Template

Certificate of Reoccupation Audit Form

by Paul Roscoe, from the Community

20+

This Certificate of Reoccupation audit form supports asbestos clearance checks following removal works. It guides analysts and project managers through the four stage clearance process including method statement review, enclosure integrity, decontamination unit checks, thorough visual cleaning verification, and air testing setup and counting in line with HSG248. The checklist covers PPE and RPE, calibration and equipment records, pump setup, disturbance testing, documentation, and final sign off. Use it to record non compliances, traceability details, and audit results to confirm an area is safe for reoccupation.

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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

About author

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
Pre Sign Off Reoccupation Audit Form
This template supports asbestos reoccupation clearance before sign off. It guides analysts through stages 1 to 4 per HSG248, including checks of the DCU and NPU, enclosure integrity, visual inspections, waste removal, disturbed air testing, microscope setup and counting, reassurance monitoring, DCU clearance, and full documentation. It also provides fields for audit details, non compliances, results, recommendations, and signatures.
by Paul Roscoe, from the Community
Downloads: 20+
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Template
Asbestos Reoccupation Reinspection Certificate
This asbestos reoccupation reinspection template supports analysts and removal contractors in confirming that an area is safe for reentry after asbestos works. It captures client and site details, analyst and contractor names, audit date, job and shift numbers, and the scope and work areas inspected. Use it to check for evidence of dust or asbestos debris, confirm the condition and encapsulation of any remaining ACMs, note whether items are recorded on the reoccupation certificate, and identify any remaining enclosure materials or waste. Record remedial actions, recommendations, and inspector sign-off.
by Paul Roscoe, from the Community
Downloads: 10+
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Template
IA 09 4 Stage Clearance Reinspection Audit Form
This IA 09 template supports 4-stage clearance reinspection following asbestos removal. Capture audit details, review remediation scope, verify areas are free of asbestos residue, and confirm encapsulation quality. Check Stage 4 compliance, including removal of evidence and equipment, and validate certificate of reoccupation requirements such as accurate site diagrams and correct air sampling. Log non-conforming work with root cause, corrective and preventive actions, responsible persons, and due dates. Track closeout and effectiveness checks to ensure safe reoccupation.
by John Wimpenny, from the Community
Downloads: 0
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Template
BAM and 4-Stage Asbestos Clearance Audit Checklist
This asbestos compliance audit checklist supports Background Air Monitoring (BAM) and the full four-stage clearance process in line with HSG248 and HSG247. It guides pre-start health and safety checks, analyst competence and training (P403, P404, RSPH), PPE and RPE selection and fit, and RAMS verification. It covers air monitoring setup, pump flow and calibration, temperature/pressure logging, lab procedures, microscope setup, WHO counting rules, fibre calculations, and TWA. The four stages include enclosure integrity, thorough visual inspection, active disturbance with correct sample numbers, and final reassurance testing. It also addresses decontamination and DCU clearance, waste control, documentation, QC review, and reporting requirements.
by John Conroy, from the Community
Downloads: 10+
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Certificate of Reoccupation Audit Form

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