ASBESTOS MANAGEMENT POLICY

Transcription

1 Community Health Service ASBESTOS MANAGEMENT POLICY UNCONTROLLED COPY ONCE PRINTED. For CURRENT version check NHS Leicester City or LCCHS INTRANET. Reference Title: HS004 Asbestos Management Policy Version number: Version 2, Draft 2 Policy Approved by: Date of Approval: 6 th July 2010 Date Issued: July 2010 Review Date: July 2013 Document Author: Health and Safety Committee Dipak T Chauhan Health, Safety and Security Manager Based on Polices supplied by LLR and FC.

2 Version Control and Summary of Changes Version number Version 1 Date Comments (description change and amendments) Original draft prepared by Leicester and Leicestershire and Rutland Facilities Consortium. Document predominantly Leicestershire Partnership Policy Version 2, Draft 1 Version 2, Draft 2 August 2009 Policy adapted by a Task and Finish Group, to meet the NHS Leicester City Governance arrangements, in consultation with leads from the Project Implementation Team, Andy Bevan, Head of Support Services, Janina Smith, Peter Pierce, LPT, Building Services Manager, Kate McGregor, and Carolyn Jones, Staff side representatives and Dipak Chauhan, Health and Safety Manager. April 2010 Policy circulated to Health and Safety Committee, including Jo Yeaman, Chris Peace, Peter Pierce, Toby Sanders and Occupational Health. Comments received from: Comments received and incorporated from: Head of Support Services (NHS LC) Independent member (LCCHS) Project Implementation Team (NHS LC) June 2010 July 2010 Amended details of Designated Director. Policy approved by Joint Health, Safety and Security Committee on 6 th July Asbestos Management Policy Page 2 of 19

3 Contents Page Asbestos Policy Statement 4 Scope 4 Abbreviation and Glossary of Terms 4 Organisational Responsibilities 4 Roles and Responsibilities 5 Management Hierarchy of Responsibility for the Management of 8 Asbestos Arrangements 8 Asbestos Labelling 9 Monitoring Condition of ACM s Indentified within the Asbestos 9 Register Purchasing of Asbestos and Asbestos Products 10 Contractor Procurement 10 Maintenance and Construction Activities 10 Directly Procured Work 11 Construction, Alteration and Refurbishment 11 Routine Maintenance 11 Non Routine Maintenance Activities 12 Encountering Unidentified Suspect Materials 12 Training 12 Asbestos Removal 13 Audit of Asbestos Left in-situ 14 Monitor and Review of Asbestos Management Arrangements 15 Records 15 References 15 Appendices: Appendix 1: Abbreviations and Glossary of Terms 17 Appendix 2: Equality Impact Assessment Report Summary 19 Asbestos Management Policy Page 3 of 19

4 1. ASBESTOS POLICY STATEMENT 1.1 The objective of this Asbestos Policy is to provide guidance to ensure that all appropriate steps are taken to comply with the duty to manage asbestos within the NHS Leicester City (hereafter the Trust) and to comply with asbestos related legislation, approved codes of practice, guidance and relevant standards. In particular it will seek to prevent exposure and, where this is not reasonably practicable, to minimise the exposure of all persons. This Asbestos Policy should be read in conjunction with the Asbestos Management Plan. 2. SCOPE 2.1 This Asbestos Policy applies to the control of asbestos containing materials (hereafter ACMs) in all premises owned or managed by NHS Leicester City. The Policy applies to all organisations who are responsible for maintenance and refurbishment or construction activities on behalf of the Trust and include those premises maintained by Leicester, Leicestershire and Rutland Facilities Consortium (hereafter the LL&RFC), LiftCo or other service providers e.g. Health informatics Systems and to all employees and contractors involved in the construction, management, design, upgrading, refurbishment, extension, maintenance and operation of plant, equipment, buildings and services. 3. ABBREVIATIONS AND GLOSSARY OF TERMS For a list of abbreviations and glossary of terms see Appendix ORGANISATIONAL RESPONSIBILITIES 4.1 Everyone is responsible for complying with the organisation s arrangements for the management of Asbestos, including the implementation of local management controls. In order to comply with this policy, all staff must be aware of the lines of communication and levels of responsibility, which exist to ensure that all matters of Asbestos management are dealt with effectively. In order to ensure that Asbestos is managed efficiently within the PCT, the following organisational responsibilities have been allocated. Asbestos Management Policy Page 4 of 19

