Template

Asbestos Present - Permit to Work

by Richard Smith, from the Community

20+

This asbestos permit to work template helps supervisors and contractors manage asbestos risks before starting work. It guides users to review the site asbestos register, verify qualifications and asbestos awareness training, determine if tasks are HSE licensed or non-licensed, and ensure appropriate controls are in place. Checks include RPE face-fit, Type 5 PPE, FFP3 masks, H-rated vacuums, dust extraction, emergency procedures (EM1), and waste handling using approved double-bagging. It also covers air clearance testing, authorization, expiry, and hand-back with documented sign-offs to keep people and sites safe.

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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

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Community

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.

Template
Permit to Work: Working with Asbestos
This permit-to-work template helps organizations manage asbestos-related work in occupied buildings. Use it to verify the Asbestos Removal Control Plan, review risk assessments, confirm WorkSafe notifications, and consult the site asbestos register. The checklist covers work classification for licensed and unlicensed removal, Class A or B activities, air monitoring, PPE and RPE requirements, training and awareness, decontamination setup, enclosure testing, waste handling, and emergency procedures. It also includes authorization, permit period, and air clearance testing to ensure areas are safe for re-entry.
by Wayne Benson, from the Community
Downloads: 10+
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Template
Asbestos Plan of Work Scoping Document
Use this asbestos plan of work scoping document to plan licensed, notifiable non licensed work or non licensed asbestos tasks. Capture client and site details, premises type, access and working arrangements, hygiene facility and DCU setup, waste quantities and skip logistics, survey information, asbestos types and applications, ACM condition and fixings, existing services, and emergency arrangements. Define control measures and enclosure or respirator zones, working techniques, working at height needs, equipment including NPUs and H type vacuums, power and water sources, analytical services and testing, safety wear and PPE, transit and waste routes, plus a non asbestos risk assessment and welfare provisions.
by David Ferris, from the Community
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Template
Licensed Asbestos Removal Checklist
Use this licensed asbestos removal checklist to plan and audit high risk asbestos work. It covers contractor licensing, plan of work details and dates, respirator selection, air monitoring and smoke testing, enclosure and airlock construction, RPE records and face fit, PPE and hygiene facilities, waste handling and baglocks, DOP certificates for NPUs and vacuums, site organization, signage, and documentation such as risk and COSHH assessments. Adapt the form to capture supervisor and operative records, verify decontamination procedures, and maintain compliance throughout removal activities.
by Amy Cranswick, from the Community
Downloads: 10+
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Template
Asbestos Permit to Work
Use this asbestos permit to work template to control and document work in areas where asbestos containing materials may be present. The form includes sections for work to be carried out, company name, dates, permit duration, and locations. It requires acknowledgement that the asbestos report has been reviewed and that activities will not disturb ACMs. Authorization, clearance, and cancellation sign off fields help manage responsibility, timing, and completion. Suitable for schools and other facilities, this template supports compliance, safety, and record keeping for contractors and responsible persons.
by Mike Taylor, from the Community
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Asbestos Present - Permit to Work

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