SG 10. ASBESTOS ENCLOSURE HANDOVER FORM

• Conducted on

  Date

• Prepared by

Licensed Contractor : Squibb group limited . Address : Squibb House , Stanhope Industrial Estate , Stanford-le-Hope .

• Job number

• Removal Site Address :

• Location of enclosure ? .

• Size of enclosure? ( see POW ) ( L x W x H ( metres ))

• Has full access of the site been obtained ? .

  Yes

  N / A

• Has a new pre-filter been installed in the NPU’s ? .

  Yes

  N / A

• Have all ACM removal locations been checked and certified as free from asbestos ? .

  Yes

  N / A

• Have all floor surfaces / walls / items been inspected and confirmed as visually clean ? .

  Yes

  N / A

• Have all ledges , sills , higher level surfaces ( including scaffolding and large waste items ) been checked and confirmed as visually clean ? .

  Yes

  N / A

How long did the supervisors visual inspection take ? .

• Start time :

  Date

• Finish time :

  Date

• Total time : Hours / minutes

I certify that I have carried out a thorough visual inspection of the enclosure / work area and can confirm that the area is visually clean and ready to be made available to the Analyst for the independent 4-stage clearance

• Supervisors signature .

  Sign

• Date & Time

  Date

Form to be handed to the Analyst before 4-stage clearance starts :

• Analyst signature .

  Sign

• Date & Time

  Date