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Asbestos cement differs from AIB in that the material has a higher density and contains cement. This means that it is less likely to release asbestos fibres, and also has a greater capacity to repel water. As such, it is more suited to external applications but is not suitable as a fire-retardant board.

Asbestos cement has been used extensively to make corrugated and flat sheets, as well as other moulded products such as flower planters, coal stores, low-pressure and high-pressure flues and pipework, as well as junction boxes, heat resistant mats and flash guards.

Asbestos cement is generally a well-bonded material and presents a lower risk to health: if damaged the material can release asbestos fibres, but the levels will generally be lower than for similarly damaged AIB. The treatment of asbestos cement is generally regarded as lower risk and does not usually require the use of a licensed contractor. Those working with asbestos cement will need to comply with The Control of Asbestos Regulations 2012. The use of this material was widespread.

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