Asbestos Work Permit
It is prohibited to do any building or maintenance work in QUT building elements containing ACM or where it is presumed to be
present, without formal written approval by Facilities Management.
All contractors and University personnel must obtain this Asbestos Work Permit before commencing
work from a FM Authorised Representative.
Approval requires the following criteria to be met and information provided to QUT.
Approval
Date:
11 November 2010
Campus
Project Title
BEIMS #
QUT Authorised
Representative
Location of work
Building
Room
Details
Expected job duration
Description of work
Criteria to meet - On the job – before work starts, during &
after
1.
FM Building Asbestos Register information has been
provided and checked by Contractor and /or Project Coordinator and/or other FM Authorised Representative.
2.
A technical scope of works has been prepared on behalf of
FM by a Competent person ( Asbestos Consultant)
3.
Are has been physically inspected and the job assessed by
Contractor and/or Project Co-ordinator.
4.
If there is ACMs known or presumed to be in the areawhat is the current risk factor rating of the AC material
involved?
5.
Is project or work likely to disturb or damage the asbestos
materials in place e.g.: removal, cleaning?
6.
Contractor or organisation is licensed and competent to
remove asbestos and can show either :

Class A licence ( for removal of any amount of
friable asbestos material)

Class B licence ( for removal of >10m2bonded
asbestos material)
Y/N
N/A
Comments / details
Licence
No.
Removal of bonded asbestos <10m2 -does not require a
licence but person must be competent and comply with”
Asbestos Removal Code”.
7.
A site-specific Asbestos Removal Control Plan is to be
provided and reviewed by a FM Authorized Representative
before starting work.
8.
QUT AMMP requirements and procedures for removal /
maintenance or minor work are understood by all persons
doing the work.
F805_007 Asbestos Work Permit Ver2_10
11/11/2010
1 of 2
Criteria to meet - On the job – before work starts, during &
after
9.
Y/N
N/A
Comments / details
Are QUT employees, students or visitors at risk of
exposure to airborne asbestos fibres from this planned
work?
10. Has the Campus Co-ordinator & Building occupants been
notified / consulted about intended ACM work before work
commences?
11. Barricading, sealing of work area will be / has been done
prior work start.
12. Access to area will be strictly controlled during work to
minimise number of persons at risk?
13. Arrangements have been made with FM for turning off air
conditioning on / in affected areas if appropriate.
14. Appropriate PPE and clothing is to be worn by workers.
15. Safe work practices will be followed as per Asbestos
Removal Code for :

Drilling – low speed abrasive power or pneumatic
tools only.

Sealing / painting, coating or cleaning of ACM

Inspection
16. Wet wiping or vacuuming of surfaces with HEPA rated
vacuum equipment will be used to suppress / contain dust
during work.
17. Personal decontamination facilities have been arranged for
workers?
18. Equipment decontamination arrangements are in place for
tools, respirators, other PPE,
19. Asbestos hygiene services are required for this project and
have been arranged?



Name hygiene services provider:
Air monitoring is required during work period for the
project?
Air monitoring ( for clearance) is required upon
completion of work - Mandatory for jobs >10 m2
Visual clearance inspection only required by Competent
person at end of job.
20. Asbestos waste disposal arrangements including EPA
approved transfer vehicle and asbestos waste transfer
certification (copy to QUT) is in place.
Disposal location:
Other:
All asbestos work is to be completed as per received Asbestos Removal Control Plan and in compliance with Qld WHS Regulations. If
during the work, further unknown or suspected asbestos materials are encountered, work must cease immediately. Notify FM Authorised
Representative. PC should note that independent hygiene audits may be initiated by QUT randomly.
FM Authorised
Representative
Name:
Sign
Date
:
I understand the requirements as outlined in the QUT Asbestos Materials Management Plan and undertake to meet Queensland WHS
Regulations for this asbestos work.
Principal Contractor
representative responsible for
the asbestos work on site.
Print Name:
Sign
Company Name: (Principal Contractor or Asbestos Removalist)
:
Date:
Print Name:
F805_007 Asbestos Work Permit Ver2_10
11/11/2010
2 of 2