Asbestos Hazard Assessment Form
General Information
Site/Building Name
Address
Contact Person
Date of Assessment
Assessment Details
Location/Area Inspected
Material Suspected
Condition of Material
Good
Damaged
Severely Damaged
Friability
Non-friable
Friable
Approximate Quantity (m² or linear m)
Exposure Risk (explain any potential for disturbance)
Recommended Actions
Assessor Information
Assessor Name
Signature