Vessel Insulation ACM Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Asbestos Containing Material -ACM. Acronyms

• 1.1 HEPA High Efficiency Particulate Air (filter)

• 1.2 NOP Notice of Project (WSBC form 52E49)

• 1.3 SOP Safe Operating Procedure

• 1.4 OH&SR Occupational & Health Safety Regulation

• 1.5 WCA Workers Compensation Act

2.0 Risk Assessments

• 2.1 Can workers explain the risk assessment process for an asbestos spill?

  Yes

  No

  N/A

• Can workers describe how the risk assessment effects the clean up process?

  Yes

  No

  N/A

3.0 Training

• 3.1 Do the workers have asbestos contingency training?

  Yes

  No

  N/A

• 3.2 Was any contingency training older than 5 years?

  Yes

  No

  N/A

• 3.3 Does the supervisor check that workers have had contingency training prior to assignment?

  Yes

  No

  N/A

• 3.4 Does the supervisor check that workers have had respiratory training prior to assignment?

  Yes

  No

  N/A

• 3.5 Are the workers aware of the clean shaven policy and respirator use with ACM?

  Yes

  No

  N/A

• 3.6 Has the supervisor demonstrated the correct way to wear and seal a Tryvek type suit?

  Yes

  No

  N/A

• 3.7 Does the supervisor know how to complete and submit a NOP?

  Yes

  No

  N/A

• 3.8 Does the supervisor know how to complete and send a chain of custody document?

  Yes

  No

  N/A

• 3.9 Does the supervisor have a good understanding of the process of asbestos contingency?

  Yes

  No

  N/A

4.0 Identification of ACM

• 4.1 Can the workers explain/identify the symbol decal for ACM?

  Yes

  No

  N/A

• 4.2 Does the decaling correspond with the insulation survey?

  Yes

  No

  N/A

• 4.3 Are there any recent annotations in the insulation survey indicating<br> new ACM discoveries?

  Yes

  No

  N/A

• 4.4 Is there any signage on new ACM discoveries?

  Yes

  No

  N/A

• 4.5 Are their quarterly inspections noted in the ACM File on board?

  Yes

  No

  N/A

• 4.6 Is the insulation report current ( report must be updated every 2.5 yrs or with major work)?

  Yes

  No

  N/A

• 4.7 Is there current labeling in the crew only areas warning crew of know asbestos?

  Yes

  No

  N/A

• 4.8 Is the extent of ACM clearly distinguished by the decaling?

  Yes

  No

  N/A

5.0 Inspection Checklist

• 5.1 Is the inspection checklist accurate and includes annotations?

  Yes

  No

  N/A

• 5.2 Has the checklist been completed on a quarterly basis?

  Yes

  No

  N/A

• 5.3 Is the material essentially in the same condition as applied?

  Safe

  At Risk

  N/A

• 5.4 Can the crew describe Good / Moderate / Poor condition?

  Yes

  No

  N/A

• 5.5 Is the supervisor aware of the requirements for a moderate score on the checklist?

  Yes

  No

  N/A

• 5.6 Is the supervisor aware of the necessary action when there <br>is an indication of a poor condition?

  Yes

  No

  N/A

6.0 Safe Work Procedures

• 6.1 Prior to use of a HEPA vacuum are the workers aware of checking the DOP certificate?

  Yes

  No

  N/A

• 6.2 Are there written work procedures available for workers prior to a clean up

  Yes

  No

  N/A

• 6.3 Is the supervisor aware of reviewing Safe Work procedures even for an outside contractor?

  Yes

  No

  N/A

• 6.4 Is the supervisor aware that a contractor needs to complete a notice of project?

  Yes

  No

  N/A

7.0 ACM abatement - Maintenance /Repair

• 7.1 Is the supervisor aware of the non-emergency flow chart for the abatement process?

  Yes

  No

  N/A

• 7.2 Is the supervisor aware of the flow chart for suspected disturbance/spill for the abatement process?

  Yes

  No

  N/A

• 7.3 Do the workers know where the asbestos kit is stored?

  Yes

  No

  N/A

• 7.4 Does the asbestos kit contain all the materials as specified in the safety manual 07.02.040B?

  Yes

  No

  N/A

• 7.5 Does the supervisor understand the process for requesting a lab test to determine ACM?

  Yes

  No

  N/A

8.0 Asbestos Disposal Process

• 8.1 Is the supervisor aware that waste asbestos must be treated as " solid hazardous waste" ?

  Yes

  No

  N/A

• 8.2 Can the supervisor describe how to dispose of any asbestos material and related contaminated material?

  Yes

  No

  N/A

• 8.3 Can the supervisor describe the disposal method for non friable asbestos?

  Yes

  No

  N/A

• 8.4 Can the Chief Engineer describe their responsibilities as it applies to asbestos?

  Yes

  No

  N/A

• 8.5 Can the Engineering workers describe their responsibilities as it applies to asbestos?

  Yes

  No

  N/A

• Regional Safety Officer

  Sign

• Enter date signed by RSO

  Date

• Comments

  Yes

  No

  N/A

• Chief Engineer

  Sign

• Date signed by C/Eng

  Date