Pre-course Questionnaire - NATAS Training

Date / Time *

Name *

Please complete this questionnaire as fully as possible. It will help ensure that you receive the correct training.
Thank You.

1. What is your trade e.g., electrician, instrument technician, fitter, plumber etc? *

2. Have you attended the asbestos non-licensed training course before? *

Yes
No

3. Have you ever been expected to work with asbestos before? *

Yes
No

4. If the answer to question 3 is "Yes", what type of work did you undertake? *

5. Have you undertaken Asbestos Awareness training within the last 12 months? If so, on which date? And where? *

If systems blankets

6. Are you face fit tested for a respirator? If so, which type? *

7. Are you required to undertake any of the following work?

a) Drill holes in walls? *

Yes
No

b) Remove ceiling tiles? *

Yes
No

c) Remove or repair fire doors? *

Yes
No

d) Remove or repair wall panels or inspection hatches in walls or ceilings? *

Yes
No

e) Clean/maintain light fittings? *

Yes
No

f) Remove, drill holes in or cut asbestos roof panels or other asbestos cement materials? *

Yes
No

g) Clean up asbestos cement debris, roofing, guttering or cladding? *

Yes
No

h) Remove asbestos paper linings? *

Yes
No

i) Lay cables in dusty ducts? *

Yes
No

j) Maintain electrical fuse boards? *

Yes
No

k) Maintain other electrical equipment contained in switch rooms, substations etc? *

Yes
No

l) Maintain heating systems etc contained within calorifier rooms? *

Yes
No

m) Maintain storage, gas or electrical heaters, remove cement flue ducts? *

Yes
No

n) Remove or repair textile materials, gaiters, fire blankets etc? *

Yes
No

o) Remove friction brake linings? *

Yes
No

p) Remove or repair bituminous products, such as roof felt, gutter linings, damp-proof courses? *

Yes
No

q) Remove gaskets or rope seals? *

Yes
No

r) Remove or repair asbestos floor tiles or lino? *

Yes
No

s) Remove, repair or drill through textured coatings? *

Yes
No

t) Remove mastics, sealants, beading or window putty? *

Yes
No

u) Clean up asbestos waste? *

Yes
No

v) Carry out refurbishment or demolition work? *

Yes
No

w) Carry out any other form of work not mentioned above which may involve asbestos? If so please give details. *