SURVEYING FOR ACM AUDIT CHECK LIST DR123

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Survey Type?

• Management / Refurbishment / Demolition?

  Select wipes vacuum

  • wipes
  • vacuum

• Does the proposed survey contain elements of more than one of the survey types above? If yes, please provide details by tapping this question box.

  Yes

  No

  N/A

Premises Type?

• Industrial / Commercial / Residential?

  Select wipes vacuum

  • wipes
  • vacuum

• Does the proposed survey contain elements of more than one of the premise type above? If yes, please provide details by tapping this question box.

  Yes

  No

  N/A

Survey Planning

• Was a preliminary site meeting and walk through undertaken?

  Yes

  No

  N/A

• If yes, was the recommended check list used?

Date of meeting and those present?

• Date of meeting?

  Date

• Those present?

• Was a desk top study undertaken?

  Yes

  No

  N/A

• Was the method for recording and presenting the data agreed?

  Yes

  No

  N/A

• Was a site specific risk assessment undertaken?

  Yes

  No

  N/A

• Was a site specific method statement compiled?

  Yes

  No

  N/A

MANAGEMENT SURVEY

Management Survey Audit Questions

• Risk assessment present?

  Yes

  No

  N/A

• Method statement present?

  Yes

  No

  N/A

• Method for surveying for ACM's, 4R-200 present?

  Yes

  No

  N/A

• HSG 264 present?

  Yes

  No

  N/A

• Accident forms present?

  Yes

  No

  N/A

• LUL SPC declaration present?

  Yes

  No

  N/A

• Site Survey Report Forms, F39 present?

  Yes

  No

  N/A

• Sampling in progress signs present?

  Yes

  No

  N/A

• Is sufficient equipment on site?

  Yes

  No

  N/A

• Was a visual assessment undertaken in a competent and satisfactory manner?

  Yes

  No

  N/A

BULK SAMPLING QUESTIONS

• Is the area prepared?

  Yes

  No

  N/A

• Is appropriate PPE being worn?

  Yes

  No

  N/A

• Is a representative sample taken?

  Yes

  No

  N/A

• Was the sample collected in to?

  wipes

  vacuum

• Was the sample double bagged?

  Yes

  No

  N/A

• Was the sample number written on both inside and outside the bag or container?

  Yes

  No

  N/A

• If the sample is due to be subcontracted, is it labelled up as potentially containing asbestos?

  Yes

  No

  N/A

• Was the exposed sample surface encapsulated to prevent further fibre release?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the sampling area cleaned?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the site plan marked up satisfactorily with the sample position?

  Yes

  No

  N/A

• Was the site plan marked up satisfactorily with the extent of the material?

  Yes

  No

  N/A

• Was the sampling position on site marked with a label?

  Yes

  No

  N/A

• Was the label satisfactorily filled in?

  Yes

  No

  N/A

• Was the sample material photographed?

  Yes

  No

  N/A

RECORDING RESULTS

• Is sufficient detail recorded?

  Yes

  No

  N/A

• Is each sample material assessed?

  Yes

  No

  N/A

• Is each suspect or presumed asbestos material assessed?

  Yes

  No

  N/A

• Is the most likely asbestos type allocated to suspect or presumed materials?

  Yes

  No

  N/A

• Are there any arguments for materials that are judged to be non-asbestos?

  Yes

  No

  N/A

• If there is inadequate evidence to support a reasoned argument that a material is non-asbestos e.g. Textured plaster, vinyl flooring, is the material sampled?

  Yes

  No

  N/A

• Are the sheets completed?

  Yes

  No

  N/A

• Are the sheets signed?

  Yes

  No

  N/A

• Hazard rating - Are the hazard ratings correctly calculated?

  Yes

  No

  N/A

REFURBISHMENT SURVEY

Refurbishment Survey Audit Questions

• Risk assessment present?

  Yes

  No

  N/A

• Method statement present?

  Yes

  No

  N/A

• Method for surveying for ACM's, 4R-200 present?

  Yes

  No

  N/A

• HSG 264 present?

  Yes

  No

  N/A

• Accident forms present?

  Yes

  No

  N/A

• LUL SPC declaration present?

  Yes

  No

  N/A

• Site Survey Report Forms, F39 present?

  Yes

  No

  N/A

• Sampling in progress signs present?

  Yes

  No

  N/A

• Is sufficient equipment on site?

  Yes

  No

  N/A

• Was a visual assessment undertaken in a competent and satisfactory manner?

  Yes

  No

  N/A

BULK SAMPLING QUESTIONS

• Is the area prepared?

  Yes

  No

  N/A

• Is appropriate PPE being worn?

