Preliminary Requirements Y N N/A Comments / …...SITE MONITORING PROCEDURE ASBESTOS AUDIT FORM Page 2 of 26 Location: Date: Preliminary Requirements Continued Y N N/A Comments / Corrective

SITE MONITORING PROCEDURE

ASBESTOS AUDIT FORM

Site Details

Site Address

Client and Address

Name of Project Supervisor

Licensed Contractor Name and Address

Description of removal project (ACM) & size of project

Project Number

Auditor

Date

Time on site (arrival, departure, and total time)

Preliminary Requirements Y N N/AComments / Corrective

Actions Required

Is there a valid (i.e. in date) ASB5 Notification Form onsite for the works to be audited?

Is there (or will there be) asbestos removal work orcleaning in progress within the enclosure during theaudit?

Is there provision to observe work practices within theenclosure by means of CCTV and / or viewingpanel(s)?

Is there a site specific Plan of Work available on sitefor the works?


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Preliminary Requirements Continued Y N N/AComments / Corrective

Actions Required

Is there a copy of the Company Standard Procedures /Generic Procedures available on site?

Is the Decontamination Unit fully functional in termsof power, ventilation, and the provision of hot andcold running water for showering?

DO NOT PROCEED WITH THE AUDIT UNLESS EACH RESPONSE ABOVE IS AFFIRMATIVE.SHOULD ANYTHING ABOVE BE AMISS THAT CAN BE RECTIFIED IMMEDIATELY, THENCONTINUE WITH THE AUDIT ONCE RECTIFIED. SHOULD ANYTHING ABOVE BE AMISSTHAT CANNOT BE RECTIFIED IMMEDIATELY, THEN INFORM THE SUPERVISOR THATTHE AUDIT CANNOT CONTINUE.

Site Personnel NamesPOSITION

Sup/Op

CurrentMedical

Y/N

CurrentTraining

Y/N

Face FitTested

Y/N

CleanShaven

Y/N

For certificates (above), where the name ofthe company being audited has not beenrecorded on the certificate by the provider;Has each copy been individuallyauthenticated by, or under the direction of,senior management, with a statementconfirming their validity?

Y N N/AComments / Corrective

Actions Required


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Site Documentation Y N N/AComments / Corrective

Actions Required

Is there a copy of Licence available on Site?

Is there a Plan of Work and ASB 5 present?

Is there a copy of Waiver (if applicable)?

Is there a copy of the companies GenericSpecification on site?

Have specific Risk Assessments been completed forthis project?

Are there copies of COSHH Assessments in site filefor substances on site?

Have the Daily Site Logs been completed up to date?

Are daily site and plant inspection records (includingDCU, enclosure, airlocks, NPU’s & vacuum cleaners)available for inspection and up to date?

Does the NPU inspection record include manometer /pressure gauge readings for each NPU in use(including DCU)?


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Plan of Work Y N N/AComments / Corrective

Actions Required

Does the POW detail the name and local address of thepersons to whom they are contracted (including thesite address if different)?

Does the POW detail the names, job titles, andtelephone numbers of all relevant contacts, includingthe site supervisor, manager or director responsiblefor the site?

Does the POW detail the number of employees on thejob at any time and names?

Does the POW detail when the work is going to takeplace i.e. dates and times (nights, weekend work, etc.),the dates for set up, removal and clearance?

Does the POW detail how often the supervisor,manager, director will be on site?

Does the POW detail how viewing panels and or CCTVwill be used?

Does the POW detail the names and contact telephonenumbers of the supervisor, manager or directorresponsible for conditions on site?

Does the POW detail who will consider departures fromthe Plan of Work and how will these be communicatedto the workers on site?

Does the POW have a description of the work, itslocation and the removal method?

Does the POW contain details of any access and firerisk and precautions to be taken and details of howsafe places of work will be provided and maintained?

Does the POW contain details of any other risks andprecautions?


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Plan of Work Continued Y N N/AComments / Corrective

Actions Required

Does the POW detail the expected exposure using thecontrols specified?