5 4.2 Roles and Responsibilities Chief Executive The Chief Executive has overall responsibility for all matters relating to Asbestos management. This responsibility includes ensuring that all Asbestos management matters are seen as an important priority for the PCT and addressed through comprehensive policies and procedures that are effectively implemented and appropriately resourced within the overall financial position of the PCT. The Chief Executive will ensure that financial resources are made available to support this Policy based upon a risk assessment of priorities. 4.3 Director of Primary & Community Care The Director/s with designated responsibility is responsible for ensuring that the aims and objectives of the PCT s Asbestos Management policy are implemented and will nominate a lead officer. The Director with designated responsibility for Asbestos will: Publicly endorse the organisation s Asbestos policy ; Empower staff to take the necessary actions; Ensure that an accurate register of Asbestos is maintained. 4.4 Head of Support Services and Capital Manager (Lead Officers) The Lead Officer will facilitate and coordinate all aspects of Asbestos risk management in conjunction with The Facilities Consortium, Health, Safety and Security Manager, and Support Services Managers. 4.5 Statutory Standards Manager The Trust employs the services of a Statutory Standards manager through a service level agreement with the Facilities Consortium, who provide the Trust with specialist advice on all aspects of Asbestos management. 4.6 Support Services Managers/ Appropriate Managers All managers are responsible for the implementation and monitoring of the policy within their specific area of responsibility, ensuring that: Ensure that risk assessments in relation to Asbestos are carried out, recorded and reviewed regularly; Asbestos Management Policy Page 5 of 19

6 Ensuring that Asbestos management procedures and safe working practices resulting from them are produced, documented and implemented for their area; Ensuring that arrangements with regard to Asbestos are included in local induction, where appropriate, and regular refresher training for their staff; Monitor asbestos issues and report any incidents or issues where they suspect asbestos release. 4.7 Employees All employees have an individual responsibility for Asbestos management inline with their duties and working environment. Each employee or agent of the Trust has an individual responsibility to: Co-operate with the Trust s management in the implementation of this policy; Report any poor management of Asbestos to their supervisor/ manager; To undergo appropriate training as defined and required by the Asbestos Consultant in consultation with health, safety and security manager. 4.8 Contractors Other employers or individuals providing goods and/or services to the Trust shall be required to comply with Trust policies and procedures with regard to Asbestos management. Specific requirements for Contractors will be detailed in the Leicestershire and Rutland Facilities Partnership Policies including The Policy for the Control of Maintenance and Construction Activities and the Asbestos management plan. 4.9 Facilities Consortium Statutory Standards Team The Facilities Consortium Statutory Standards Team will maintain an up-to-date Asbestos Register for each site, listing the location; type and condition of asbestos identified and a copy of this will be held on each site. A list of the nominated Managers/Officers will be held centrally, accessible to all concerned parties. A list of all responsible staff will be maintained and kept up to date by the Facilities Consortium. Where ACMs exist or are found on the Trust s premises, the primary management responsibility rests with the Director responsible for Health and Safety with assistance from the Project Implementation Asbestos Management Policy Page 6 of 19

