Template

DS3 Smoke Test Certificate Template

by Danielle Copsey, from the Community

10+

This DS3 Smoke Test Certificate template helps document enclosure integrity checks and smoke testing outcomes. Record job number, client and address details, the location of the enclosure, whether the enclosure was fully filled with smoke, the time in minutes to clear, perimeter inspection results, and air management observations. Include the witnessed statement of integrity, plus date and time, position, and name and signature for sign off. Feb 2015 Issue 1.

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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

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

Smoke Test Certificate Template

This Smoke Test Certificate template helps verify the integrity of work enclosures typically used during asbestos abatement or other contamination control activities. Capture essential details including site and location, enclosure area and size, number of NPUs, and the licensed contractor’s information. Record the smoke test outcome, add supervisor and witness confirmations with signatures, and maintain a clear audit trail for compliance and handover. Use this form to standardize documentation and ensure safety standards are met.

by Tony Church, from the Community

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Template

Smoke Test Record Form

Use this smoke test record form to document enclosure integrity before hazardous material removal or construction tasks. Capture client and site details, enclosure, airlock, and baglock seals, airmover quantities and sizes, and whether a smoke test was carried out. Record flap deflection target 250 to 300 mm and pass or fail results. Include date and time, performed by and witness names and signatures, company details, and request a copy via fax or email. Ideal for asbestos abatement containment verification and site safety compliance.

by Dan Albert, from the Community

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Template

SG 3-1 Enclosure Checks

Conduct thorough enclosure inspections with this SG 3-1 Enclosure Checks template. Capture job details, locations, times, and photos; confirm enclosure integrity, airlocks and baglocks, air inlet cubes and flap movement, dust suppression methods, NPU and vacuum condition with certificate checks, gauge readings, and signage. Verify transit and waste routes and secure skip/storage areas, with AM/PM checks to maintain safe, compliant site operations.

by Richard Anderson, from the Community

10+

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Template

DOA-05 Enclosure Checks Template

Use this DOA-05 enclosure checks template to manage daily asbestos enclosure inspections. Site supervisors can record AM and PM checks, capture photos, and verify airlocks, bag-locks, air inlet cubes, and negative pressure units. Includes smoke test results, H-Type vacuum and NPU equipment logs, and confirmation that transit and waste routes are clear of debris. Finish with supervisor sign-off and notes on any issues corrected or items in good order.

by Alan Taylor-Reed, from the Community

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Template

Site Visit 2015 Checklist

This free Site Visit 2015 checklist helps property and facilities teams document site details and assess service conditions in one place. Capture property information, account numbers, preparer names, dates, and photos of the main building. Evaluate equipment condition, confirm equipment matches route notes, and record enclosure numbers. Inspect gate status and enclosure condition with photos, and track trash and recycling percentages by enclosure and bin. Ideal for facilities inspections and waste and recycling service checks across sites.

by Kaitlyn Taylor, from the Community

30+

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Template

Asbestos Enclosure Handover Form

Use this asbestos enclosure handover form to document site and enclosure details, verify that ACM removal areas are visually clean, and prepare for analyst attendance for the 4-stage clearance. Capture HSE licence info, client and site contacts, supervisor visual inspection start and finish times, and total duration. Record checks on floors, walls, ledges, cables, plant and equipment, and confirm the enclosure is ready for independent clearance. Includes analyst and supervisor names, company, signatures, and dates. For guidance only; seek professional advice for local compliance.

by Dan Albert, from the Community

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