ASBESTOS MANAGEMENT POLICY Document Reference No: PTHB / EWP 001 Version No: 2 Issue Date: August 2015 Review Date: August 2018 Author: Compliance & Maintenance Manager Document Owner: Head of Estates & Property Accountable Executive: Director of Planning and Performance Approved By: Asbestos Management Group Approval Date: 19/08/2015 Document Type: Policy Non-clinical Scope: PTHB wide Do not print this document. The latest version will be accessible via the intranet. If the review date has passed please contact the Author for advice. Disclaimer Powys teaching Health Board is the operational name of Powys teaching Local Health Board Bwrdd Iechyd Addysgu Powys yw enw gweithredol Bwrdd Iechyd Lleol Addysgu Powys
Version Control Version Summary of Changes/Amendments Issue Date 1 Initial Issue July 2012 2 The second version has been written to simplify PTHB s policy on the safe management of asbestos. The specifics of responsibilities, registers, monitoring etc. have been extracted from the first version and inputted into the Asbestos Management Plan (Procedures). July 2015 More detail on the objectives for the safe management of asbestos has been included in the second version. Issue Date: August 2015 Page 2 of 8 Expiry Date: August 2018
Item Contents Page no 1 Policy Statement 6 2 Rationale 6 3 Objectives 6 4 Procedure 6 5 Compliance Monitoring/Audit 7 6 Review and change control 7 7 References 7 8 Further Information 8 Appendices Issue Date: August 2015 Page 3 of 8 Expiry Date: August 2018
ENGAGEMENT & CONSULTATION Key Individuals/Groups Involved in Developing this Document Role / Designation Asbestos Working Group - Estates Department Circulated to the following for Consultation Date Role / Designation Jun 2015 Head of Estates & Property Jun 2015 Compliance & Maintenance Manager Jun 2015 Maintenance Officer ( S) Agency Jun 2015 Estates Officer Engineering Specialist 29/07/15 PTHB Heads of Service: Information Governance Locality General Managers Workforce & OD Infection Control Facilities & Transport Finance Corporate Services Health & Safety/Risk Management Quality & Safety Occupational Health Communications Evidence Base Please list any National Guidelines, Legislation or Standards for Health Services in Wales relating to this subject area? Health & Safety at Work Act 1974 Control of Asbestos Regulations 2012 ACOP L143 Managing & Working with Asbestos Issue Date: August 2015 Page 4 of 8 Expiry Date: August 2018
IMPACT ASSESSMENTS Equality Impact Assessment Summary Age Disability Gender Race Religion/ Belief Sexual Orientation Welsh Language Human Rights No impact Adverse Differential Positive Statement PTHB is committed to ensuring, so far as is reasonably practicable through best practice, the health, safety and welfare of its employees, patients, students, public and others who may be affected by matters within its control. Risk Assessment Summary Have you identified any risks arising from the implementation of this policy / procedure / written control document? No risks identified Have you identified any Information Governance issues arising from the implementation of this policy / procedure / written control document? There are no information governance risks associated with the implementation of this policy. Have you identified any training and / or resource implications as a result of implementing this? There are no training or resource implications associated with the implementation of this document. Issue Date: August 2015 Page 5 of 8 Expiry Date: August 2018
1. Policy Statement Powys teaching Health Board, thereafter to be known as PTHB, has put in place a management structure to ensure the asbestos management policy objectives are met. This includes the allocation of responsibility for asbestos management to PTHB s Compliance & Maintenance Manager and the introduction of an asbestos management plan within the Primary & Community Care Directorate. This policy is underpinned by PTHB/EWP 002 The Asbestos Management Plan (Procedures) 2. Rationale PTHB is committed to ensuring, so far as is reasonably practicable through best practice, the health, safety and welfare of its employees, patients, students, public and others who may be affected by matters within its control. To this end PTHB, in compliance with its duties under the Control of Asbestos Regulations 2012, has produced this Asbestos Management Policy which shall apply to all PTHB properties where asbestos is present. 3. Objectives prevent exposure to the hazards associated with asbestos containing materials (ACMs) identify the location of ACMs on PTHB premises; the type where reasonably practicable, the amount and its condition provide and maintain an Asbestos Register which records those locations and the condition of the ACMs assess the risk from ACMs based on their condition and accessibility remove ACMs which are in poor condition, easily accessible and thus readily disturbed, or that may be disturbed in the conduct of maintenance or other building works manage any ACMs left in place by labelling where there is a significant risk of disturbance, by regular inspection, and by setting up and maintaining procedures to prevent ACMs being disturbed inadvertently provide information on the location and condition of ACMs to anyone who is likely to disturb them review the effectiveness of the Asbestos Management Policy and Asbestos Management Plan on a regular basis promote awareness of the hazards of exposure to asbestos and PTHB s Policy and Procedures through training of relevant staff provide Heads of Departments, Ward Managers, Safety Representatives and any others who may require access to the Asbestos Register upon request. Issue Date: August 2015 Page 6 of 8 Expiry Date: August 2018
4. Procedure For further information on the procedures for the management of Asbestos throughout PTHB, refer to EWP 002 Asbestos Management Plan (Procedures). Hard copies of the Asbestos Management Plan (Procedures) can found in the following locations: Estates Department, Bronllys Hospital Main Reception, Brecon War Memorial Hospital Main Reception, Ty-Illtyd Mental Health Resource Centre Main Reception, Ystradgynlais Community Hospital Main Reception, Llandrindod Wells War Hospital Main Reception, Knighton Hospital Main Reception, Welshpool Hospital Main Entrance, adjacent to Fire Panel, Machynlleth Community Hospital Main Entrance, adjacent to Fire Panel, Newtown Hospital Main Entrance, adjacent to Fire Panel, Llanidloes Hospital Main Entrance, adjacent to Fire Panel, Bryntirion Mental Health Resource Centre Main Entrance, adjacent to Fire Panel, Welshpool Health Centre Rear Annex Main Entrance, adjacent to Fire Panel, Ynys-Y-Plant Child Health Main Entrance, adjacent to Fire Panel, Bro Hafren Mental Health Resource Centre Main Entrance, adjacent to Fire Panel, Park Street Clinic The electronic copy can also be viewed via PTHB s intranet, under Policies, Procedures, and Guidelines - Estates. 5. Monitoring Compliance/Audit The Asbestos Management Group will meet bi-monthly to ensure there is Governance on the policy and related procedures associated with the management of Asbestos within PTHB. 6. Review and Change Control This document will be reviewed every three years or sooner should audit results or changes to legislation / practice within the thb indicate otherwise. 7. References PTHB/EWP 002 Asbestos Management Plan (Procedures) Issue Date: August 2015 Page 7 of 8 Expiry Date: August 2018
8. Further Information Head of Estates & Property Compliance & Maintenance Manager Issue Date: August 2015 Page 8 of 8 Expiry Date: August 2018