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Supervisor Certificate of Cleanliness Inspection

by Dan Albert, from the Community

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This template supports supervisors in certifying that an asbestos work area or enclosure is visually clean and ready for reoccupation or independent air testing. It captures site and client details, job references, and locations, and guides a thorough visual check of ACM removal areas, floors, walls, ledges, higher surfaces, cables, piping, ducting, and any equipment left in the enclosure. It includes prompts for NPU pre filter replacement and documents inspection start and finish times. The form concludes with analyst and supervisor signatures, names, company details, and dates to formally verify cleanliness and readiness.

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Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.