Title Page
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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
Cover page
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Site photo
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Site address
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Insert start date on site
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Project title:
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Prepared by:
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Date:
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Add signature
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Reviewed By:
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Date:
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Add signature
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Authorised By:
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Date:
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Add signature
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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
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Name of client:
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Client address:
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Client contact name:
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Client Number:
RIS PROJECT MANAGEMENT CONTRACT DETAILS
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RIS Regional Office:
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Contact Number:
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Site supervisor:
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Contact number:
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Project Manager:
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Contact number:
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Site specific access arrangements:
PROJECT DESCRIPTION
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Brief description of project:
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Location:
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Form of asbestos containing material:
- Sprayed Coating
- Boiler Insulation
- Pipe Insulation
- AIB
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Asbestos Fibre Types
- Amosite
- Chrysotile
- Crocidolite
- Other
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Extent of ACM to be removed (linear meters / m2)
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Number of operatives to be employed:
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Start date on site:
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Duration of works (days)
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Hours of work start:
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Hours of work end:
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Weekend Working?
ASBESTOS SURVEY DETAILS
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Asbestos survey available?
ANALYTICAL SERVICES
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Analytical Services Required:
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4 Stage Clearance
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Date:
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Personal
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Date:
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Reassurance
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Date:
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Background
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Date:
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Vehicle
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Date:
CDM 2015 DETAILS
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CDM notifiable project?
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F10 submitted by client?
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Name & address of principle designer:
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Principle designer Representative:
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Contact number:
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Name & address of principle contractor:
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Principle contractor representative:
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Contact number:
SITE INDUCTION AND BRIEFING
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Site induction from client available?
SECTION 2 - ENCLOSURE DETAILS
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No of enclosures:
ENCLOSURE 1 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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Level of control:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 1 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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Level of control:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 2 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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Level of control:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 3 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 4 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 5 DETAILS
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Condition:
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 6 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 2 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 3 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 4 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
-
Condition:
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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)
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The ACM current surface finish:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 1 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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Condition:
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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:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
-
Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 2 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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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:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
-
Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 3 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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Quantity (m2/m):
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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:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
-
Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
ENCLOSURE 4 DETAILS
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Location:
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Dimensions (Height x Width x Length):
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Dimensions (m3):
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Expected fibre concentration controls:
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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:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
-
Insert pictures of the Asbestos material to be removed:
-
Picture 1
-
Picture 2
ENCLOSURE 5 DETAILS
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Location:
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Dimensions (Height x Width x Length):
-
Dimensions (m3):
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Expected fibre concentration controls:
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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:
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The ACM is fixed place with:
- bolts
- nails
- screws
- clipped
- Unknown fixings
- N/A
- debris
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Insert pictures of the Asbestos material to be removed:
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Picture 1
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Picture 2
DCU -DECONTAMINATION UNIT
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Power for the DCU will be obtained from:
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240v 3 pin socket location:
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Water for the DCU will be obtained from:
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Location of water supply:
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Waste water from the DCU will be disposed down the foul drain located:
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Discharge drain location:
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Can the DCU be directly connected to the Enclosure:
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The DCU on this project will be attached directly to the enclosure via a 2 stage tunnel in accordance to the site drawing.
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Direct connection is not possible due to the location of the enclosure.
POWER & WATER
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Power from the DCU enclosure is to be obtained from:
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Picture of power source:
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Water for the enclosure is to be obtained from:
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Direct water supply location:
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Picture of water source:
NPU
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NPU location:
AIR LOCK & BAGLOCK
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Type of Air & Baglock
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More information:
ASBESTOS & RESPIRATOR CONTROLLED ZONES
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Asbestos and respirator controlled zones information:
WASTE ROUTE AND TRANSIT ROUTE
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Transit route:
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Transit route photo 1:
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Transit route photo 2:
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Transit route photo 3:
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Waste route:
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Waste route photo 1:
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Waste route photo 2:
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Waste route photo 3:
SECTION 3 - EQUIPMENT / RPE / PPE REQUIRED
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Equipment required:
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1500 NPU
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2000 NPU
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4000 NPU
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5000 NPU
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Powered Airless Sprayer
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Hand Held Sprayer
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"H" Type vacuum
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Wet Strip Injection Machine
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Mobile Hygiene Unit
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Single Shower - 4 men
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Twin Shower - 8 men
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Vision Panels
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CCTV
PPE AND RPE REQUIRED
RPE
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Site setup
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Pre Clean
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Removals
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Waste
Site PPE to be worn:
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Ear defenders?
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Safety Boots?
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Hard Hat?
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Hi-visibility Vest?
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Gloves?
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Waterproofs?
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Flame retardant coveralls?
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Safety Glasses?
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Safety Harness?
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Other?
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Info:
ACESS EQUIPMENT
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Access Equipment
- Podium steps will be utilised and inspected prior to use by a competent PASMA trained of staff.
- A mobile access tower will be erected and inspected prior to use by a competent PASMA trained person.
- Fixed scaffolding will be utilised on this project, scaffolding to be erected by competent scaffolding company, hand over certificate/s must be obtained and valid scaf tags fitted to the scaffolding prior to he fixed scaffold.
- Due to space restrictions step ladders will be utilised, steps will be footed at all times and will be used for short duration works only.
- MEWP
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Podium
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Step ladder
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MWEP (Scissors)
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Mobile tower
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Hop up
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Extension ladder
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Fixed Scaffolding
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Info:
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MEWP (Boom)
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Other?
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Info:
SECTION 4 - SITE SPECIFIC ARRANGEMENTS
SITE WELFARE ARRANGEMENTS
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Independent welfare unit:
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Toilets:
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Rest area:
ISOLATIONS
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The following isolations will be arranged by:
Live services identified requiring isolation:
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Lighting - ceiling:
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Lighting - wall:
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Fire alarm/s:
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Compressor/s:
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Boiler/s:
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Water pipe:
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Pipe work:
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Flue pipe external:
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Flue pipe internal:
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Air handling unit/s:
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Gas supply:
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Sprinkler head system:
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Other:
Services to be isolated:
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Picture 1:
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Picture 2:
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Picture 3:
SECTION 5 - ASBESTOS REMOVAL METHOD:
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Detailed asbestos removal method:
SECTION 6 - EMERGENCY PROCEDURES:
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Fire extinguisher locations:
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Emergency Muster Point Location:
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First Aid Loction:
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Security information: