2013 Encore Excavating Demoliton Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select the operations to be performed

  Demolition quote

  Pre-Demolition Assessment

Project Start Date

• Select date

  Date

• Describe the scope of project

Demolition Site Description

• Building Type

  Select Bungalow Bungalow with attached garage Two Story Two story with attached garage Detached Garage Other

  • Bungalow
  • Bungalow with attached garage
  • Two Story
  • Two story with attached garage
  • Detached Garage
  • Other

• Enter building size(sqft) and foot print dimensions

• Is there other buildings to demolish (garage)? Take picture

  Yes

  No

  N/A

• Enter building size(sqft) and foot print dimensions

• Is there a deck? Size and Take picture

  Yes

  No

  N/A

• Is there sidewalks? Square footage?

  Yes

  No

  N/A

• Is there a driveway? Size and material

  Yes

  No

  N/A

• Is there retaining walls? Enter size and material. Take picture

  Yes

  No

  N/A

• Is the site clear and ready for the operation (out buildings, trees, power poles, etc)? If no take picture and describe:

  Yes

  No

  N/A

• Is there alley access? If yes, describe conditions with any obstructions for loading and trucking including over head power lines

  Yes

  No

  N/A

• What are the distances to adjacent buildings?

Documentation

• Has the demolition permit been obtained? If No, approximate date?

  Yes

  No

  N/A

• Have all utilities been disconnected? Power, water, gas

  Yes

  No

  N/A

• Take picture of each service disconnect ( power, water, gas)

  Media

• Are there secondary utility and services have been located with current documentation?

  Yes

  No

  N/A

• Underground / Overhead services clearly identified if present prior to work starting?

  Yes

  No

  N/A

Site pictures

• Alpha side

  Media

• Bravo side

  Media

• Delta side

  Media

• Charlie side

  Media

• Alley

  Media

• Out side

  Media

• Other

  Media

Utility/Safety/Environmental

• Enter all utilities

Utility

• Utility type

  Select gas power Telus water sewer storm

  • gas
  • power
  • Telus
  • water
  • sewer
  • storm

• Size/type location

  Yes

  No

  N/A

• Take picture of location

  Media

• Address hazards

Hazards

• Hazardous substances and dangerous goods clearly identified (labels) and correctly stored?

  Yes

  No

  N/A

• Has a hazard assessment been performed? If No, complete

  Yes

  No

  N/A

• Safety issues raised at daily Pre-starts or toolbox meetings have been noted and addressed?

  Yes

  No

  N/A

• PPE review - all personnel including subcontractors wearing the minimum and appropriate PPE for the job?

  Yes

  No

  N/A

• Are there any special Environmental / Cultural Heritage considerations for this project?

  Yes

  No

  N/A

Sign off

• Signature of person inspecting

  Sign

• Signature of supervisor on site

  Sign