TCEC Contamination Report

• Document No.

• Audit Title

• Client / Site

• Prepared by

Location

• Add location
  Address

• Add media

  Media

• Photo's of the site

  Media

• REM Number

Management of contamination

• Was TCEC or HLC notified of the contamination ?

  yes

  no

• Person who notified TCEC or HLC.

• Materials handled according to the Asbestos Management Plan ?

  yes

  no

Asbestos

• Category of asbestos

  Select friable non friable

  • friable
  • non friable

• Types of asbestos

  Select drainage pipes sheeting corrugated cement roofing cladding insulation ( lagging ) vinyl flooring Watermain pipes fences ceiling tiles

  • drainage pipes
  • sheeting
  • corrugated cement roofing
  • cladding
  • insulation ( lagging )
  • vinyl flooring
  • Watermain pipes
  • fences
  • ceiling tiles

• Condition of Asbestos out of 10 1 - bonded. 10 - brittle

• Worksafe notification of particular hazardous work required ?

  Yes

  No

  N/A

• Removal technique

  By hand

  Plant

• Transportation required ?

  lined trucks

  lined skip

Safety

• Any workers exposed to contamination ?

  Yes

  No

  N/A

• Advised on decontamination procedures ?

  Yes

  No

  N/A

• Has all work in the area stopped ?

  yes

  no

• Has the area been isolated ?

  yes

  no

• PPE requirements outlined to the contractor ?

  Yes

  No

  N/A

Containment

• Types of containment required

  Select barriers signs water down area cover area in poly spray with PVA glue

  • barriers
  • signs
  • water down area
  • cover area in poly
  • spray with PVA glue

Monitoring

• Air monitoring required ?

  yes

  no

• Soil monitoring required ?

  yes

  no

• Date

  Date