Does the POW detail the steps taken to reduceexposure as low as reasonably practicable and tocontrol release into the environment?

Does the POW contain a sketch showing: size ofenclosure; location of viewing panels / CCTV; NPUs;H-type’s; DCU, transit routes; air locks; bag locks;waste routes; and skips etc.?

Does the POW detail the volume of enclosure, size andnumbers of NPUs and number of air changes perhour?

Does the POW detail the type of respirators used?

Does the POW detail how control measures are to bemaintained on site and what checks?

Does the POW detail additional precautions to reduceexposure?

Does the POW contain detailed site information and asite-specific description of the working method to beused with reasons?

Does the POW describe which fibre suppressanttechnique is to be used?

For wet strip system; describe injection techniqueincluding: needle type and pattern; dilution factor; whatindicator will be used to check material is fullysaturated; time allowed for penetration?

Does the POW state what tools and other equipmentare to be used and whether they meet the BSstandards?


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Plan of Work Continued Y N N/AComments / Corrective

Actions Required

For AIB work, does the POW describe the practicalmeasures to minimise dust release?

Does the POW state emergency procedures (includingasbestos disturbance during enclosure erection, etc.)?

Does the POW describe enclosure entry / exit &decontamination procedures?

Does the POW contain information on the analyticalcompany providing the 4-stage clearance?

Does the POW state to whom the analytical companyis contracted?

Does the POW detail of the type of asbestos involved?

Does the POW detail of the condition of the asbestoscontaining material to be removed?

Are welfare facilities detailed in the plan of work andare they available for use as described?

Site Organisation Y N N/AComments / Corrective

Actions Required

Is site layout as sketch plan submitted in Plan ofWork including any photos?

Is work being carried out as per Plan of Work?


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Site Organisation Continued Y N N/AComments / Corrective

Actions Required

Is the work area segregated?

Have any variations to Plan of Work been recorded inSite Log?

Have any site inductions been attended?

Have all on site risks been considered?

Are adequate warning signs displayed?

Plant on Site Y N N/AComments / Corrective

Actions Required

Are there at least 2 H type vacuums on site?

Are current DOP test certificates available?

Is the NPU(s) sufficient for the job?

DOP test certificates available and relevant to eachNPU on site?

Is there a current DOP test certificate available on sitefor the NPU within the dirty end of the DCU?


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Hygiene Facility Y N N/AComments / Corrective

Actions Required

Clearance certificate available from previous job?

Is modular decontamination unit used?

Does the Unit complying with EH47 / HSG247?

Location as stated in Plan of Work?

Was unit connected before any work started?

Are all services connected and is the unit level?

Are clean and dirty end doors clearly and correctlymarked?

Is unit clean and in good condition?

Is unit in a secure place, doors locked if unattended?

Is unit used to store any unnecessary items?

Are there lockers in clean end?


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Hygiene Facility Continued Y N N/AComments / Corrective

Actions Required

Are the internal doors self-closing?

Is there an adequate number of showerheads (4/1)?

Are Nailbrushes / soap provided?

Are there mirror in clean end of unit?

Are there charging points in clean end forrespirators?

Is there an adequate means of heating unit?

Is there a balanced flue for gas heater?

Is there a RCCD fitted and tested?

Is the unit earthed?

Do all employees decontaminate?

Are towels provided?


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Hygiene Facility Continued Y N N/AComments / Corrective

Actions Required

Are separate towels used in shower and clean end?

Is wastewater filtered?

Transit Route Y N N/AComments / Corrective

Actions Required

Is transiting necessary and justified within the plan ofwork?

Is the route short as possible?

Is the route marked and safe for use?

Enclosure / Airlocks Y N N/AComments / Corrective

Actions Required

Was non-contaminated equipment removed duringthe pre-clean?

Was the work area cleaned of loose debris prior toenclosure building?

Is enclosure construction and sheeting adequate(1000 gauge)?