  Yes

  No

  N/A

• Is a representative sample taken?

  Yes

  No

  N/A

• Was the sample collected into?

  wipes

  vacuum

• Was the sample double bagged?

  Yes

  No

  N/A

• Was the sample number written on both inside and outside the bag or container?

  Yes

  No

  N/A

• If the sample is due to be subcontracted, is it labelled up as potentially containing asbestos?

  Yes

  No

  N/A

• Was the exposed sample surface encapsulated to prevent further fibre release?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the sampling area cleaned?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the site plan marked up satisfactorily with the sample position?

  Yes

  No

  N/A

• Was the site plan marked up satisfactorily with the extent of the material?

  Yes

  No

  N/A

• Was the sampling position on site marked with a label?

  Yes

  No

  N/A

• Was the label satisfactorily filled in?

  Yes

  No

  N/A

• Was the sample material photographed?

  Yes

  No

  N/A

RECORDING RESULTS

• Is sufficient detail recorded?

  Yes

  No

  N/A

• Are there any arguments for materials that are judged to be non-asbestos?

  Yes

  No

  N/A

• If there is inadequate evidence to support a reasoned argument that a material is non-asbestos e.g. Textured plaster, vinyl flooring, is the material sampled?

  Yes

  No

  N/A

• Are the sheets completed?

  Yes

  No

  N/A

• Are the sheets signed?

  Yes

  No

  N/A

DEMOLITION SURVEY

Demolition Survey Audit Questions

• Risk assessment present?

  Yes

  No

  N/A

• Method statement present?

  Yes

  No

  N/A

• Method for surveying for ACM's, 4R-200 present?

  Yes

  No

  N/A

• HSG 264 present?

  Yes

  No

  N/A

• Accident forms present?

  Yes

  No

  N/A

• LUL SPC declaration present?

  Yes

  No

  N/A

• Site Survey Report Forms, F39 present?

  Yes

  No

  N/A

• Sampling in progress signs present?

  Yes

  No

  N/A

• Is sufficient equipment on site (Refer to Appendix 2 of the method)?

  Yes

  No

  N/A

• Was a visual assessment undertaken in a competent and satisfactory manner?

  Yes

  No

  N/A

BULK SAMPLING QUESTIONS

• Is the area prepared?

  Yes

  No

  N/A

• Is appropriate PPE being worn?

  Yes

  No

  N/A

• Is a representative sample taken?

  Yes

  No

  N/A

• Was the sample collected into?

  wipes

  vacuum

• Was the sample double bagged?

  Yes

  No

  N/A

• Was the sample number written on both inside and outside the bag or container?

  Yes

  No

  N/A

• If the sample is due to be subcontracted, is it labelled up as potentially containing asbestos?

  Yes

  No

  N/A

• Was the exposed sample surface encapsulated to prevent further fibre release?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the sampling area cleaned?

  Yes

  No

  N/A

• Using what?

  wipes

  vacuum

• Was the site plan marked up satisfactorily with the sample position?

  Yes

  No

  N/A

• Was the site plan marked up satisfactorily with the extent of the material?

  Yes

  No

  N/A

• Was the sampling position on site marked with a label?

  Yes

  No

  N/A

• Was the label satisfactorily filled in?

  Yes

  No

  N/A

• Was the sample material photographed?

  Yes

  No

  N/A

RECORDING RESULTS

• Is sufficient detail recorded?

  Yes

  No

  N/A

• Are there any arguments for materials that are judged to be non-asbestos?

  Yes

  No

  N/A

• If there is inadequate evidence to support a reasoned argument that a material is non-asbestos e.g. Textured plaster, vinyl flooring, is the material sampled?

  Yes

  No

  N/A

• Are the sheets completed?

  Yes

  No

  N/A

• Are the sheets signed?

  Yes

  No

  N/A

REPORTING RESULTS - DOES THE REPORT INCLUDE:

• Site address of premises surveyed?

  Yes

  No

  N/A

• Date of the survey?

  Yes

  No

  N/A

• Purpose of the survey and / or summary of the Client's instructions?

  Yes

  No

  N/A

• Description of the buildings or areas included in the survey?

  Yes

  No

  N/A

• A description of and buildings or sections of buildings or areas specifically excluded from the survey by the Client?

  Yes

  No

  N/A

• The survey method used I.e. HSG 264 and 4R-E200?

  Yes

  No

  N/A

• The type of survey undertaken e.g. Refurbishment / demolition?

  Yes

  No

  N/A

• Any variations or deviations from the method or Client's requirements?

  Yes

  No

  N/A

• Bulk analysis results?

  Yes

  No

  N/A

• COMMENTS?

  Yes

  No

  N/A