SCI Asbestos Survey

• Document No. *ST

• Conducted on

  Date

• Survey Type

  Select Management Survey Refurbishment/Demolition Survey

  • Management Survey
  • Refurbishment/Demolition Survey

• Prepared By

  Philip Hodgkiss

  Alan Terry

  Daniel Terry

Site Details

• Site Number / Name
  Address

• Site Postcode

• Site Photos

  Media

• Building Age

• Building Use

  Commercial

  Domestic

  Industrial

Exterior Construction

Walls

• Brick

• Block

• Timber Stud

• Steel Stud

• Fibre Cement Sheet

• Plaster Board

• Other

Roof

• Timber

• Flat

• Felt

• Tile

• Concrete

• UPVC

• Colourbond

• Other

Soffits/Eaves

• Timber

• Concrete

• Tile

• Lino

• Fibre Cement Sheet

• Other

Interior Construction

Walls

• Brick

• Block

• Timber Stud

• Steel Stud

• Plaster Board

• Fibre Cement Sheet

• Other

Ceilings

• Tiles

• False

• Suspended

• Lathe & Plaster

• Plaster Board

• Fibre Cement Sheet

• Other

Floors

• Timber

• Concrete

• Tile

• Lino

• Other

• Comments

• Asbestos Identified

• No ACMs identified at the time of inspection

Sample

• Sample Number

• Floor

  Select Ground First Second Third Basement

  • Ground
  • First
  • Second
  • Third
  • Basement

• Location

• Product Description

  Select Fibre Cement Sheet Tile Vinyl/Lino Gasket Rope Cement Pipe Black Electrical Backing Board

  • Fibre Cement Sheet
  • Tile
  • Vinyl/Lino
  • Gasket
  • Rope
  • Cement
  • Pipe
  • Black Electrical Backing Board

• Quantity

• Quantity Type

  Lm

  m2

  Item

• Extent of Damage/Condition

  Select Good condition: no visible damage Low damage: a few scratches ofr surface marks, broken edges on boards, tiles etc Medium damage: significant breakage of materials or several small areas where material has been damaged revealing loose asbestos fibres High damage or delamination of materials, sprays and thermal insulation. Visible asbestos debris

  • Good condition: no visible damage
  • Low damage: a few scratches ofr surface marks, broken edges on boards, tiles etc
  • Medium damage: significant breakage of materials or several small areas where material has been damaged revealing loose asbestos fibres
  • High damage or delamination of materials, sprays and thermal insulation. Visible asbestos debris

• Sealed?

  Yes

  No

• Photo

  Media

No Access Area

• Description

• Location