Asbestos Removal Control Plan Template Page 3

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PERSONAL PROTECTIVE EQUIPMENT (see Section 4.5)
The following PPE is required and will be supplied and worn at all times throughout the ACM removal process:
Yes
No
All workers wearing a negative pressure respirator will be clean shaven
if not the following respiratory protection will be provided:
REMOVAL
AIR MONITORING PROGRAM (See Sections 3.11 &3.12)
if no air monitoring required please provide reasons below
The following air monitoring will be conducted:
Background monitoring before removal
Number & frequency of testing
Control monitoring during removal
Number & frequency of testing
Exposure monitoring during removal
Number & frequency of testing
Clearance monitoring following removal
Number & frequency of testing
Details of the Licensed Asbestos Assessor engaged to plan and conduct air monitoring:
Name
Assessor Licence Number
Contact details
ON SITE MANAGEMENT OF REMOVED ACM
Yes
No
Removed ACM will be held on site for more than one working day
If yes, detail how the ACM will be stored including the type of storage containers to be used and the dedicated location for stored ACM
within the removal area
REMOVAL METHOD (See Sections 4.3, 5.0, 6.0 & 7.0)
Detail the planned methodology for removing the ACM, this must accord with the Code of Practice: How to Safely Remove Asbestos:
Version updated: September 2016
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