3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates ★★★★★ Rated 5/5 stars on Capterra Say goodbye to paper checklists! Conduct digital inspections via mobile app easier than ever before with Lumiform Reports are created automatically Assign and track detected issues to solve them faster Select from over 5,000 expert-proofed templates Scan this QR code or visit www.lumiformapp.com and register for free (page name not set) Audit Risk Assessment Check Please list below all relevant risks identified from the site visit - All areas to be assessed individually. Working at Heights - NAL-022 Safe At Risk N/A Confined Spaces - NAL-003 Yes No N/A Ladders - NAL- 019 Yes No N/A Mobile Platforms/Towers - NAL-005 Yes No N/A Fixed Scaffolding Yes No N/A Hazardous Materials - COSHH Assessment Yes No N/A Slips, Trips and Falls - NAL-017 Yes No N/A Pathways/ Road Access and Egress Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Is there site security issues? Yes No N/A Any Environmental Issues? Yes No N/A Signs of Vandilism/ Social Problems Yes No N/A Storage Limitation Issues? Yes No N/A Personal Safety? Yes No N/A Vehicle Traffic issues? Yes No N/A Emissions and Processes? Yes No N/A Explosive Materials? Yes No N/A Excessive Noise Issues - NAL-012 Yes No N/A Hot Works(Inside Enclosures) - NAL-031 Yes No N/A Use of Power Tools? Yes No N/A Exposure to Vibration - NAL-006 Yes No N/A Lone Working - NAL-010 Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Safety Harnesses & Lanyards - NAL-015 Yes No N/A Use of Electric Drills - NAL-018 Yes No N/A Working on fragile roofs - NAL-021 Yes No N/A Cable cutting & Removal - NAL-024 Yes No N/A Removal of Asbestos Cement - NAL-027 Yes No N/A Removal of AIB (Not ceiling tiles) - NAL-029 Yes No N/A Parking Restrictions (take Photo) Yes No N/A Power on Site? Yes No N/A Psittacosis - NAL-013 Yes No N/A Rats or Vermin ( Leptospirosis) -NAL-008 Yes No N/A Access issues on site? Yes No N/A Electric Hazards (240v) - NAL-002 Yes No N/A Contractor issues? Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Fire Hazards - NAL-026 Yes No N/A No N/A Gas Safety? Yes Overhead power cables? Yes No N/A Plant and Machinery? Yes No N/A Manual Handling - NAL-011 Yes No N/A Lighting Internal Yes No N/A Lighting External Yes No N/A Hazardous Buildings Yes No N/A Water Hazards? Yes No N/A Pressurised Gas - NAL-007 Yes No N/A Storage Tanks? Yes No N/A No N/A Radiation? Yes Anthrax - NAL-001 Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Floor Voids Access/Egress - NAL-004 Yes No N/A Loading Vehicles - NAL-009 Yes No N/A Reversing of Vehicles - NAL-014 Yes No N/A Sharps - NAL-016 Yes No N/A Mobile Elevation ( Cherry pickers) NAL-020 Yes No N/A Working on pitched roofs NAL-025 Yes No N/A Ducting Contaminated with liquid - NAL-025 Yes No N/A Removal of Asbestos Insulation - NAL-028 Yes No N/A Removal of sprayed insulation - NAL-030 Yes No N/A Environmental Concerns? Yes No N/A Water on Site? Yes No N/A Any Comments Relating to Risk Assessment: Work Area Assessment https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Location of DCU Less than 30 meters More than 30 meters Can the DCU be attached to the Enclosure? Yes No Explain why the DCU cannot be attached. Location of Water Supply Location of Power Sockets. Will any Service appliances need to be isolated/disconnected Yes No N/A Has isolation of service appliances been arranged ( Enter contact details in notes) Yes No N/A Location of van. Number of vision panels required and where positioned? Is CCTV required and where is it going to positioned? https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Size of Enclosure? Number of Air changes required? Have void spaces been taken into account? Yes No N/A Have Loft Spaces been entered? Yes No N/A Is work required in Loft Spaces ( Do opening to lofts need to be capped off?) Yes No N/A Airlock. / Baglock dimensions? Position of Airlocks / Baglocks? Can we construct and insert the minimum size Airlocks on site? Yes No (check name not set) Select Restricted Space Position of other equipment Time Constraints Welfare Restrictions NPU ventilation? https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 Area cannot be extended 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Roving Head required - Length required? Location of Transit Routes? Any obstructions to Transit Routes? Yes No N/A Can Transit Routes