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Removing asbestos in workplaces - Compliance ... - WorkSafe Victoria

Removing asbestos in workplaces - Compliance ... - WorkSafe Victoria

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AppendicesAppendix F – Pro forma control plansCONTROL PLAN FOR ASBESTOS REMOVAL (Class A)DATE: __________________________Name of removalist (as shown <strong>in</strong> licence): Name/address of removal site___________________________________________________________________________________________________________________________________________________________________ Domestic Industrial School Public venueGENERAL/PRELIMINARY Notified <strong>WorkSafe</strong> Adjacent employers (if relevant) notified by person who commissioned work or removalist (domestic) Nom<strong>in</strong>ated supervisor assigned for job Person who commissioned work has notified people (other employees) <strong>in</strong> immediate and adjacent areas Copies of tra<strong>in</strong><strong>in</strong>g tickets available on site Copy of <strong>asbestos</strong> removalist licence available on site Copy of control plan available on site Copy of Division 5 audit obta<strong>in</strong>ed from person who commissioned the work Paraoccupational air monitor<strong>in</strong>g arranged by person who commissioned removal work[for removal of friable <strong>asbestos</strong> 1) <strong>in</strong>doors or 2) outdoors that may present a risk to others] Equipment [HEPA vac/Neg-air unit/decon unit (filters etc)/respirators] ma<strong>in</strong>ta<strong>in</strong>ed/checked and records/logs kept1. Asbestos-conta<strong>in</strong><strong>in</strong>g material (ACM) to be removedType of ACM Location Friable (F)Non-friable (NF)Asbestoscement roofAsbestoscement pipeAsbestoscement sheetV<strong>in</strong>yl tilesZelemite boardPipe lagg<strong>in</strong>gSprayedOther (specify)Condition(Good/Fair/Poor)Quantity(m 2 /m 3 )84

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