7 Team Manager and/or Head of Support Services who may, request support from the appointed Authorised Person (Asbestos) from Leicester Leicestershire & Rutland Facilities Consortium (LL& RFC) Operational Arrangements The Authorised Person will maintain an up-to-date Asbestos Register for each site, listing the location, type, and condition of the identified Asbestos Containing Materials (hereafter ACMs). This information will be held in an electronic format, within the MICAD database Asbestos Module. Information shall be accessible via the Intranet. A copy of the Asbestos Management Plan {Regulation 4} Site Document generated from the MICAD Asbestos Module. A summary of typical activities (either Permitted or Prohibited) can be found in the information produced from the MICAD Lite Module, which is obtainable from the Authorised Person. All the directors will ensure that appropriate staff are nominated to act as site managers or project managers. Site managers and project managers shall be nominated (hereafter Site Lead Person whose role will be to co-ordinate the management of ACMs and assist in updating each site s Asbestos Register). A list of site managers and project managers will be held centrally by the Health and Safety Team, but will remain accessible to all concerned parties. This list will be kept up to date by the health and safety team and communicated to the Authorised Person. Asbestos Management Policy Page 7 of 19

8 5. MANAGEMENT HIERARCHY OF RESPONSIBILITY FOR THE MANAGEMENT OF ASBESTOS Chief Executive Designated Person (Asbestos) Deputy Chief Executive and Director of Primary and Community Care (NHSLC) Asbestos Consultant (Authorising) Engineer) (External Specialist Advisor Director of Primary and Community Care (NHSLC) Authorised Person (Asbestos) Manager from LLR&FC Site Manager/ Project Manager (Asbestos) Maintenance Manager Project Implementation Team or Facilities Consortium Estates Manager Competent Persons (Asbestos) Estates/Contractors 6. ARRANGEMENTS 6.1 The following arrangements have been put in place for the management of ACMs. Asbestos must be dealt with on a priority basis, based upon the risk presented by the material. Assessment of risk shall take into account the potential for fibre release, the condition of the material, its location and the likelihood of the material being damaged or disturbed through the normal activity of Trust business. ACMs listed in the Asbestos Register will be assigned a risk classification in order to prioritise the risk. Progressive removal or substitution of ACMs will take place on a priority basis in areas Asbestos Management Policy Page 8 of 19

9 where they are likely to be regularly worked on, disturbed or damaged through the normal activity of Trust business. ACMs which are not considered to be creating a significant risk may be left in-situ and consideration for removal may form part of a planned programme for replacement or upgrading of building stock. ACMs will be sealed in accordance with best practice. Whenever they receive minor damage they will be resealed or removed as appropriate, it may be necessary to re-assess the Risk assessment in light of damage. When buildings are about to undergo major refurbishment, a type 3 asbestos survey must be undertaken and this will advise management of the most appropriate action. Any areas where an asbestos survey has not been carried out will be subject to a precautionary approach. This will entail assuming that all materials contain asbestos, unless there is strong evidence to indicate that they do not. Where the asbestos register identifies the presence of asbestos in the building then based on the risk assessment and the nature of work required at the site an enhanced survey should be carried out. Any inaccessible areas identified in the asbestos register must be subject to a localised type 3 survey. 7. ASBESTOS LABELLING 7.1 This applies to ACMs that are assessed as being appropriate to be left in situ and managed. Consideration should be given to the labelling of ACMs. However, care needs to be taken when highlighting ACMs to staff and the public which may cause undue stress against the benefit to maintenance and other operatives who may come into contract with these materials 8. MONITORING - CONDITION OF ACM S IDENTIFIED WITHIN THE ASBESTOS REGISTER 8.1 Site managers and project managers have a duty to report any damage to ACMs, or to materials suspected of containing asbestos, to their line manager and the Authorised person and copy this information to the Health, Safety and Security Manager. The Authorised Person (Asbestos) will ensure that a system for the visual monitoring of ACMs is put in place and maintained in consultation with the Health, Safety and Security Manager. Asbestos Management Policy Page 9 of 19

