, close fastening lockable door and appropriate signage?

  Yes

  No

  N/A

• What is wrong and what has been done to rectify the issue?

  Yes

  No

  N/A

Asbestos Waste

• Are the arrangements for the disposal of waste as detailed in the plan of work?

  Yes

  No

  N/A

• What are the arrangements? Why are they different to the plan of work? Has the plan of work been amended to show change?

• Does the waste bagging procedure reflect current HSE expectations (ie the outside person does not step foot within the baglock)?

  Yes

  No

  N/A

• What procedure is being followed?

• Is the ACM waste double bagged / wrapped?

  Yes

  No

  N/A

• Why is the waste not double bagged?

• Are all ACM Waste containers appropriately marked?

  Yes

  No

  N/A

• What has been done to rectify this?

• Is any waste receptical on site (including any temporary storage) fit for use? i.e. sealed, cleanable, readily accessible, close fastening lockable door and appropriate signage?

  Yes

  No

  N/A

• What is wrong & what has been done to rectify the issue?

• Is all the waste inside the receptacle double bagged or wrapped, and appropriately labelled?

  Yes

  No

  N/A

• Why is the waste not double bagged?

• Does the waste within the bags look wet and appropriately suppressed?

  Yes

  No

  N/A

• What suppression techniques are being carried out on site during the removal and are they sufficient?

• If any of the contractor's vehicles are used to transport waste, are they suitable for this purpose? i.e. sealed bulkhead and the back polyethened out? does the waste receptacle have a bolt and is it locckable?

Working at Height

• Where WAH is planned, is an adequate rescue plan in place?

  Yes

  No

  N/A

• If working on a scaffold - Has the scaffold Handover Certificate been completed ?

  Yes

  No

  N/A

• If working on a scaffold - is there a current in date scaffold tag?

  Yes

  No

  N/A

• If working on scaffolding - Has the scaffold been checked and recorded every 7 days or earlier following adverse weather (eg Scafftag or other record of inspection)?

  Yes

  No

  N/A

• If working on scaffolding - Has the lifting of any equipment onto or from the scaffold been adequately planned including safe working loads?

  Yes

  No

  N/A

• What is in place to ensure safe lifting of loads?

• If working on scaffolding - Is the scaffold using good housekeeping and have clear access and egress?

  Yes

  No

  N/A

• Where a PASMA tower or other access equipment is used, has this been built/operated by trained workers? And for PASMA, do the internal hatches line up with the ladder, are twin guard rails present, are wheels<br>all locked and are outriggers attached where specified?

  Yes

  No

  N/A

• What is the issue and how has it been rectified?

• Where Ladders / stepladders are used, are these uniquely identified and are records of inspection available including pre use daily check?

  Yes

  No

  N/A

• Name and reference number of items being used and there expiry date

• If using a MEWP - Has the pre use inspection form been completed

  Yes

  No

  N/A

• Why has this not been completed?

• If using a MEWP - is it the correct model required for the works (correct size, tyre type, fuel type etc..)?

  Yes

  No

  N/A

• If using a MEWP - Have the operatives been issued safety harness and lanyard?

  Yes

  No

  N/A

• Operative not to use MEWP until harnesses are delivered to site, where are the safety harnesses and lanyards coming from? are the kits tested and within inspection date?

• If using a MEWP - Are the operatives qualified to use the MEWP on site?

  Yes

  No

  N/A

Clearance

• Has the supervisor carried out his inspection and completed the handover form following completion of removal works within the enclosure?

  Yes

  No

  N/A

• Why has the form not been completed?

• How long in minutes was the supervisor visual inspection? Was it satisfactory first time? Was any extra cleaning work required within the enclosure? Has this been documented on the site diary?

• Has the visual inspection (stage 2 of 4SC) been carried out by the independent UKAS accredited laboratory? Was the result satisfactory or did it fail at this stage?

• Has an air test (Stage 3 of 4SC) been conducted by the independent UKAS accredited laboratory? Was the result satisfactory or did it fail at this stage?

• Has stage 4 of the 4SC been completed following the works? Was it a satisfactory result?

  Yes

  No

  N/A

• Why did this stage fail?

• Has a Clearance Certificate been issued (Printed on site) or emailed for the enclosure works?

• Has a Clearance Certificate been issued (Printed on site) or emailed for the Decontamination unit?

• Have all tools and equipment been securely stored within the vehicle ready to leave site?

  Yes

  No

  N/A

Completion

• Asbestos removal audit status ?

  Compliant

  Non-Compliant

  N/A

• Was the works completed during the audit or will the works continue following the audit?

• Comments

• Supervisor ID and Signature

  Sign

• Auditor ID and Signature

  Sign