be isolated from others? Yes No N/A Any third party risks associated with this project? Yes No N/A Type of Asbestos: Select Restricted Space Position of other equipment Time Constraints Area cannot be extended Welfare Restrictions Quantity of Asbestos? Condition of Asbestos? Select Restricted Space Position of other equipment Time Constraints Welfare Restrictions Welfare Facilities Required? Yes No Who is providing the Welfare Facilities? Nichol Associates By Client Location of Welfare Unit? https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 Area cannot be extended 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Duration of Works? Number of Operatives Required? What Access Equipment is required? Any other materials required for this project, I.e. Wood, timber frame work, spray glue.... Etc Site Environmental Management Systems. E 10.1 Is the company ( or site) environmental policy available and dispatched on site, with relevant requirements highlighted at the site induction? Yes No N/A E 10.2 Has the contract and client documentation been reviewed to identify the specific environmental requirements, including planning conditions? Yes No N/A E 10.3 Has a construction environmental management plan been prepared identifying the relevant targets, objectives, issues and controls Yes No N/A E 10.4 Is there a system for ensuring that a suitable and sufficient arrangements are in place for the management, storage and disposal of waste through the production of a site waste management plan? Yes No N/A E 10.5 Is there a system for ensuring that all site personnel (including sub-contractors) are made aware of the project environmental issues and standards through site inductions, briefings and toolbox talks. Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates E 10.6 Have responsibilities for environmental management been defined and communicated through inductions, notice boards and other media? Yes No N/A E 10.7 Is someone responsible for ensuring the environmentally sensitive areas are identified and protected ( such as drainage, rivers, streams, groundwater and areas containing protected plants and animals)? Yes No N/A E 10.8 Is there a system for ensuring the necessary environmental licenses have been identified and granted ( such as discharges of water and effluent, tree preservation orders, premises producing hazardous waste and waste management licenses)? Yes No N/A E 10.9 Is there a system for ensuring that method statements include sufficient control measures for environmental management? Yes No N/A E 10.10 Is there a system for sites to deal with environmental emergencies (such as for the spill ages and groundwater contamination) and for notifying them to. Yes No N/A E 10.11 Is there a suitable and sufficient monitoring regime in place to ensure that the site environmental requirements are being met (such as relevant environmental inspections for oil and waste, protected areas, water quality, noise and dust)? Yes No N/A E 10.12 Are Environmental records being maintained (such as waste transfer notes, consignment notes and noise monitoring)? Yes No N/A E 10.13 Have adequate arrangements been established for liaison and communication with local stakeholders (residents, shops, businesses, schools, parish council)? Yes No N/A Action Point Waste Management, Storage and Disposal. https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates E 3.1 Has the site waste management plan been prepared, identifying waste types and quantities for the project, is it being maintained/updated. Yes No N/A E 3.2 Has a waste target and any relevant objectives been set for the project? Yes No N/A E 3.3 Have the project waste requirements been included in the contracts with the trade contractors and suppliers Yes No N/A E 3.4 Are the project waste requirements included in the site induction? Yes No N/A E 3.5 Have waste responsibilities been defined to know who is disposing of what and when? Yes No N/A E 3.6 Have designated area(s) been established on a site to segregate and reuse materials? Yes No N/A E 3.7 Have recycling facilities been established to segregate office/canteen waste (such as paper,cans and plastics)? Yes No N/A E 3.8 Has the site been registered for hazardous waste with the environment agency? Yes No N/A E 3.9 Are waste management permits, licenses or exemptions in place for any processing of waste on site (such as crushing and soil treatment)? Yes No N/A E 3.10 Is the WRAO quality protocol being complied with for the production of aggregates from waste? Yes No N/A E 3.11 Is the CLAIRE code of practice being complied with for the treatment and use of contaminated soils (such as appointment of a qualified person, materials management plan, and so on)? Yes No N/A E 3.12 Are hazardous wastes (oil, fuel, paints and so on) collected and stored separately fro general waste. Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates E 3.13 Is the burning of rubbish on the site prohibited, unless a permit/license has been obtained? Yes No N/A E 3.14 Are registered waste carriers used to remove waste from the site and are these checked on a regular basis? Yes No N/A E 3.15 Does the tip where the waste is taken have a license for the type of waste? Yes No N/A E 3.16 Do waste transfer documents include the right information (six-digit waste codes, carrier license number, tip location and declaration regarding the waste hierarchy )? Yes No N/A E 3.17 Are waste transfer documents being retained: 2 years for non hazardous and 3 years for hazardous waste? Yes No N/A Action Point. (check name not set) Yes No N/A Energy and Transport. E 4.1 Have energy objectives and targets been set for the project? Yes No N/A E 4.2 Has an energy monitoring process been implemented to monitor and report energy consumption and carbon emissions, including business travel and transport? Yes No N/A E 4.3 Have discussions with energy supplier(s) been made to ensure electrical supplies are connected at the earliest opportunity to avoid power from generators? Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates E 4.4 Have site offices been fitted with practical energy saving devices, including low energy lighting (LED) passive infrared sensors for lighting, timer switches and thermostats for heating/ hot water and so on? Yes No N/A E 4.5 Does the site induction cover key energy efficiency issues (such as maintaining plant and switching off items when not in use)? Yes No N/A E 4.6 Are there signs in place advising site personnel to switch equipment off when required? Yes No N/A E 4.7 Is site office equipment set up to print efficiently (such as double sided) and to a central location rather than individual printers.? Yes No N/A E 4.8 Has the site considered renewable energy to contribute to powering the site accommodation? Yes No N/A E 4.9 Is there a logistics/transport plan that considers efficient transport arrangements (such as the use of consolidation centres or just in time deliveries)? Yes No N/A E 4.10 Have local, sensitive areas been identified (such as schools and residents)? Yes No N/A E 4.11 Has the site considered green travel arrangements for reducing staff travel to the site? Yes No N/A E 4.12 Has the location of suitable parking arrangements for private cars and plant been defined? Yes No N/A E 4.13 Has permissions been obtained from the local authority for any road closures or erections of hoarding on the public highway? Yes No N/A E 4.14 Have local pedestrian diversion routes been agreed with the local authority? Yes No N/A E 4.15 Have delivery routes for construction traffic been arranged with the local authority? Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates E 4.16 Have suppliers been made aware of any delivery restrictions and routes? Yes No N/A E 4.17 Are entrance and exit gates on main roads rather than side roads? Yes No N/A E 4.18 Are deliveries scheduled to avoid traffic disruption or queuing outside of the site? Yes No N/A E 4.19 Are delivery vehicles switched off when being loaded/unloaded (unless needed to operate Hiab or similar)? Yes No N/A E 4.20 Have designated vehicle routes on site been defined? Yes No N/A E 4.21 Are deliveries organised to avoid excessive use of reversing sirens? Yes No N/A Action Points Drawing of Work Area Is there any site Photographs showing Risk activities? Yes No Location of Photographs? Have site specific Risk Assessments been completed? Yes No N/A https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005 3/23/2022 Asbestos Removal Risk Assessment - Download FREE Template | Lumiform Templates Name of Individual completing Assessment: Signature: Date of Assessment: Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction. https://lumiformapp.com/templates/asbestos-removal-risk-assessment_9005
