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

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AppendicesAppendix G – Example of an <strong>asbestos</strong> removal log and check sheetAsbestos removal check sheetSite address:Name of client:Step no.1 Barriers and signs erected2 Area pre-cleaned (<strong>in</strong>/out of enclosure/area)3 Enclosure <strong>in</strong>spection:Seal<strong>in</strong>g checked – smoke test and visualScaffold suitable – access/rail<strong>in</strong>g/kickboardsPlanks and scaffold fitt<strong>in</strong>gs covered with plasticWalkways covered with plasticEmergency exits established and identifiedFire ext<strong>in</strong>guishers appropriately placedEnclosure dra<strong>in</strong>age connected and filteredBag disposal area/enclosure <strong>in</strong>spectedAsbestos disposal bags <strong>in</strong> enclosure/areaBag ties/tools <strong>in</strong> enclosure/areaLeak proof metal storage conta<strong>in</strong>ers providedElectric equipment or cabl<strong>in</strong>g protected aga<strong>in</strong>st waterAir handl<strong>in</strong>g systems isolated and sealed offNegative air units function<strong>in</strong>g correctly, pressure drop appropriate4 Decontam<strong>in</strong>ation unit <strong>in</strong>spection:Hot and cold water connected and operat<strong>in</strong>gChange room/decontam<strong>in</strong>ation light<strong>in</strong>g operat<strong>in</strong>gDecontam<strong>in</strong>ation dra<strong>in</strong>age system checkedContam<strong>in</strong>ated clothes conta<strong>in</strong>er providedAir-flow test through decontam<strong>in</strong>ation checked5 Change room:Cloth<strong>in</strong>g lockers providedProtective cloth<strong>in</strong>g and spares <strong>in</strong> change roomSafety gumboots availableTowels/soap/shampoo/nail cleaners <strong>in</strong> change roomRespirator storage and clean<strong>in</strong>g facilities provided6 All personnel tra<strong>in</strong>ed <strong>in</strong> use and ma<strong>in</strong>tenance of PPE and emergency procedures7 Air monitor<strong>in</strong>g <strong>in</strong> place8 Asbestos waste facilities available9 Vehicle available for waste transportName ofsupervisor:CheckedbyDatecheckedDatechecked94

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