Site Details. Comments / Corrective Actions Required. Preliminary Requirements Y N N/A SITE MONITORING PROCEDURE ASBESTOS AUDIT FORM.

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1 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/A Is there a valid (i.e. in date) ASB5 Notification Form on site for the works to be audited? Is there (or will there be) asbestos removal work or cleaning in progress within the enclosure during the audit? Is there provision to observe work practices within the enclosure by means of CCTV and / or viewing panel(s)? Is there a site specific Plan of Work available on site for the works?

2 Preliminary Requirements Continued Y N N/A Is there a copy of the Company Standard Procedures / Generic Procedures available on site? Is the Decontamination Unit fully functional in terms of power, ventilation, and the provision of hot and cold 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, THEN CONTINUE WITH THE AUDIT ONCE RECTIFIED. SHOULD ANYTHING ABOVE BE AMISS THAT CANNOT BE RECTIFIED IMMEDIATELY, THEN INFORM THE SUPERVISOR THAT THE AUDIT CANNOT CONTINUE. Site Personnel Names POSITION Sup/Op Current Medical Y/N Current Training Y/N Face Fit Tested Y/N Clean Shaven Y/N For certificates (above), where the name of the company being audited has not been recorded on the certificate by the provider; Has each copy been individually authenticated by, or under the direction of, senior management, with a statement confirming their validity? Y N N/A Page 2 of 26

3 Site Documentation Y N N/A 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 Generic Specification on site? Have specific Risk Assessments been completed for this project? Are there copies of COSHH Assessments in site file for substances on site? Have the Daily Site Logs been completed up to date? Are daily site and plant inspection records (including DCU, 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)? Page 3 of 26

4 Plan of Work Y N N/A Does the POW detail the name and local address of the persons to whom they are contracted (including the site address if different)? Does the POW detail the names, job titles, and telephone numbers of all relevant contacts, including the site supervisor, manager or director responsible for the site? Does the POW detail the number of employees on the job at any time and names? Does the POW detail when the work is going to take place i.e. dates and times (nights, weekend work, etc.), the dates for set up, removal and clearance? Does the POW detail how often the superv isor, manager, director will be on site? Does the POW detail how viewing panels and or CCTV will be used? Does the POW detail the names and contact telephone numbers of the supervisor, manager or director responsible for conditions on site? Does the POW detail who will consider departures from the Plan of Work and how will these be communicated to the workers on site? Does the POW have a description of the work, its location and the removal method? Does the POW contain details of any access and fire risk and precautions to be taken and details of how safe places of work will be provided and maintained? Does the POW contain details of any other risks and precautions? Page 4 of 26

5 Plan of Work Continued Y N N/A Does the POW detail the expected exposure using the controls specified? Does the POW detail the steps taken to reduce exposure as low as reasonably practicable and to control release into the environment? Does the POW contain a sketch showing: size of enclosure; 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 and numbers of NPUs and number of air changes per hour? Does the POW detail the type of respirators used? Does the POW detail how control measures are to be maintained on site and what checks? Does the POW detail additional precautions to reduce exposure? Does the POW contain detailed site information and a site-specific description of the working method to be used with reasons? Does the POW describe which fibre suppressant technique is to be used? For wet strip system; describe injection technique including: needle type and pattern; dilution factor; what indicator will be used to check material is fully saturated; time allowed for penetration? Does the POW state what tools and other equipment are to be used and whether they meet the BS standards? Page 5 of 26

6 Plan of Work Continued Y N N/A For AIB work, does the POW describe the practical measures to minimise dust release? Does the POW state emergency procedures (including asbestos disturbance during enclosure erection, etc.)? Does the POW describe enclosure entry / exit & decontamination procedures? Does the POW contain information on the analytical company providing the 4-stage clearance? Does the POW state to whom the analytical company is contracted? Does the POW detail of the type of asbestos involved? Does the POW detail of the condition of the asbestos containing material to be removed? Are welfare facilities detailed in the plan of work and are they available for use as described? Site Organisation Y N N/A Is site layout as sketch plan submitted in Plan of Work including any photos? Is work being carried out as per Plan of Work? Page 6 of 26

7 Site Organisation Continued Y N N/A Is the work area segregated? Have any variations to Plan of Work been recorded in Site 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/A 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 each NPU on site? Is there a current DOP test certificate available on site for the NPU within the dirty end of the DCU? Page 7 of 26

8 Hygiene Facility Y N N/A 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 correctly marked? 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? Page 8 of 26

9 Hygiene Facility Continued Y N N/A 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 for respirators? 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? Page 9 of 26

10 Hygiene Facility Continued Y N N/A Are separate towels used in shower and clean end? Is wastewater filtered? Transit Route Y N N/A Is transiting necessary and justified within the plan of work? Is the route short as possible? Is the route marked and safe for use? Enclosure / Airlocks Y N N/A Was non-contaminated equipment removed during the pre-clean? Was the work area cleaned of loose debris prior to enclosure building? Is enclosure construction and sheeting adequate (1000 gauge)? Is it well designed and prevent the spread of asbestos? Page 10 of 26

