Title Page

  • Conducted on

  • Prepared by

  • Location

Visit

  • M3 ASBESTOS LIMITED

  • SITE MONITORING PROCEDURE SITE AUDIT FORM

  • Site Details

  • Site Address

  • Client

  • Who is PC for the Site

  • Name of Supervisor

  • Description of removal project

  • Project Duration

  • Location of Current Enclosure

  • Auditor

  • Date

  • Time on site (arrival, departure, and total time)

  • Preliminary Requirements

  • Comments / Corrective Actions Required

  • Is there a valid (i.e. in date) ASB5 Notification Form on site for the works to be audited?

  • Is there (or will there be) asbestos removal work or cleaning in progress within the enclosure during the audit?

  • Is there provision to observe work practices within the enclosure by means of CCTV and / or viewing panel(s)?

  • Is there a site specific Plan of Work available on site for the works?

  • Preliminary Requirements Continued

  • Comments / Corrective Actions Required

  • Is there a copy of the Company Standard Procedures / Generic Procedures available on site?

  • Is the Decontamination Unit fully functional in terms of power, ventilation, and the provision of hot and cold running water for showering?

  • DO NOT PROCEED WITH THE AUDIT UNLESS EACH RESPONSE ABOVE IS AFFIRMATIVE. SHOULD ANYTHING ABOVE BE AMISS THAT CAN BE RECTIFIED IMMEDIATELY, THEN CONTINUE WITH THE AUDIT ONCE RECTIFIED. SHOULD ANYTHING ABOVE BE AMISS THAT CANNOT BE RECTIFIED IMMEDIATELY, THEN INFORM THE SUPERVISOR THAT THE AUDIT CANNOT CONTINUE

  • Site Documentation

  • Comments / Corrective Actions Required

  • Is there a copy of current Licence available on Site?

  • Is there a Plan of Work and ASB 5 present?

  • Is there a copy of Waiver (if applicable)?

  • Generic

  • there

  • copy

  • the

  • companies

  • Specification on site?

  • Have specific Risk Assessments been completed for this project?

  • Are there copies of COSHH Assessments in site file for substances on site?

  • Have the Daily Site Logs been completed up to date?

  • Are daily site and plant inspection records (including DCU, enclosure, airlocks, NPU’s & vacuum cleaners) available for inspection and up to date?

  • Are the current DOP test for the plant which is being used available for inspection on site and in date?

  • Plan of Work

  • Comments / Corrective Actions Required

  • Does the POW detail the name and local address of the persons to whom they are contracted (including the site address if different)?

  • Does the POW detail the names and telephone numbers of all relevant contacts , including the site supervisor , manager or director responsible for the site?

  • Does the POW detail the number of employees on the job at any time

  • Does the POW detail when the work is going to take place i.e. dates and times

  • Does the POW have a removal phasing time line?

  • Does the POW detail how viewing panels and or CCTV will be used?

  • Does the POW detail the Power, water, site welfare and method of waste trransportation?

  • Does the POW detail who will consider departures from the Plan of Work and how will these be communicated to the workers on site?

  • Does the POW have a description of the work, its location and the removal method?

  • Does the POW contain details of any access and fire risk and precautions to be taken and details of how safe places of work will be provided and maintained?

  • Does the POW contain details of any other risks and precautions?

  • Plan of Work Continued

  • Comments / Corrective Actions Required

  • Does the POW detail the expected exposure using the controls specified?

  • Does the POW detail the steps taken to reduce exposure as low as reasonably practicable and to control release into the environment?

  • Does the POW contain detailed drawings : size of enclosure ;location of viewing panels /CCTV; NPUs; H type’s; DCU, transit routes; air locks; bag locks; waste routes and skips etc.?

  • Does the POW detail the volume of enclosure, size and numbers of NPUs and number of air changes per hour?

  • Does the POW detail the type of respirators used?

  • Does the POW detail how control measures are to be maintained on site and what checks?

  • Does the POW detail additional precautions to reduce exposure?

  • Does the POW contain detailed site information and a site-specific description of the working method to be used with reasons?

  • Does the POW describe which fibre suppressant technique is to be used?

  • For wet strip system; describe injection technique including: needle type and pattern; dilution factor; what indicator will be used to check material is fully saturated; time allowed for penetration?

  • Does the POW state what tools and other equipment are to be used and whether they meet the BS standards?

  • Plan of Work Cont. and Procedures Manual

  • Comments / Corrective Actions Required

  • For AIB work, does the POW describe the practical measures to minimise dust release?

  • Does the POW state to whom the analytical company is contracted?

  • Does the POW contain information on the analytical company providing the 4-stage clearance ?

  • Does the POW detail of the type of asbestos involved?

  • Does the POW detail of the condition of the asbestos containing material to be removed?

  • Are welfare facilities detailed in the plan of work and are they available for use as described?

Site Organisation

  • Comments / Corrective Actions Required

  • Is site layout as sketch plan submitted in Plan of Work including any photos?

  • Is work being carried out as per Plan of Work?

