Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Cover page

  • Site photo

  • Site address
  • Insert start date on site

  • Project title:

  • Prepared by:

  • Date:

  • Add signature

  • Reviewed By:

  • Date:

  • Add signature

  • Authorised By:

  • Date:

  • Add signature

  • This plan of work is to be read in conjunction with RIS-PR -04 Standard Operating Procedures

Section 1 - CONTRACT DETAILS AND SCOPE OF WORK

Client Details

  • Name of client:

  • Client address:

  • Client contact name:

  • Client Number:

RIS PROJECT MANAGEMENT CONTRACT DETAILS

  • RIS Regional Office:

  • Contact Number:

  • Site supervisor:

  • Contact number:

  • Project Manager:

  • Contact number:

  • Site specific access arrangements:

PROJECT DESCRIPTION

  • Brief description of project:

  • Location:

  • Form of asbestos containing material:

  • Asbestos Fibre Types

  • Extent of ACM to be removed (linear meters / m2)

  • Number of operatives to be employed:

  • Start date on site:

  • Duration of works (days)

  • Hours of work start:

  • Hours of work end:

  • Weekend Working?

ASBESTOS SURVEY DETAILS

  • Asbestos survey available?

ANALYTICAL SERVICES

  • Analytical Services Required:

  • 4 Stage Clearance

  • Date:

  • Personal

  • Date:

  • Reassurance

  • Date:

  • Background

  • Date:

  • Vehicle

  • Date:

CDM 2015 DETAILS

  • CDM notifiable project?

  • F10 submitted by client?

  • Name & address of principle designer:

  • Principle designer Representative:

  • Contact number:

  • Name & address of principle contractor:

  • Principle contractor representative:

  • Contact number:

SITE INDUCTION AND BRIEFING

  • Site induction from client available?

SECTION 2 - ENCLOSURE DETAILS

  • No of enclosures:

ENCLOSURE 1 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 1 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 2 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 3 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 4 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 5 DETAILS

  • Condition:

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 6 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 2 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 3 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 4 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 1 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 2 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 3 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 4 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

ENCLOSURE 5 DETAILS

  • Location:

  • Dimensions (Height x Width x Length):

  • Dimensions (m3):

  • Expected fibre concentration controls:

  • Quantity (m2/m):

  • Condition:

  • Level of control:

  • Fully controlled conditions with asbestos & respirator zones with an enclosure under negative pressure, and use of a decontamination unit. Semi controlled conditions with asbestos and respirator zones with the use of a decontamination unit. (INSERT JUSTIFICATION OF SEMI CONTROLLED)

  • The ACM current surface finish:

  • The ACM is fixed place with:

  • Insert pictures of the Asbestos material to be removed:

  • Picture 1

  • Picture 2

DCU -DECONTAMINATION UNIT

  • Power for the DCU will be obtained from:

  • 240v 3 pin socket location:

  • Water for the DCU will be obtained from:

  • Location of water supply:

  • Waste water from the DCU will be disposed down the foul drain located:

  • Discharge drain location:

  • Can the DCU be directly connected to the Enclosure:

  • The DCU on this project will be attached directly to the enclosure via a 2 stage tunnel in accordance to the site drawing.

  • Direct connection is not possible due to the location of the enclosure.

POWER & WATER

  • Power from the DCU enclosure is to be obtained from:

  • Picture of power source:

  • Water for the enclosure is to be obtained from:

  • Direct water supply location:

  • Picture of water source:

NPU

  • NPU location:

AIR LOCK & BAGLOCK

  • Type of Air & Baglock

  • More information:

ASBESTOS & RESPIRATOR CONTROLLED ZONES

  • Asbestos and respirator controlled zones information:

WASTE ROUTE AND TRANSIT ROUTE

  • Transit route:

  • Transit route photo 1:

  • Transit route photo 2:

  • Transit route photo 3:

  • Waste route:

  • Waste route photo 1:

  • Waste route photo 2:

  • Waste route photo 3:

SECTION 3 - EQUIPMENT / RPE / PPE REQUIRED

  • Equipment required:

  • 1500 NPU

  • 2000 NPU

  • 4000 NPU

  • 5000 NPU

  • Powered Airless Sprayer

  • Hand Held Sprayer

  • "H" Type vacuum

  • Wet Strip Injection Machine

  • Mobile Hygiene Unit

  • Single Shower - 4 men

  • Twin Shower - 8 men

  • Vision Panels

  • CCTV

PPE AND RPE REQUIRED

RPE

  • Site setup

  • Pre Clean

  • Removals

  • Waste

Site PPE to be worn:

  • Ear defenders?

  • Safety Boots?

  • Hard Hat?

  • Hi-visibility Vest?

  • Gloves?

  • Waterproofs?

  • Flame retardant coveralls?

  • Safety Glasses?

  • Safety Harness?

  • Other?

  • Info:

ACESS EQUIPMENT

  • Access Equipment

  • Podium

  • Step ladder

  • MWEP (Scissors)

  • Mobile tower

  • Hop up

  • Extension ladder

  • Fixed Scaffolding

  • Info:

  • MEWP (Boom)

  • Other?

  • Info:

SECTION 4 - SITE SPECIFIC ARRANGEMENTS

SITE WELFARE ARRANGEMENTS

  • Independent welfare unit:

  • Toilets:

  • Rest area:

ISOLATIONS

  • The following isolations will be arranged by:

Live services identified requiring isolation:

  • Lighting - ceiling:

  • Lighting - wall:

  • Fire alarm/s:

  • Compressor/s:

  • Boiler/s:

  • Water pipe:

  • Pipe work:

  • Flue pipe external:

  • Flue pipe internal:

  • Air handling unit/s:

  • Gas supply:

  • Sprinkler head system:

  • Other:

Services to be isolated:

  • Picture 1:

  • Picture 2:

  • Picture 3:

SECTION 5 - ASBESTOS REMOVAL METHOD:

  • Detailed asbestos removal method:

SECTION 6 - EMERGENCY PROCEDURES:

  • Fire extinguisher locations:

  • Emergency Muster Point Location:

  • First Aid Loction:

  • Security information:

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