Specialised Contracting Solutions
3
Specialised Contracting Solutions
SPECIALISED
CONTRACTING SOLUTIONS
PLASTERING | PAINTING | CONCRETE | SURFACE FINISHING
SCS-HS-LEAD-001 / LEAD EXPOSURE MANAGEMENT

Lead Pre-Work Assessment & Permit to Proceed

SCS-HS-FRM-LEAD-001 · REV 2.0 · 26 SEPTEMBER 2026
STATUS
CONTROLLED — CURRENT
OWNER
Health & Safety Lead
APPROVED BY
SCS Director / Officer
SECTION
6 of 11
01
SECTION 01

Purpose

Confirms lead status, method, controls, equipment and monitoring before any planned lead disturbance.

I authorise this work to proceed only by the approved method and controls above. Class D work is not authorised under this permit.

02
SECTION 02

Fields captured

GROUPFIELDOPTIONS
Property & scopeProperty / area *Free text
Property & scopeBuilding age / eraFree text
Property & scopeOccupancyOccupied / Unoccupied / Occupied — children / vulnerable residents / Public interface
Property & scopeScope of lead disturbance *Free text
Lead identificationLead status *CONFIRMED / PRESUMED / NOT DETECTED / UNKNOWN
Lead identificationEvidence / test referenceFree text
Lead identificationAsbestos check *Asbestos survey / register checked — not present in work area / Presumed / suspect — HOLD / Not yet checked — HOLD
Method & classLead work class *A — No / negligible disturbance / B — Controlled low-dust / C — Higher potential / mechanical / D — Outside SCS method (STOP)
Method & classApproved work method *Free text
Exposure factorsDuration, frequency, area, ventilation, people exposedFree text
Monitoring decisionMonitoring decisionNot required — Class A/B, controls verified / Exposure monitoring required / Occupational-health review requested / Baseline BLL recommended by practitioner / Existing programme — status checked
Monitoring decisionMonitoring notesFree text
03
SECTION 03

Checks

CRITICAL CONTROLS CONFIRMED
  • Containment / exclusion designed
  • Resident notification completed
  • H-class extraction available and serviced
  • RPE selected under AS/NZS 1715, fit tests current
  • Current SDS / TDS / manuals on site
  • Waste and wash-water route confirmed
  • Decon / handwashing facility arranged
  • Workers have completed lead acknowledgement (FRM-LEAD-005)

Sign-off: Authorising supervisor / H&S Lead. Each completed record is audit-stamped with user, time, project and revision.

—
SECTION —

Document approval

ROLENAME / POSITIONSTATUS
Prepared / reviewedHealth & Safety LeadREVIEWED
ApprovedSCS Director / OfficerAPPROVED
BUILDING SAFER SPACES FOR GENERATIONS
SCS-HS-FRM-LEAD-001
REV 2.0 · 26 September 2026
CONTROLLED DOCUMENT · SPECIALISED CONTRACTING SOLUTIONS LIMITED
NZBN 9429043350858 · PAGE 1