Asbestos Permit

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Acknowledgement Required for Asbestos Removal Permit

I confirm that this request to obtain an Asbestos Removal Permit complies with Relevant Legislation and Curtin University Policies.

I have inspected the workplace, have determined and put into place appropriate control measures to minimise health, safety and operational risks, and I agree to accept full responsibility for these risks.

I have read and understood the following:
Contactor Health and Safety Handbook
Curtin's Risk Management Information
Curtin's Asbestos Management Plan
Asbestos Removal Permit Guide

I accept and acknowledge all of the above.

Documents Required

Permit requests may require the following documents:

Only standard document types accepted. Please name files appropriately.
NOTE - Combined document filesize limit is only 15MB.

Attach a Asbestos Removal Control Plan

Attach a Risk Assessment Plan

Attach a Location Plan

Attach the Asbestos Removal Permit Checklist

Project Details The Curtin project number or project name

Location and Reason for Asbestos Removal:
(inc. building number, room number and/or other specific details)

Project Duration

As per the Asbestos Permit Guide, all asbestos permits must be lodged at least 10 days prior to undertaking works.

Start date

End date

Your Details Your Company's Name

Your Name

Your email address. We send important administration notices to this address

Your Contact Number

Asbestos Licence Number

Curtin Permit Manager Details

Please Note - Your Curtin Permit Manager

This is the person who will be responsible for getting this permit processed.
You must speak with your Curtin Permit Manager about this permit application prior to submitting.
Failure to do so may result in delays in processing your permit application and therefore delay any works you plan to undertake.

Your Curtin Permit Manager name

The information gathered from this form will be sent to this Curtin email address

Your Curtin Permit Manager phone number

Site Contact Details The Site Contact name

The Site Contact job title

On-Site Contact Number

I confirm that all of the supporting documentation and information contained in this access permit request is complete and accurate.

ONLINE PERMITS

Acknowledgement Required for Asbestos Removal Permit

Permit requests may require the following documents:

As per the Asbestos Permit Guide, all asbestos permits must be lodged at least 10 days prior to undertaking works.

Please Note - Your Curtin Permit Manager