Quarterly Asbestos Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

3.01 Roof plant room

• Wall behind air conditioning units - insulating board

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

3.02 Lift motor room

• High level wall to external areas - cement

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

2.10 Gym lobby/Stairwell

• Floor - vinyl floor tile and adhesive

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

3.01 Roof plant

• Cement panels to external walls in ceiling void

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

2.05 Gym - store

• Floor - vinyl floor tile and adhesive

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

2.07 Gym - Office

• Floor - vinyl floor tile and adhesive

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

2003 - Gym corridor in electrical cupboard

• Floor - vinyl floor tile and adhesive

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

1029 Changing Rooms (mens)

• Insulating board (debris)

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

1039 Archive Store

• Insulating board (debris)

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

1021 Viewing Gallery

• Insulating board to the underside of the counters either side of the viewing gallery

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

1028 Landing

• Insulating board (debris)

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

G053 Lobby

• Insulation board above doors to ladies WC

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

G.37 Lobby

• Insulating panels lining the riser

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date

GO51 Corridor

• Panel insulating board (above ceiling tiles)

• Is it still labelled?

  Yes

  No

• What is the condition?

  Unchanged

  Changed

• Comments

• Actions required:

• Date actions complete:

  Date