10 9. PURCHASING OF ASBESTOS AND ASBESTOS PRODUCTS 9.1 In accordance with the regulations prohibiting the supply, import and use of asbestos and asbestos based products, the Trust will not knowingly purchase any such products or materials as prohibited by the Control of Asbestos Regulations CONTRACTOR PROCUREMENT 10.1 The NHS Leicester City Policy for the Control of Maintenance and Construction Activities provides the framework for safely procuring and engaging contractors. All contractors who are undertaking maintenance and construction activities must be engaged through the Facilities Consortium or the Project Implementation Team in order for them to be provided with the required information and management controls so that issues such as asbestos are taken into consideration at the earliest stage. Any parties acting on behalf of the Trust, such as LiftCo will be required to follow this procedure irrespective of other arrangements that may have been agreed. Where there is any confusion the Trust s Policy will take precedence over other arrangements in place. Work activities where contractors may unexpectedly encounter ACMs include: lighting; electrical wiring installations; security systems; Information Technology installations; installation of scientific/medical equipment and associated pipe work; ventilation ducting; demolition; installation of windows, curtains and blinds; and in some instances even minor works involving plant and the fabric of the building e.g. decorating, boiler maintenance. This list is not exhaustive and asbestos may be encountered when working in any Trust premises. Asbestos Management Policy Page 10 of 19

11 11. MAINTENANCE AND CONSTRUCTION ACTIVITIES 11.1 It is the responsibility of the site/ project managers to ensure that the maintenance work is commissioned through the Estates help desk and that any work activity required to be undertaken is recorded on the Trusts Facilities management Software package (Planet FM). This will ensure that a work order is generated which records the work activity and identifies the work area. It will also ensure that it automatically records on the work order every known ACMs and provides risk sharing information for both Contractors, maintenance Operatives, site and Clinical management teams Directly Procured Work For works directly procured via the Project Implementation Team it is the responsibility of the Capital manager to ensure that all the relevant asbestos information is made available to the contractor at the Tender stage, or prior to commencement of work. This information should be obtained from the Facilities Consortium MICAD database, or via a localised asbestos survey commissioned as part of the project and fed back to the Facilities Consortium. Where there is a defined Construction area that is handed over to the Contractor, the information exchange may be undertaken through Contract Management arrangements Construction Design and Management Regulations (CDM) rather than the Trusts Facilities management Software package (Planet FM). All major projects planned by the Project Implementation Team will ensure that input from the Trusts health and safety team is clearly planned into projects Construction, Alteration and Refurbishment When undertaking any of the above activities a Type 2 Survey must be in place as a minimum for those premises that have been considered to be at risk of containing ACMs. However a Type 3 Survey must be undertaken prior to the commencement of any major (e.g. should the CDM regulations apply) works. The advice and guidance of the Authorised person(s) (Asbestos) should be sought Routine Maintenance All Trust premises considered to be at risk of Containing ACMs have been assessed in line with a Type 2 Survey; as such no routine maintenance should be undertaken without a Work Order being issued to the person undertaking the work in order for appropriate ACM information to be shared. Asbestos Management Policy Page 11 of 19

12 11.5 Non Routine Maintenance activities Activities including emergency action where works of this nature are required the advice of the Authorised person (Asbestos) should be sought to determine the appropriate precautions. 12. ENCOUNTERING UNIDENTIFIED SUSPECT MATERIALS 12.1 If suspect materials are encountered during the course of normal work activities within Trust premises or one of the activities identified in section 10 of this document, then this should be reported immediately and recorded through Capital manager or the Facilities Consortium to enable an evaluation of the material to be undertaken and appropriate precautions and actions to be undertaken. The reports should also be copied to the Head of Support Services and Health, Safety and Security Manager. In the event that the material is proven to be ACM then a copy of the incident report should be sent to the Safety and Risk Team and the Incident Reporting Team. 13. TRAINING 13.1 All members of staff including those with managerial responsibilities for ACMs should receive training commensurate with their duties (See table below). Employees identified as likely to come into contact with ACMs during the course of their work will require more in depth training. The content of the training will vary dependent on the type of work and level of risk. Training may be provided by in-house personnel or, where appropriate by our appointed Asbestos Consultants. The explanation of what the Duty to Manage Asbestos Legislation means The Trust s Policy and Procedures for managing the risk The location and use of Asbestos Registers Balanced view of health effects Procedures on discovering asbestos Emergency Procedures Asbestos Management Policy Page 12 of 19

