Title Page

  • Site Name

  • Location
  • Job number

  • Audit number

  • Client

  • Conducted on

  • Prepared by

  • Site Supervisor

  • Type/s of Asbestos Containing Material being worked on

  • Approximate Extent of Works

  • The Stage of Works / Works Being Undertaken at the Commencement of Audit

  • Brief Description of Activities Being Undertaken During Audit

  • ASB5 in place

  • Details on ASB5 are correct

  • Does the ASB5 clearly describe the scope of works

  • Are sufficient viewing panels and/or CCTV in place to monitor all areas within enclosure during work activities?

  • The integrity of the enclosure has ben established and maintained

  • Warning signs appropriate for tasks and are in the correct location

  • Does the airlock meet the minimum size required

  • Is the airlock free from visible asbestos debris

  • Is there suitable provision available for preliminary decontamination of RPE

  • All airlock openings/flaps are suitable and weighted correctly

  • Has a separate bag lock been provided

  • Is the absence of a baglock justifiable due to site restrictions/constraints?

  • The transit route is suitably maintained, has the correct signage and is on minimum distance

  • The waste route is free from visible asbestos debris

  • The waste route is free from other general wastes/hazards

  • Works vehicles/stores are reasonably tidy, clean, well organised and free from other concerns/issues

  • The removal method, dust suppression and wetting methods used are suitable for the AMCs being removed

  • The waste is being correctly and promptly bagged following removal

  • RPE suitable for all tasks being carried out

  • All RPE and PPE being properly worn

  • There is sufficient airlock flap deflection to indicate adequate airflow through the airlock

  • Additional air inlets are suitably positioned and in use where applicable

  • There are a minimum of 2 H-Type vacuum cleaners

  • Each NPU is located either outside the working enclosure, or sheeted out of the enclosure

  • Extracted air from each NPU is vented outside

  • Is the DCU arrangement in a recognised form, i.e. Transit arrangement (please specify)

  • Is a direct connection being used

  • The NPU on the DCU is working

  • Lighting and heating are working and functional in DCU

  • There is heated water to shower

  • The DCU is adequately stocked with consumable items, i.e. nail brush, towels, soap

  • There are sufficient shower heads for the number of personnel

  • The DCU is maintained in a clean condition

  • Waste water is filtered and discharged either directly or via containers to drain

  • External dirty end and internal doors are self closing

  • DCU doors are marked (including the prohibited entry and mandatory PPE signage) as required

  • Other observations relating to DCU safety

  • All waste is separated and segregated from tools and equipment

  • Emergency arrangements are in place

  • Operatives and employees are sufficiently aware of arrangements

  • There is a suitably stocked first aid kit available

  • Are there any other observations with regards asbestos risks/hazards

  • Work at height

  • Protection / working near live services

  • Manual handling

  • Noise (add decibel meter reading from IPAD if possible)

  • Hand arm vibrations (HAVs)

  • Other contractors activities affecting asbestos removal

  • COSHH and MSDS

  • Other significant risks / hazards

  • Does the site diagram show location of the ACMs, Air Lock, Bag Lock, NPU Locations, Viewing Pannels/CCTV, DCU, Transit Route, Waste Route, Waste Skip/Van/Vehicle, Fire Points?

  • Is the site supervisor the named supervisor in the Plan of Work

  • Does the type of RPE being used match the details in the Plan of Work or Standard Procedures

  • Does the construction of the Airlock, Baglock and enclosures match the details in the Plan of Work or Standard Procedures

  • Does the removal procedure observed match the details in the Plan of Works

  • The Plan of Work clearly details when the work is to be carried out, including dates, start/finish times and weekend/nightwork variations

  • Does the Plan of Work detail the analytical company providing the 4 stage clearance

  • Does the Plan of Work detail the relevant enclosure entry and exit procedures relevant to the site set up

  • The number and capacity of NPU's match the Plan of Work

  • Required air flow is being achieved demonstrated by the Plan of Work, actual NPU air flow records being kept

  • The Plan of Work details the requirements and witnessing of the smoke test

  • The Plan of Work details the air monitoring arrangements for the duration of the works

  • The arrangements for the waste storage are clearly described in the Plan of Works and evident on site

  • The arrangements for the collection and disposal of stored waste are clearly described in the Plan of Work (to include name of the waste disposal company and disposal location)

  • The welfare provision on site matches that described in the Plan of Work

  • Where amendments have been made to the Plan of Work, have they been authorised by the appropriate level of management and amended correctly in the POWs

  • The details in the Plan of Works are accurately reflected in the ASB5

  • Any other observations to the Plan of Works

  • RPE records are on site and up to date

  • Inspection records are in place and up to date for Enclosures

  • Inspection records are in place and up to date for Airlock

  • Inspection records are in place and up to date for Baglock

  • Inspection records are in place and up to date for NPU's

  • Inspection records are in place and up to date for NPU pressure gauge readings

  • Inspection records are in place and up to date for NPU anemometer reading

  • Inspection records are in place and up to date for vacuums

  • Inspection records are in place and up to date for DCU

  • Inspection records are in place and up to date for DCU pressure gauge reading for NPU

  • Inspection records are in place and up to date for blasting equipment

  • Inspection records are in place and up to date for scaffolding/towers

  • Inspection records are in place and up to date for MEWP's

  • Inspection records are in place and up to date for anything else

  • Has a smoke test been carried out and recorded

  • Air monitoring has been undertaken as proposed

  • Is there evidence of management involvement on site since the commencement of works i.e. site visits as scheduled in the Plan of Works

  • Are all other observations relating to measuring and monitoring safe

  • Standard Operating Procedures on site and appear to be relevant

  • Plan of Work references the Standard Operating Procedures

  • HSE licence available on site

  • Evidence of employers liability insurance is available on site

  • Evidence of current public liability insurance is available on site

  • Current certificate available for NPU's on enclosure

  • Current certificate available for Vacuum cleaners

  • Current certificate available for NPU in DCU's

  • Pick two employees on site. (detail names in response) check current medical certificates, evidence of competency, face fit certificates are available on site

  • Is a clearance test certificate available from the previous site for the DCU(s)

  • Are all other observations relating to site supporting documentation safe

  • Any other observations

  • Any actions

  • Comments from workforce

  • Inspector / Auditor

  • Site Supervisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.