11 Enclosure / Airlocks Continued Y N N/A 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 x 300 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? Page 11 of 26

12 Enclosure / Airlocks Continued Y N N/A 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 of Work? 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 8 air changes per hour (enclosures >120m3) or airflow of at least 1000m3 per hour for smaller enclosures? Does each NPU have a non-return flap on the exhaust side of the HEPA filter? Page 12 of 26

13 Enclosure / Airlocks Continued Y N N/A 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? Page 13 of 26

14 Scaffolding / Access Y N N/A Is there work at height in enclosure? Has safe access provided? Are Guardrails, toe boards, etc. present? Are there procedures for decontaminating scaffolding? 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 of scaffolding erection? Page 14 of 26

15 Method of Asbestos Removal Y N N/A 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/A 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 and recorded? Page 15 of 26

16 Protective Equipment Continued Y N N/A Are RPE flow metres available? Are there adequate spare filters present? Are RPE cases/boxes clean? Are cases/boxes free of items that may cause damage? 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 coverall elasticated? Page 16 of 26

17 Waste Disposal Y N N/A Are UN packages used? Are bags correctly sealed, bags inside clear bag during 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. sealed bulkhead? Is bagged waste in vehicle likely to be damaged? Page 17 of 26

18 General Y N N/A Are operative s clean/tidy, wearing uniforms or full RPE/PPE (if inside enclosure)? Are operatives wearing safety shoes? Are vans and DCU clean and tidy (cabin and load bay)? Are all electrical equipment to hand on site tested and in date? Are hand tools in adequate and safe condition or safely bagged? Page 18 of 26

19 GENERAL HEALTH & SAFETY SECTION The following section only needs to be completed at the clients request Risk Assessments / Safe Systems of Work / Inspections Have suitable risk assessments been carried out and the significant risks communicated in writing to all relevant employees and / or others? Y N N/A Have existing Assessments been reviewed? Are safe systems of work clearly defined and are employees instructed in writing on such systems? Are there any new processes or activities for which risk assessments are required? Have the corrective actions recommended from audits / inspections been reviewed and appropriately actioned? Housekeeping Y N N/A Are all floors and passageways tidy & free from dirt obstruction & tripping hazards? Are all floor surfaces in good condition and free from defects / slipping hazards? Are there any spillages / leaks or is there any contamination which have / has not been suitably cleaned up / dealt with? Are all stored chemicals / liquids adequately bunded? Page 19 of 26

20 Housekeeping Continued Y N N/A Is all rubbish and unwanted material deposited in suitable receptacles and disposed of correctly? Are all materials in your area of responsibility safely stored? Are there any sharp edges / projections or other tripping / bumping hazards in your area of responsibility, which have not been protected? Is the perimeter of the premises in your area of responsibility secure? General Y N N/A Are procedures and equipment for dealing with fire or related incidents being effectively maintained and monitored? Are the provisions for first aid being effectively maintained and monitored? Is a first aid kit readily available and adequately stocked? Are notices, policy, posters etc. prominently displayed 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. readily available? Page 20 of 26

21 General Continued Y N N/A Is there an adequate supply of clean wholesome drinking water? Is a reasonable working temperature being maintained? Are all flammable liquids stored in compliance with statuary and in-house rules and are suitable records kept? Safety Devices and Protective Equipment Y N N/A Are adequate supplies of suitable safety equipment and protective clothing available to employees and / or others where necessary? Have all relevant employees been instructed / trained on the use of protective clothing and equipment and are suitable records of issue / instruction available? Are personnel making full use of the safety devices, protective clothing and PPE / safety equipment provided? Are devices and PPE / equipment in satisfactory condition and working order? Is the PPE in use suitable for the task being carried out? Page 21 of 26

22 Information, Instruction and Training Y N N/A Have all personnel in your area of responsibility received suitable Certificated training / information / instruction covering their duties including new employees? Is the training documented? Have all personnel in your area of responsibility been made aware of all known hazards and the precautions to be taken in connection with their work? Are all personnel carrying out their duties in a safe and proper manner? Have any unsafe conditions, defective plant, equipment etc. been reported and action taken to prevent harm? Electrical Y N N/A Is Portable electrical equipment (including leads, plugs etc. in good condition and within inspection date? Are voltages and loadings correct? Manual Handling Y N N/A Are personnel in your area of responsibility observing safe lifting / handling practices? Tools & Equipment Y N N/A Are personnel in your area of responsibility observing safe practices? Page 22 of 26

23 Accidents / Accident Records Y N N/A Are all accidents investigated and reviewed? Have all accidents been correctly recorded and proper notification carried out where required? Have recommendations made following accidents been effectively implemented? Page 23 of 26

24 Site notes / summary / general comments Page 24 of 26

25 Corrective Actions Log No. Action Responsibility Completion Date Completed? Page 25 of 26

26 Auditors Signature Supervisors Signature Date Date of Review (one week following date of last action completion date) Have all actions been completed Yes No Comments Final Comments Page 26 of 26