13 Role Authorised Person (Facilities Consortium) Site Lead Person Site Project mangers, Project Implementation Team, Head of Support Services and Health, Safety and Security Manager Maintenance Managers Facilities Consortium and Project Implementation Team Maintenance Operatives Facilities Consortium and Project Implementation Team, Contractors All other Staff including Designated and Responsible Persons Training Requirement The British Occupational Hygiene Society P405 Management of Asbestos in Buildings Asbestos awareness and in house asbestos management course. Asbestos Awareness Asbestos Awareness Asbestos awareness information supplied in leaflet format will be supplied at induction and mandatory training. Or if appropriate online training? 14. ASBESTOS REMOVAL Bulk, or high risk asbestos removal and major work involving ACMs shall only be carried out by licensed contractors, who have received training as detailed in Chapter 4 of HSG247 Asbestos The Licensed Contractors Guide. All asbestos remedial works shall be engaged through either the LL&RFC or the Project Implementation Team and the Authorised Person (Asbestos) must be involved in the scoping of the works and the licensed contractor engagement process. The LL&RFC shall be responsible for the supervision of contractors and will ensure that their work is carried out in accordance with the relevant legal requirements and HSE codes of practice. Other low risk asbestos works may be carried out by experienced qualified contractors, subject to a suitable and sufficient Risk Assessment, Method Statement and Permits-to- Work. Where work is carried out under the exclusivity agreement with LiftCo, Liftco may engage a suitably licensed contractor to undertake asbestos removal and sealing. Any such works must be recorded and reported to the LL&RFC Authorised Person. The Project Implementation Team /Head of Support Services must ensure that method statements and risk assessments are obtained and Asbestos Management Policy Page 13 of 19

14 verified, via the Authorised Person, as suitable and sufficient and the paperwork kept in the project file. Prior to the commencement of works by a licensed contractor, the LL&RFC s Contract Manager shall notify the LL&RFC s Asbestos Authorised Person and consult with the relevant site/project manager. The Authorised Person and the Trust project manager/ Project Implementation Team shall ensure that arrangements for HSE Notification, Permits-to-Work, Clearance Certificates and environmental monitoring are in place and for informing the Trust s Health, Safety and Security Manager. Asbestos Survey Reports must be made available to the contractor by the LL&RFC s Contract Manager/Capital Manager responsible for the proposed work. After the satisfactory completion of the works, the Project Manager/Project Implementation Team must ensure that all asbestos related information from the project is entered into the Asbestos Register and the details forwarded to the Authorised Person (Asbestos) to ensure that information about the site is kept up to date. 15. AUDIT OF ASBESTOS LEFT IN-SITU 15.1 ACMs left in-situ must be managed in accordance with the requirements defined within the Trusts Asbestos Management Plan Part A and B. regular checks should be carried out to assess its condition (at least annually, or more frequently if deemed as appropriate or due to damage or other changes to the fabric of the building); the Asbestos Management Plan should be reviewed and revised annually by the Authorised Person in consultation with Site/Project managers. the Asbestos Management Plan should be reviewed and revised when changes occur. The Authorised Person (Asbestos) shall ensure that; The Asbestos Policy is reviewed routinely, Records and data held on the MICAD System are up to date these records should be made available for inspection by the Health and Safety Executive, if required; A main audit must be carried out each year which will involve producing a report on compliance and findings will be distributed to Mandy Aston, Director of Quality Assurance, Site Manager/Project Manager, Health, Safety and Security Manager, Head of Support Services and Capital Manager Asbestos Management Policy Page 14 of 19

