The Hills Shire Council

THSC Asbestos Identification Report Form

This form is to be completed and emailed to Work Health & Safety Coordinator where asbestos containing material is suspected.

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Worker/s name:
Ward
Date identified
Location
Description of location:
Quantity
Greater than 10m^2
Type
- Bonded
- Friable
- Suspected
- Not Known
Name of Supervisor Contacted
Action taken
Action required
Comments
Any additional works required
Photographs of material

The Hills Shire Council

THSC Asbestos Identification Report Form

This form is to be completed and emailed to Work Health & Safety Coordinator where asbestos containing material is suspected.

Use this Template

Print as PDF

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