  • Site Organisation Continued

  • Comments / Corrective Actions Required

  • Is the work area segregated from others on site

  • Have any variations to Plan of Work been recorded on the amendments page of the POW?

  • Have any site inductions been attended?

  • Have all on site risks been considered?

  • Are adequate warning signs displayed?

Plant on Site

  • Comments / Corrective Actions Required

  • Are there at least 2 H type vacuums on site?

  • Are current DOP test certificates in date?

  • Is the NPU(s) sufficient for the enclosure size?

  • DOP test certificates available and relevant to each NPU on site?

  • Hygiene Facility

  • Comments / Corrective Actions Required

  • Is there a current DOP test certificate available on site for the NPU within the dirty end of the DCU?

  • Clearance certificate available from previous job?

  • Is modular decontamination unit used?

  • Does the Unit complying with EH47 / HSG247?

  • Location as stated in Plan of Work?

  • Is the Unit a direct connection to the enclosure?

  • Are all services connected and is the unit level?

  • Are clean and dirty end doors clearly and correctly marked?

  • Is unit in a secure place, doors locked if unattended?

  • Is unit used to store any unnecessary items?

  • Are there lockers in clean end?

  • Hygiene Facility Continued

  • Comments / Corrective Actions Required

  • Are the internal doors self-closing?

  • Is there an adequate number of showerheads (4/1)?

  • Are Nailbrushes / soap provided?

  • Is there a mirror in clean end of unit?

  • Are there charging points in clean end for respirators?

  • Is there an adequate means of heating the unit?

  • Is there a balanced flue for gas heater?

  • Is there a RCD fitted and tested?

  • Is the unit earthed?

  • Are towels provided?

  • Hygiene Facility Continued

  • Comments / Corrective Actions Required

  • Are separate towels used in shower and clean end?

  • Is wastewater filtered?

Transit Route

  • Comments / Corrective Actions Required

  • Is transiting necessary and justified within the plan of work?

  • Is the route short as possible?

  • Is the route marked and safe for use?

Enclosure / Airlocks

  • Comments / Corrective Actions Required

  • Was non-contaminated equipment removed during the pre-clean/ enclosure set up?

  • Was the work area pre cleaned of loose debris prior to enclosure building?

  • Is enclosure construction and sheeting adequate (1000 gauge)?

  • Is it well designed and prevent the spread of asbestos?

  • Enclosure / Airlocks Continued

  • Comments / Corrective Actions Required

  • Are all openings sealed?

  • Are all electrical and heating plant isolated?

  • Is the enclosure likely to be compromised during job?

  • Is the enclosure adequately lit?

  • Is the enclosure located as in Plan of Work?

  • Is the enclosure double skinned (if required)?

  • Are viewing panels provided in enclosure 600 mm x 300 mm?

  • Is there a clear view of all work carried out?

  • Is the 3-stage airlock of good construction?

  • Does it have a vision panel?

  • Is airlock adequate for decontamination?

  • Enclosure / Airlocks Continued

  • Comments / Corrective Actions Required

  • Is there a Bucket, sponge, H-type available in airlock?

  • Are the airlock flaps on works side and weighted?

  • Do they cover openings?

  • Are the NPU’s located and specified as in Plan of Work?

  • Is the NPU outside the enclosure?

  • Are NPU’s vented to outside where possible?

  • Are NPU’s likely to move?

  • Is extraction capacity adequate?

  • Is there good airflow through enclosure?

  • Is the NPU capable of providing either a minimum of 8 air changes per hour (enclosures >120m3) or airflow of at least 1000m3 per hour for smaller enclosures?

  • Does each NPU have a non-return flap on the exhaust side of the HEPA filter?

  • Enclosure / Airlocks Continued

  • Comments / Corrective Actions Required

  • Are there any dead air spots in the enclosure?

  • Has the smoke test been witnessed / completed?

  • Are enclosure inspections available and up to date?

  • Is a baglock provided on this job?

  • Are there vision panels on the bag lock?

  • Is this of good construction?

  • Is the baglock located next to the airlock?

  • Scaffolding / Access / Working at height

  • Comments / Corrective Actions Required

  • Is there work at height in enclosure?

  • Has safe access provided?

  • Access via Hop up?

  • Access via Scaffold Tower?

  • Access via Steps?

  • For towers and scaffolds are Guardrails, toe boards, etc. present?

  • Does the tower or scaffold have a sign off tag or sign off sheet completed?

  • Are there procedures for decontaminating scaffolding?

  • Does it form part of the enclosure?

  • Has a Licensed Scaffolder been used?

  • Method of Asbestos Removal

  • Comments / Corrective Actions Required

  • Is a dustless or wet method being used?

  • Is this method effective?

  • Is an injection system used (described type)?

  • Are operatives trained in use of this system?

  • Is asbestos being removed as wet as possible?

  • Is Airless sprayer being used to keep the environment as wet as possible during removal?

Protective Equipment

  • Comments / Corrective Actions Required

  • Is the PPE being worn as in Plan of Work?

