Alfie Wood

Scoping Visit

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Site Contact info
Conducted on
Prepared by
Type of Asbestos

Scoping

Description of works
How many men?
How many days?
Works Supervisor
Waste vehicle or skip?
location for above
DCU Location
Muster point
Size of enclosure
Power
Water
Are isolations required?
If yes, what isolations?
Direct connection?
Airlock location
Airlock size and configuration
Bag lock location
Bag lock size and configuration
Vision panel locations
CCTV locations
Air inlet?
NPU location
Transit route
Waste route
Site/enclosure Drawing ( photo of paper drawing)
Any additional risks/comments regarding the job

Alfie Wood

Scoping Visit

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.