Information
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Document No.
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Sudent Name
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Client / Site
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Conducted on
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Prepared by
PPE
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Does the student choose the correct PPE
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Can the student put the PPE on correctly
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Can the student decontaminate the PPE correctly
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Can the student remove PPE correctly
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Does the student dispose of PPE correctly
Tools and Equipment
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Chooses the correct tool for removal
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Identifies isolation procedures
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checks tools for defects
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Shows correct use of equipment
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Uses plastic correctly for debris collection
Sampling
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Sample method is double wrapped and made ready for transport
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Sample documentation signed and dispatched
Decontamination
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Student decontaminates work area
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all dust and debris is removed
Cleanup
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Work area is made safe of any fibres
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Decontamination area is cleaned and removed
Documentation
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Student demonstrates doing a risk assessment
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Student demonstrates adjusting an Asbestos Register
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Student demonstrates application and knowledge of the ARCP
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Student demonstrates chain of custody procedures
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Student demonstrates unique identifiers for samples taken
Declaration
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I declare that the information included in this report is true and I have witnessed the student participate in the process of removing asbestos in accordance with the ARCP