  • Is the PPE suitable for work method?

  • Is the PPE in good condition and well maintained?

  • Are work boots suitable for site works?

  • Protective Equipment Continued

  • Comments / Corrective Actions Required

  • Are RPE inspections records up to date with daily inspection?

  • Are there adequate spare mask filters present?

  • Are RPE cases/boxes clean?

  • Are cases/boxes free of items

  • that may cause damage?

  • Are the masks being used correct for the face fit for the operatives?

  • Are disposable coveralls as stated in Plan of Work?

  • Are the coveralls good quality and resistant to tear?

  • wrists and hood of coverall elasticated?

  • Are the

  • Ankles,

  • Are the coveralls being warn with in enclosure in good condition with no rips or defects?

  • Waste Disposal

  • Comments / Corrective Actions Required

  • Are Clearly labelled bags/wraps being used?

  • Are bags correctly sealed, bags inside clear bag during during audit?

  • Is waste transit route clear from spilt waste or debris ?

  • Is a lockable skip used?

  • Is the skip locked and secure?

  • Is a lockable designated waste van used?

  • Are vehicles used to transport waste?

  • Is a waste collection service from a 3rd party being used?

  • Is a copy of waste consignment note on site?

  • Are vehicles used for waste transportation suitable for transport the waste safely, e.g. Sealed bulkhead?

  • Is bagged waste in vehicle likely to be damaged?

  • General

  • Comments / Corrective Actions Required

  • Are operative’s clean/tidy, wearing uniforms or full RPE/PPE (if inside enclosure)?

  • Are operatives wearing safety boots without laces in the enclosure?

  • Are work vans free of any visible asbestos debris and clean and tidy (cab and load bay)?

  • Are all electrical equipment to hand on site tested and in date?

  • Are hand tools in adequate and safe condition or safely bagged?

  • Risk Assessments / Safe Systems of Work /

  • Inspections

  • Comments / Corrective Actions Required

  • Have suitable risk assessments been carried out and the significant risks communicated in writing to all relevant employees and / or others?

  • Have existing Assessments been reviewed?

  • Are safe systems of work clearly defined and are employees instructed in writing on such systems?

  • Are there any new processes or activities for which risk assessments are required?

  • Have the corrective actions recommended from audits / inspections been reviewed and appropriately actioned?

Housekeeping

  • Comments / Corrective Actions Required

  • Are all floors and passageways tidy & free from dirt obstruction & tripping hazards?

  • Are all floor surfaces in good condition and free from defects / slipping hazards?

  • Are there any spillages / leaks or is there any contamination which have / has not been suitably cleaned up / dealt with?

  • Are all site supplies tidy and stored in one area?

  • Is all rubbish and unwanted material deposited in suitable receptacles and disposed of correctly?

  • Are all materials in your area of responsibility safely stored?

  • Are there any sharp edges / projections or other tripping / bumping hazards in your area of responsibility, which have not been protected?

  • Is the perimeter of the premises in your area of responsibility secure?

  • Are all trailing leads taped down or safely located to avoid trip risks?

  • Any other issue that raise concern?

General

  • Comments / Corrective Actions Required

  • Are procedures and equipment for dealing with fire or related incidents being effectively maintained and monitored?

  • Are the provisions for first aid being effectively maintained and monitored?

  • Is a first aid kit readily available and adequately stocked?

  • Are notices, policy, posters etc. prominently displayed and in good condition?

  • Are safety signs in your area of responsibility clean, visible and in readable, serviceable condition?

  • Information, Instruction and Training

  • Comments / Corrective Actions Required

  • Have all personnel in your area of responsibility received suitable Certificated training / information / instruction covering their duties – including new employees? Is the training documented?

  • Have all personnel in your area of responsibility been made aware of all known hazards and the precautions to be taken in connection with their work?

  • Are all personnel carrying out their duties in a safe and proper manner?

  • Have any unsafe conditions, defective plant, equipment etc. been reported and action taken to prevent harm?

Electrical

  • Comments / Corrective Actions Required

  • Is Portable electrical equipment (including leads, plugs etc. in good condition and within inspection date?

  • Are voltages and loadings correct?

Manual Handling

  • Comments / Corrective Actions Required

  • Are personnel in your area of responsibility observing safe lifting / handling practices?

Tools & Equipment

  • Comments / Corrective Actions Required

  • Are personnel in your area of responsibility observing safe practices?

  • Accidents / Accident Records

  • Comments / Corrective Actions Required

  • Are all accidents investigated and reviewed?

  • Have all accidents been correctly recorded and proper notification carried out where required?

  • Have recommendations made following accidents been effectively implemented?

  • Site notes / summary / general comments and Photos of issued raised

  • Corrective Actions Log

  • Action

  • Responsibility

  • Completion Date

  • Completed?

  • Auditors Signature

  • Supervisors Signature

  • Date

  • Date of Review

  • (one week following date of last action completion date)

Have all actions been completed

  • Have all actions been completed

  • Final Comments

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.