15 The information on Audits and Asbestos Management Plans will be made available to the Capital Manager, Head of Support Services and Health, Safety and Security Manager. The site /project managers must ensure that a current paper copy will be provided, to keep on file, at each site. The Authorised Person will be responsible for ensuring that this is done in a timely manner, no more than 30 days after the survey is carried out. 16. MONITOR AND REVIEW OF ASBESTOS MANAGEMENT ARRANGEMENTS 16.1 The Authorised Person (Asbestos) will ensure that the Trust s policy is reviewed three yearly or earlier if there is a significant legislative or organisational change and that the accompanying Management Plan Part A is reviewed in consultation with the Trust s Health, Safety & Security Manager, Capital Manager and Head of Support Services. It is also the Authorised Person s responsibility to ensure the effectiveness of the management arrangements in consultation with the Heads of Project Implementation Team, Support Services and Health, Safety and Security Manager. These should be assessed as part of the annual review, together with the results of the Asbestos Audit and should be forwarded to the Site Manager/Project Manager. They should also be presented as part of the Facilities Consortium Annual report submitted to the Health and Safety Committee. An annual visual inspection by a competent person will be organised by the Authorised person, and every third year the Authorised person will appoint a qualified Asbestos Consultant to survey sites, review and update the records held within the MICAD Asbestos Module Database. 17. RECORDS 17.1 Records relating to asbestos shall be kept for a minimum of the life of the building plus 25 years. Any changes in condition, removal etc shall be recorded; this information will be within the asbestos module of the MICAD database. The copy of the records should be retained even if the building is disposed of by sale. The site specific Asbestos Management Plans (MICAD report) will be issued to Site Manager/ Project Manager, Capital Manager, Health, Safety and Security Manager and Head of Support Services. Should any works be required to be undertaken these reports should not be considered as the latest edition and condition of the status of ACMs as changes may have occurred following the production of these reports. In this event the Site / Project Managers should check for any changes via the Authorised Person. Asbestos Management Policy Page 15 of 19

16 18. REFERENCES Corporate Policy on Health, Safety and Security NHS Leicester City Asbestos Management Plan HSE Publications: The Control of Asbestos Regulations 2006 ISBN Work with Materials Containing Asbestos Control of Asbestos Regulations 2006 Approve Code of Practice and Guidance ISBN The management of asbestos in non-domestic premises. Regulation 4 of the Control of Asbestos at Work Regulations Approved Code of Practice and Guidance L127 (Second Edition) HSE Books 2006 ISBN Asbestos: The analysts guide for sampling, analysis and clearance procedures HSG248 HSE Books 2005 ISBN Asbestos essentials task manual: Task guidance sheets for the building maintenance and allied trades HSG210 HSE Books 2001 ISBN Surveying, sampling and assessment of asbestos-containing materials MDHS100 HSE Books 2001 ISBN X Web version: Asbestos: The licensed contractors guide HSG247 HSE Books 2006 ISBN Asbestos - Guidance Note MS13 - HSE. Premises (INDG 223(rev2)) Managing Asbestos in Asbestos Alert for Building Maintenance, Repair and Refurbishment Workers. Leaflet INDG 188 2/02 C700 - HSE. Asbestos Dust. The Hidden Killer. 'Are you at Risk' Leaflet IND(G) 187L - HSE. Asbestos Management Policy Page 16 of 19

