Asbestos Removal Control Plan Template

Download a blank fillable Asbestos Removal Control Plan Template in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Asbestos Removal Control Plan Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Template
Asbestos Removal Control Plan (AR2)
As required under the Work Health and Safety Regulations 2012
Regulation 464 - Asbestos Removal Control Plan
(Prepared with reference to the Code of Practice - How to Safely Remove Asbestos CP113)
Prepared by
Date
Asbestos Licence Holder
Licence Number
For ACM removal at (address)
ON behalf of (client)
IDENTIFICATION (see Appendix A of the code of practice How to Safely Remove Asbestos)
Regulation 425 requires an asbestos register to be prepared and maintained for all workplace buildings that were constructed prior to 31 December
2003. Removalists must access the register as part of the planning for removal. Registers must be revised and updated following any asbestos removal
work. Registers are not required for residential buildings.
Has the asbestos register been sighted?
Yes
No
Flat Asbestos Cement Sheet
Corrugated Asbestos Cement Sheet
Formed Asbestos Cement products
Lagging
Millboard
Textile
Loose Fill
Sprayed Insulation
Quantity/volume of ACM to be removed (square metres)
Condition of ACM to be removed? (Tick)
Good Condition
Painted
Unsealed
Slightly Weathered
Significant
Weathering
Minor Breakages
Extensive Breakages
Fire Damaged
Additional Details
Location
Indoors
Outdoors but protected
Outdoors and exposed to weather
Enclosed in ducts
Belowground in trenches
Additional Details
PREPARATION
CONSULTATION (see Section 1.1)
Will be undertaken with the following persons at any business and workplace where ACM removal takes place:
The Client
The occupying employer
Their employees
The Principal
An employee safety committee or ESR
Other contractors on site
Neighbouring businesses
Other Authority
Page 1 of 6
Version updated: September 2016

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 6