Is it well designed and prevent the spread ofasbestos?


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Enclosure / Airlocks Continued Y N N/AComments / Corrective

Actions Required

Are all openings sealed?

Are all electrical and heating plant isolated?

Is the enclosure likely to be compromised during job?

Is the enclosure adequately lit?

Is the enclosure located as in Plan of Work?

Is the enclosure double skinned (if required)?

Are viewing panels provided in enclosure 600 mm x300 mm?

Is there a clear view of all work carried out?

Is the 3-stage airlock of good construction?

Does it have a vision panel?

Is airlock adequate for decontamination?


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Actions Required

Is there a Bucket, sponge, H-type available in airlock?

Are the airlock flaps on works side and weighted?

Do they cover openings?

Are the NPU’s located and specified as in Plan ofWork?

Is the NPU outside the enclosure?

Are NPU’s vented to outside where possible?

Are NPU’s likely to move?

Is extraction capacity adequate?

Is there good airflow through enclosure?

Is the NPU capable of providing either a minimum of 8air changes per hour (enclosures >120m3) or airflowof at least 1000m3 per hour for smaller enclosures?

Does each NPU have a non-return flap on the exhaustside of the HEPA filter?


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Actions Required

Are there any dead air spots in the enclosure?

Has the smoke test been witnessed / completed?

Are enclosure inspections available and up to date?

Is a baglock provided on this job?

Are there vision panels on the bag lock?

Is this of good construction?

Is the baglock located next to the airlock?


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Scaffolding / Access Y N N/AComments / Corrective

Actions Required

Is there work at height in enclosure?

Has safe access provided?

Are Guardrails, toe boards, etc. present?

Are there procedures for decontaminatingscaffolding?

Does it form part of the enclosure, or?

Likely to damage ACM?

Has a Licensed Scaffolder been used?

Was decontamination unit in place at start ofscaffolding erection?


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Method of Asbestos Removal Y N N/AComments / Corrective

Actions Required

Is a dustless or wet method being used?

Is this method effective?

Is an injection system used (described type)?

Are operatives trained in use of this system?

Is there adequate surfactant on site (type)?

Is asbestos removed wet (test ACM in waste bag)?

Protective Equipment Y N N/AComments / Corrective

Actions Required

Is the RPE being worn as in Plan of Work?

Is the RPE suitable for work method?

Is the RPE in good condition and well maintained?

Are the RPE daily inspections completed andrecorded?


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Protective Equipment Continued Y N N/AComments / Corrective

Actions Required

Are RPE flow metres available?

Are there adequate spare filters present?

Are RPE cases/boxes clean?

Are cases/boxes free of items that may causedamage?

Is there emergency RPE available (2 sets)?

Are disposable coveralls as stated in Plan of Work?

Are the coveralls good quality and resistant to tear?

Are the Ankles, wrists and hood of coverallelasticated?


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Waste Disposal Y N N/AComments / Corrective

Actions Required

Are UN packages used?

Are bags correctly sealed, bags inside clear bagduring audit?

Is waste transit route clear from spilt waste?

Is a lockable skip used?

Is the skip locked and secure?

Is a lockable van used?

Are vehicles used to transport waste?

Are they registered carriers of waste?

Are vehicles suitable for transport, e.g. sealedbulkhead?

Is bagged waste in vehicle likely to be damaged?


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General Y N N/AComments / Corrective

Actions Required

Are operative’s clean/tidy, wearing uniforms or fullRPE/PPE (if inside enclosure)?

Are operatives wearing safety shoes?

Are vans and DCU clean and tidy (cabin and loadbay)?

Are all electrical equipment to hand on site tested andin date?

Are hand tools in adequate and safe condition orsafely bagged?


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GENERAL HEALTH & SAFETY SECTION

The following section only needs to be completed at the clients request

Risk Assessments / Safe Systems of Work /Inspections

Y N N/AComments / Corrective

Actions Required

Have suitable risk assessments been carried out andthe significant risks communicated in writing to allrelevant employees and / or others?

