The Hills Shire Council

THSC Asbestos Identification Report Form Checklist

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

Use this Digital Checklist

Download as PDF

Use this Digital Checklist

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Audit

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 Digital Checklist

Download as PDF

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.