17 APPENDIX 1 ABBREVIATONS AND GLOSSARY OF TERMS Action level means one of the following cumulative exposures to asbestos over a continuous 12-week period, when measured or calculated by a method approved by the Health and Safety Commission, namely: where the exposure is solely to chrysotile, 72 fibre-hours per millilitre of air; where exposure is to any other form of asbestos either alone or in mixtures, including mixtures of chrysotile with any other form of asbestos, 48 fibre-hours per millilitre of air; or where both types of exposure occur separately during the 12-week period concerned a proportionate number of fibre-hours per millilitre of air. Adequate means adequate having regard only to the nature and degree of exposure to asbestos and "adequately" shall be construed accordingly. Approved means approved for the time being in writing by the Health and Safety Commission or the Executive as the case may be Asbestos means the following minerals; crocidolite, amosite, chrysotile, fibrous actinolite, fibrous anthophyllite or fibrous tremolite or any mixture containing any of those minerals. Authorised Person will ensure that a system for the visual monitoring of ACMs is put in place and maintained in consultation with the Health, Safety and Security Manager. Project Implementation Team is the team responsible for coordinating construction projects on behalf NHS Leicester City Support Services Team is responsible for operational daily management of premises. Facilities Consortium will provide the organisation with a full range of specialist advice in respect of Asbestos Management. Health Safety & Security Manager will ensure that suitable and sufficient arrangements and measures are in place to manage compliance with asbestos regulations Designated Person is senior management link between the organisation and professional support Control limit is a maximum concentration of asbestos fibres in the air (averaged over a 4 hour period) that must not be exceeded. The Asbestos Regulations 2006 have a single control limit for all types of asbestos of 0.1 fibres per cm 3. Control measure means a measure taken to prevent or reduce exposure to asbestos (including the provision of systems of work and supervision, the Asbestos Management Policy Page 17 of 19

18 cleaning of workplaces, premises, plant and equipment, the provision and use of engineering controls and personal protective equipment). Personal protective equipment means all equipment (including clothing) which is intended to be worn or held by a person at work and which protects that person against one or more risks to his health, and any addition or accessory designed to meet that objective. Asbestos Management Plan Regulation 4 Site Document is a document generated out of the MICAD Facilities Management software Asbestos Module. Printed type 2 surveys should be considered as not being current ABBREVIATION ACMs ACOP AMPs APA BS CAR CAW CDM COSHH HSE HSG247 HSSM LCCHS LCCHS LL&RFC LPT MICAD NHSLC NHSLC PPE RCCB RPE RPE STEL UKAS WGB DEFINITION Asbestos Containing Material Approved Code of Practice Asbestos Management Plan Authorised Person Asbestos British Standard Carriage of Asbestos Regulations Carriage of Asbestos Waste Construction Design Management Control of Substance Hazardous to Health Health Safety Executive Health and Safety Guidance Health Safety and Security Manager Leicester City Community Health Service Leicester City Community Health Service Leicester, Leicestershire and Rutland Facilities Consortium Leicestershire Partnership Trust Is a web based estates related database NHS Leicester City NHS Leicester City Personal Protective Equipment Residual Current Circuit Breaker Respiratory Protective Equipment Respiratory Protective Equipment Short Term Exposure Limit United Kingdom Accredited Services Wet Globe Bulb Asbestos Management Policy Page 18 of 19

19 EQUALITY IMPACT ASSESSMENT REPORT SUMMARY APPENDIX 2 Leicester City Community Health Service Equality Impact Assessment Report Summary Name of service, function or policy: Asbestos Management Policy Service area: Leicester City Community Health Service Findings Service area: Leicester City Community Health Service Service area: Leicester City Community Health Service General The objective of this Asbestos Policy is to provide guidance to ensure that all appropriate steps are taken to comply with the duty to manage asbestos within the NHS Leicester City (hereafter the Trust) and to comply with asbestos related legislation, approved codes of practice, guidance and relevant standards. In particular it will seek to prevent exposure and, where this is not reasonably practicable, to minimise the exposure of all persons. This Asbestos Policy should be read in conjunction with the Asbestos Management Plan Specific equality areas (age, disability, gender, race, religion or belief, sexual orientation) No adverse impact found Equality Outcomes Further Actions Problem/barriers identified Problem/barriers identified Problem/barriers identified Problem/ barriers identified Problem/ barriers identified Asbestos Management Policy Page 19 of 19