Get Temporary Worksite Notification For Asbestos - Dna Industrial Hygiene

The Temporary Worksite Notification for Asbestos is a crucial document required for asbestos-related work in California. This guide provides clear, step-by-step instructions on how to complete this form online, ensuring compliance and safety during asbestos projects.

Follow the steps to accurately complete the online form.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the company or employer name in the designated field. This should reflect the official name of the entity responsible for the work.
3. Fill in the headquarters address. Provide the complete address of the company’s main office.
4. Input the Contractors State License Board License Number. Ensure this number is accurate to verify your eligibility to perform the work.
5. Enter the DOSH-ACRU (Cal/OSHA) Asbestos Registration Number and/or the ‘Report of Use’ Registry number, if applicable.
6. In the address of the temporary worksite and precise location section, provide the complete address where the work will occur.
7. Detail the nearest intersection to the worksite to facilitate location.
8. Specify the type of business that will be conducting the work.
9. Fill in the name of the certified supervisor responsible for overseeing the work.
10. Enter the name of the qualified person in charge of air monitoring, laboratory work, and respirators.
11. Provide the name of the certified consultant involved in the project.
12. Input the projected job starting and completion dates in the provided fields.
13. Describe the type, scope, and work practices involved in the job clearly and concisely.
14. Evaluate the potential for exposure to asbestos during the project and document your findings.
15. Estimate the number of employees expected to work on this job.
16. Before completing, review all entries for accuracy, then save your changes. You can also download, print, or share the form as needed.

Complete your Temporary Worksite Notification online today for a safe and compliant asbestos project.