KD-ASB-NL-004
Non-Licensed Asbestos Work Assessment and Notification Record
The decision record for a task that disturbs asbestos: the licensable test from reg 2, the reg 3(2) exemption test, the notifiable non-licensed outcome with its HSE notification reference, and what each outcome requires before work starts — the asbestos area, the medical surveillance, the health record.
2 pages · 60 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- CAR 2012 regs 2, 3(2), 6, 7, 8, 9, 18 and 22
Guidance and standards relied on
These are not law. HSE guidance carries no statutory force in itself, British Standards and NASC technical guidance are industry documents, and the Joint Code of Practice is an insurers' code. They are what the document is built to — and where a court would look for the standard of the reasonable contractor.
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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