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
Works information
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Site Address
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Date Of Visit
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Supervisor For Site Works<br>
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Works notification type?
- Notifiable
- Non-Notifiable
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Works area?
- Enclosure
- Zone
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Asbestos type?
- Chrysotile
- Amosite
- Crocidolite
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Stage of works
- Site set up
- Enclosure construction
- Removal / Encapsulation
- Final clean
- Air test / Site clear
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Photo - Stage of works
Site security
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Are perimeter fence lines secure?
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Photos of perimeter fence line
Site Welfare
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Are welfare facilities available on site?<br>
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Are welfare facilities set up and working on site?
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Are facilities correct for amount of personnel on site?
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Are the facilities kept clean and hygienic?
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Photos of welfare set up (inside & outside)
Site Documentation
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Asbestos License / ASB5 / POW on site?
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Are isolation certificates on site?<br>
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Has toolbox talk been given on isolations<br>
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COSHH assessments on site<br>
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Site log completed<br>
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Plan of work signed by operatives<br>
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Risk assessments on site<br>
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Emergency procedures on site<br>
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Consignment notes on site<br>
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A copy of the standard procedures<br>
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Has the site diary been completed?<br>
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A copy of insurance on site
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Daily Exposure been completed
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Daily RPE been completed
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Daily enclosure inspection been completed
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Daily plant check been completed
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Has a smoke test been completed
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Medicals / face fits / Training for all Operatives on site<br>
Site Set Up - Plan Of Works
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Has there been liaison with the client<br>
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Is the site layout as per plan of work?<br>
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Is the enclosure as per plan of work?<br>
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Is the DCU as per plan of work?<br>
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Is the Skip / Waste Van as per plan of work?<br>
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Is the waste route as per plan of work?
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Is the transit route as per plan of work?
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Is the bagging station as per plan of work?
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Are the air locks as per plan of works
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Is the method of removal as per plan of works
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Is the vision panel / CCTV as per plan of works
- Yes
- No
- Not Applicable
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Have any amendments been recorded?<br>
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If yes, What are the amendments?
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Tool Box talks carried out
- Site Set up
- DCU Set up
- Enclosure Construction
- Stripping Technique
- Waste Disposal
- Accident Reporting
- Fire Point
- Emergency Procedure
- PPE
- Risk Assessments
- Site Log
- Exposure
- Plan Of Works
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Fire point identified<br>
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Is the fiber suppression as per plan of work?<br>
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Is there adequate wet strip on site<br>
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Is the enclosure preventing the spread of asbestos?<br>
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Is the site supervisor on site at all times?<br>
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Is there a first aid kit on site?<br>
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Is there a fire extinguisher on site?<br>
Plant and Equipment
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Number of NPU's as per Plan of works
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Certificates available for NPUS<br>
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NPUS in good condition<br>
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NPUS are the warning alarms working<br>
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Are leads secure preventing trips<br>
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Are the number of Vacuums as per plan of work<br>
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Are the certificates available for Vacuums<br>
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Vacuums in good condition<br>
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Is there adequate supply of hoover bags on site<br>
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RPE on site<br>
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Is the RPE as per plan of works<br>
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Is the RPE in a clean condition<br>
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Are flow meters available on site<br>
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Are there spare RPE filters available <br>
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Are there spare NPU filters available <br>
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Are there spare DCU filters available <br>
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Is there emergency RPE available on site
Waste
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Is the waste being stored in the Enclosure<br>
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If yes, Why is it being stored within enclosure?
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Is the waste in the correct packaging?<br>
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Is the waste being bagged as soon as it is removed <br>
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Are waste bags being over loaded<br>
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Is the transit route free of debris<br>
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Is the waste route clearly marked<br>
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Are the operatives wearing the correct RPE and PPE when removing waste<br>
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Is correct handling techniques being used<br>
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Is the waste being stored in a lockable container<br>
DCU Checks
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Is the DCU level?
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Are the doors self closing?
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Is there a direct water feed to DCU?
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Is the electric to mains with RCD secure?
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Is the earthing rod in place?
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Is the Pilot Light on boiler lit?
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Is the Clean and dirty marked?<br>
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Is the Waste water going to drain?
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Are the Steps in position for access?
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First Aid Kit available?
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Fire Extinguisher available?
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Air Test
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Boiler Test available?
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Electrical Test available?
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Stock Towels available?
