• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Asbestos Material Inspection

    Asbestos Material Location
  • Location of Asbestos Material

  • Date of Inspection

  • Asbestos Type

  • Image of Asbestos Material

  • Has the identified material been disturbed in any way?

  • Is the ACM material suitably identified with correct labeling?

  • Is the surface of the material broken, frayed or scratched?

  • Is the material completely attached to its base/support as per original construction?

  • Are the surface sealants peeling or scratched?

  • Are all protective coverings designed to protect the material in place and free from damage

  • Is there any evidence of any particles of dust from the material in the area?

  • Overall is there sufficient evidence of material failure of asbestos product that would warrant a removal plan?

  • Provide recommendation and instruction to Client to maintain safe systems in preparation of removal.

Attendance Signatures

  • Property Services Representative Signature

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.