Name of Business:
_______________________ |
Date of Inspection:
____________________________ |
Area Inspected:
_______________________ |
Signature of Inspector:
____________________________ |
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General |
Yes |
No |
N/A |
1. Have
you identified the presence, location, and quantity of all
asbestos-containing materials in the work place? [29 CFR 1910.1001(j)] |
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2. Have
employees been informed of all asbestos-containing materials in
their respective work areas? [29 CFR 1910.1001(j)] |
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3. Have
identifying signs and labels been attached or posted so all
employees know to avoid these materials? [29 CFR 1910.1001(j)(3)] |
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4. Are
all materials suspected of containing asbestos in facilities
constructed before 1981 handled as if they do contain asbestos until
proven otherwise? [29 CFR 1910.1001(j)(1)] |
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5. Have
employees and contract employers and their employees (including
housekeeping personnel) received initial awareness or worker
training as well as annual refresher training appropriate to their
work assignments and is the training material available for
employees and regulators to inspect? [29 CFR 1910.1001(j)] |
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6. Are
regulated areas established and demarcated, and is access restricted
appropriately? [29 CFR 1910.1001(e)(1),
(e)(2), and
(e)(3)] |
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7. Is
drinking, smoking, chewing gum or tobacco, and application of
cosmetics prohibited in the regulated area? [29 CFR 1910.1001(e)(5)] |
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8. Is
smoking prohibited in all work areas? [29 CFR 1910.1001(e)(5),
(i)(4)] |
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9. Is a
written respiratory protection program and a medical surveillance
program in effect? [29 CFR 1910.1001(f)(2)(i),
(l)(1)(i)] |
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10. Are
workers provided with protective work clothing and equipment
appropriate to the work assignment, and are workers provided with
clean clothing and equipment at least weekly? [29 CFR 1910.1001(h)(3)(i)] |
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11. Are
workers provided with a clean room and shower facilities appropriate
to the work being performed, and is the change room separated from
the storage area where potentially contaminated clothing and
equipment are kept? [29 CFR 1910.1001(i)] |
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12. Is
all potentially asbestos-contaminated clothing that needs to be
laundered containerized, labeled, handled, and transported
appropriately and is anyone handling or laundering it fully informed
of the potential hazards? [29 CFR 1910.1001(h)(2)(iv),
(h)(3)(v)] |
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13. Is
a positive-pressure, air-filtered lunchroom provided, and are
employees required to wash their hands and face before eating and
smoking? [29 CFR 1910.1001(i)(3)(ii)] |
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Asbestos Time Weighted Averages (TWA) |
Yes |
No |
N/A |
14. Is
employee exposure to asbestos over 0.1 fibers per cubic centimeter
(f/cc) of air on an 8-hour, time-weighted average (TWA) prevented? [29 CFR 1910.1001(c)(1)] |
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15. Is
employee exposure to asbestos over 1.0 f/cc for a 30 minute
excursion limit (EL) prevented? [29 CFR 1910.1001(c)(2)] |
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16. Is
employee exposure over 0.5 f/cc TWA and 2.5 f/cc EL prevented in the
following job descriptions? [29 CFR 1910.1001(f)(1)(iii)]
- Coupling cutoff in primary asbestos-cement pipe manufacturing
- Sanding in primary and secondary asbestos-cement sheet
manufacturing
- Grinding in primary and secondary friction product manufacturing
- Carding and spinning in dry textile processes
- Grinding and sanding in primary plastics manufacturing
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17. Are
representative employees monitored for TWA and EL at least every 6
months? [29 CFR 1910.1001(d)(3)] |
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18. Is
a written program to reduce employee exposure below the TWA and EL
in place, and is the program reviewed and updated as necessary? [29 CFR 1910.1001(f)(2)(i)] |
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19. Is
asbestos handled, mixed, applied, removed, cut, scored, or otherwise
worked in a wet state sufficient to reduce employee exposure below
the TWA and EL? [29 CFR 1910.1001(f)(1)(vi)] |
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Controls |
Yes |
No |
N/A |
20. Are
engineering controls used to reduce employee asbestos exposure to
the lowest achievable levels and is local exhaust ventilation
designed, constructed, installed, and maintained in accordance with
ANSI Z9.2-1979? [29 CFR 1910.1001(f)(1)(iv)] |
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21. Are
all hand-operated and machine-operated tools that could produce or
release asbestos fibers equipped with local exhaust ventilation? [29 CFR 1910.1001(f)(1)(v)] |
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22. Are
respirators used during installation or implementation of: [29 CFR 1910.1001(g)(1)]
[29
CFR 1910.134]
- engineering and work practice controls,
- work such as maintenance and repair activities where engineering
and work practice controls are infeasible,
- all operations where engineering and work practice controls are
not yet sufficient to reduce exposures below the TWA and EL, and
- during emergencies?
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23. Are
appropriate respirators used in regulated areas? [29 CFR 1910.1001(e)(4)] |
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24. Are
asbestos-containing cements, mortars, coatings, grouts, plaster, and
similar materials removed from containers while either wet,
ventilated, or enclosed? [29 CFR 1910.1001(f)(1)(viii)] |
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25. Is
using compressed air to remove asbestos prohibited unless it is done
in a containment that will capture all dust? [29 CFR 1910.1001(f)(1)(ix)] |
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26. Is
sanding of asbestos-containing flooring prohibited? [29 CFR 1910.1001(f)(1)(x)] |
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