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Stock Overalls available?
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Shampoo / Shower Gel available?
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Nail Brushes available?
Enclosure
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Is there an enclosure?
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Is the Bagging Station as per Plan Of Works?
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Has the bagging station got the correct signs?
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Is the bagging station clean?
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Air lock Condition? (Poor 1 - 5 Perfect)
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Picture of Airlocks
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Number of buckets within Airlocks
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Are Airlocks clean?
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Have the Airlocks got signs on?
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Is the removal method as per plan of works?
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Type of suppression being used?
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Do the Baglocks / Airlocks have vision panels on them?
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Have any amendments been recorded?
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If Yes, Please state what has been amended.
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Has the enclosure got vision panels?
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Are the flaps the correct size and correctly weighted?
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Overall standard of the enclosure? (Poor 1-5 Perfect)
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Are there sufficient signs around the enclosure?
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Wellington boots being used within the enclosure?
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Transit shoes in the airlocks?
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CCTV in operation and viewing the removal? (If required within the POW)
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DCU direct connection?
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Hoods on overalls up?
Work At Height
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Has the work at height risk been assessed?
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Is the work at height risk assessment on site?
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Is the scaffold correctly erected?
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Toe boards / Guardrails correctly installed?
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Ladders correctly installed?
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Competent inspection / Scaff-Tagged?
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Picture of scaffolding
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Podiums / Towers erected by pasta trained operatives?
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Podiums / Towers correctly erected?
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Picture of podiums / towers
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Are ladders being used?
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If yes, State circumstances for use of ladder?
Storage
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Is the plant stored in clean condition?
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Is the plant being looked after on site?
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Are vacuum hoses being stored correctly in bags?
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Rate the plant storage (Poor 1-5 Perfect)
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Are materials being stored on site correctly / Tidily?
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Is there any visible waste around works area?
Employee's
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Are masks clean and in tidy condition?
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Are tools in good condition?
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Do all operatives have transit shoes?
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Do all operatives have wellingtons?
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Are all operatives clean shaven?
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Is correct PPE and RPE being used?
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Are operatives wearing correct company clothing? (if supplied)
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If no, Who needs to be given out company clothing?
General Site
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Have all fire precaution been assessed?
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Comments -
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Is the general housekeeping good on site?
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Comments -
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Are services clearly located on site?
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Comments -
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Are emergency plans in place on site?
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Comments -
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Are all traffic routes segregated away from works?
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Comments -
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Is there any works interfering with our works?
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Comments -
Personnel Check
Supervisor
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Mask condition is good
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PPE is correct
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Company clothing worn
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Medical Available on site
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FaceFit available on site
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1/2 Mask on site
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Full Face mask on site
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Wellingtons on site
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Transit shoes on site
Operative 1 Check List
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Mask condition is good
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PPE is correct
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Company clothing worn
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Medical Available on site
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FaceFit available on site
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1/2 Mask on site
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Full Face mask on site
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Wellingtons on site
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Transit shoes on site
Operative 2 Check List
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Mask condition is good
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PPE is correct
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Company clothing worn
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Medical Available on site
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FaceFit available on site
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1/2 Mask on site
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Full Face mask on site
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Wellingtons on site
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Transit shoes on site
Operative 3 Check List
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Mask condition is good
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PPE is correct
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Company clothing worn
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Medical Available on site
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FaceFit available on site
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1/2 Mask on site
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Full Face mask on site
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Wellingtons on site
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Transit shoes on site
Vehicle Information
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Vehicle Registration
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Drivers Name
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Mileage of vehicle
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Select date
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Vehicle cleanliness Bodywork<br>
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Vehicle cleanliness Cab<br>
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Vehicle cleanliness Inside the back<br>
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Vehicles tyre condition?
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Vehicles windscreen condition?
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Vehicles front lights condition?
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Vehicles rear lights condition?
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Vehicles indicators condition?
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Vehicles bodywork condition?
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Picture of vehicle
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Storage of plant on the vehicle?
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Is there segregation of waste on the vehicle?
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Waste carrier’s licence on display? (if applicable)
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Trem card on display in van? (if applicable)
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NO Smoking sign on display in van?
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Number Plate for Towing? (if applicable)
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First aid kit in van?
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Fire Extinguisher in van front?
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Fire Extinguisher in van back? (if applicable)
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Signature of Supervisor
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Signature of Assessor
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Select date