Have existing Assessments been reviewed?

Are safe systems of work clearly defined and areemployees instructed in writing on such systems?

Are there any new processes or activities for whichrisk assessments are required?

Have the corrective actions recommended from audits/ inspections been reviewed and appropriatelyactioned?

Housekeeping Y N N/AComments / Corrective

Actions Required

Are all floors and passageways tidy & free from dirtobstruction & tripping hazards?

Are all floor surfaces in good condition and free fromdefects / slipping hazards?

Are there any spillages / leaks or is there anycontamination which have / has not been suitablycleaned up / dealt with?

Are all stored chemicals / liquids adequately bunded?


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Housekeeping Continued Y N N/AComments / Corrective

Actions Required

Is all rubbish and unwanted material deposited insuitable receptacles and disposed of correctly?

Are all materials in your area of responsibility safelystored?

Are there any sharp edges / projections or othertripping / bumping hazards in your area ofresponsibility, which have not been protected?

Is the perimeter of the premises in your area ofresponsibility secure?

General Y N N/AComments / Corrective

Actions Required

Are procedures and equipment for dealing with fire orrelated incidents being effectively maintained andmonitored?

Are the provisions for first aid being effectivelymaintained and monitored?

Is a first aid kit readily available and adequatelystocked?

Are notices, policy, posters etc. prominentlydisplayed and in good condition?

Are safety signs in your area of responsibility clean,visible and in readable, serviceable condition?

Are barrier / cleansing creams, soaps etc. readilyavailable?


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General Continued Y N N/AComments / Corrective

Actions Required

Is there an adequate supply of clean wholesomedrinking water?

Is a reasonable working temperature beingmaintained?

Are all flammable liquids stored in compliance withstatuary and in-house rules and are suitable recordskept?

Safety Devices and Protective Equipment Y N N/AComments / Corrective

Actions Required

Are adequate supplies of suitable safety equipmentand protective clothing available to employees and /or others where necessary?

Have all relevant employees been instructed / trainedon the use of protective clothing and equipment andare suitable records of issue / instruction available?

Are personnel making full use of the safety devices,protective clothing and PPE / safety equipmentprovided?

Are devices and PPE / equipment in satisfactorycondition and working order?

Is the PPE in use suitable for the task being carriedout?


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Information, Instruction and Training Y N N/AComments / Corrective

Actions Required

Have all personnel in your area of responsibilityreceived suitable Certificated training / information /instruction covering their duties – including newemployees? Is the training documented?

Have all personnel in your area of responsibility beenmade aware of all known hazards and the precautionsto be taken in connection with their work?

Are all personnel carrying out their duties in a safeand proper manner?

Have any unsafe conditions, defective plant,equipment etc. been reported and action taken toprevent harm?

Electrical Y N N/AComments / Corrective

Actions Required

Is Portable electrical equipment (including leads,plugs etc. in good condition and within inspectiondate?

Are voltages and loadings correct?

Manual Handling Y N N/AComments / Corrective

Actions Required

Are personnel in your area of responsibility observingsafe lifting / handling practices?

Tools & Equipment Y N N/AComments / Corrective

Actions Required

Are personnel in your area of responsibility observingsafe practices?


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Accidents / Accident Records Y N N/AComments / Corrective

Actions Required

Are all accidents investigated and reviewed?

Have all accidents been correctly recorded and propernotification carried out where required?

Have recommendations made following accidentsbeen effectively implemented?


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Site notes / summary / general comments


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Corrective Actions Log

No. Action ResponsibilityCompletion

DateCompleted?


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Auditors Signature

Date

Date of Review(one week following date of last action completion date)

Have all actionsbeen completed

Yes No Comments

Final Comments

SupervisorsSignature

Preliminary Requirements Y N N/A Comments / …...SITE MONITORING PROCEDURE ASBESTOS AUDIT FORM Page 2 of 26 Location: Date: Preliminary Requirements Continued Y N N/A Comments / Corrective

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