Title Page
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Site conducted
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Conducted on
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Manager
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Location
ASBESTOS - YES to PROGRESS
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Do you have access to the Alpha Tracker
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You must gain access from I.T and then proceed with the relevant checks BEFORE work commences
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Have you checked the 'Alpha Tracker' for ACM's in the properties you will be working on?
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Either check it (where available) or ensure you have a copy of the Asbestos Report for the property
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Have you confirmed NAD BEFORE you commence work
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DO NOT COMMENCE WORK - You must ensure that you can confirm NAD
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Have all operatives been given instruction on what to do if they identify any potential ACM's
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ENSURE ALL OPERATIVES ARE INFORMED OF THE PROCESS OF WHAT TO DO UNDER THESE CIRCUMSTANCES
SITE SET UP - YES to PROGRESS
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Have you checked that the area where the scaffold is to be erected is clear of all debris and garden items
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Clear the area and then arrange for the scaffolder to attend site
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If the property has an extension/conservatory/porch or decking, have you spoken to the scaffold contractor to see what is required to erect above or around the obstacle
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Speak with the scaffold contractor to see if a design scaffold or further on-site work needs to be carried out
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Have you identified a set down area for materials
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Do you have sufficient barriers, hazard tape & signage to prevent unauthorised access to the set down/storage and work areas
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Have you ensured that pedestrians are protected and have an accessible route to travel
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Have you organised a Waste area where skips will be kept
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You must ensure that the area does not put tenants/members of the public at risk, reduce the risk by using barriers/netting/signage etc to prevent waste from chute's becoming a danger to the public. You must also ensure that there is sufficient signage to advise the public of the potential dangers.
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Have you checked the condition of the waste chute and it's attachments
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Do you have welfare in place that offers; First Aid kit, hot & cold running water, seating area, toilet facilities
The SCAFFOLD - YES to PROGRESS
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Have you requested the scaffold using the Scaffold Request Form
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Complete one and ensure all potential obstacles/hazards are listed, also ensure that your request is clear.
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Have you conducted a Handover of the scaffold in full and completed the correct form
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You must check the scaffold and fill in the correct Scaffold Handover form before anyone accesses the scaffold
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Does the scaffold match what you asked for on the scaffold request form
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Speak to the scaffold contractor to come to site and amend where necessary
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Have you ensured that the scaffold is not blocking any gas flues?
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Check for all types of flues - Horizontal/Vertical/Balanced flues, ensure the flue has nothing covering it and that upcoming works cannot block the same flues.
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Is the scaffold compliant and ready for use
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You must complete the 'Remedial Actions' part of the scaffold handover form and give the form to the scaffold contractor for rectification
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Where remedial actions have been identified and completed, have you re-checked the scaffold to ensure it is now compliant and that all works have been completed
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You must check the scaffold to ensure all works have been completed, you must also fill in the 'Remedial actions' part of the Scaffold Handover form to confirm you have reinspected the scaffold and that you have now accepted the handover
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Does the Scaffold have a fully completed green tag in place
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You must contact the scaffold contractor and advise them to complete and fix a tag to the scaffold (you can commence work on the scaffold as long as the scaffold contractor can confirm the details are held in the scaffold register)
YES to PROGRESS Sign Off - You are now safe to progress once the above questions have all been answered with a YES.
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Date of completion
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Additional images from site
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Signed by;