Information
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Site ID:
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Site Address:
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Postcode:
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Survey conducted by:
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Date of Survey:
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Location of Survey:
PCI and General Works Area
Pre Construction Information (PCI)
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What PCI information has been received and factored into the design? (Available on Infinity prior to survey)
- No PCI information available prior to survey
- Hyperoptic PCI Request Form Completed
- Electronic PCI Details (Infinity SSS Screen) Completed
- Asbestos Register
- Building Fire Strategy
- Any other key information / documentation?
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Additional key information received:
BUILDING WORKS
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Will work take place on external face of building?
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Will work take place internally in the communal areas of the building?
General Method Statement
Work at Height
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To ensure safety during work at height on the building's external façade, only trained engineers will utilize ladders for short-duration tasks, adhering strictly to HSE's work at height regulations. Ladders and step ladders, when used, will undergo a thorough pre-use inspection and will be securely positioned on stable, level ground. For tasks requiring abseiling, we will engage qualified specialists with a comprehensive risk assessment conducted beforehand to manage specific hazards.
Work Locations
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Work areas will be clearly demarcated and restricted to prevent unauthorized access, minimizing disruption to site users and the public. Safe pedestrian pathways will be established using barriers as necessary, especially near areas of vehicular movement or active work zones. Unattended excavations will be appropriately safeguarded and visibly marked.
Access Equipment
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Preference will be given to avoiding work at height. When necessary, operatives will use industrial-grade BS EN 131 ladders, ensuring a pre-use check is completed and adhering to safe use practices, including maintaining three points of contact and using fall arrest systems where applicable. Alternative access methods like MEWPs or scaffolding will be considered before ladder use, emphasizing safety and compliance with HSE guidelines.
Waste Management
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All waste will be handled and disposed of in line with the Hyperoptic Environmental Policy, ensuring environmentally responsible practices that comply with current regulations.
Accident and Incident reporting
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In alignment with Hyperoptic procedures, all accidents, incidents, and near-misses must be reported and thoroughly investigated to identify and implement preventive measures.
First Aid
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All engineers are certified in Emergency First Aid at Work and equipped with a well-maintained first aid kit. In the event of encountering an injured person, the immediate steps are to assess the situation, remove any hazards if possible, and contact emergency services with detailed information.
Internal cable routes
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Internal cabling along escape routes will be securely fastened with metal fixings as specified by Hyperoptic, ensuring compliance with fire safety and building integrity standards.
Fire Stopping
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Adhering to Hyperoptic's fire stopping policy, all installations involving electronic communications apparatus will include necessary fire stopping measures to maintain the integrity of the building's fire and smoke compartmentation. The process includes clear communication with property Grantors and adheres to fire safety strategies relevant to each project.
CDM Compliance statement
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Hyperoptic Ltd. commits to maintaining the highest standards of safety, health, and welfare in accordance with the Health and Safety at Work Act, the Management of Health & Safety at Work Regulations, and the Construction (Design and Management) Regulations. Our approach is rooted in the belief that the wellbeing of our employees, contractors, and all affected parties is a direct responsibility of company leadership.
Our health and safety policy outlines clear responsibilities at all levels of management and is regularly reviewed to integrate legislative changes and ensure the efficacy of our practices. The CDM regulations guide us in establishing a robust safety management system across all project phases, ensuring cooperative and compliant practices among all appointed duty-holders.
By adhering to these guidelines and maintaining open lines of communication across all levels of project execution, Hyperoptic Ltd. ensures the consistent application of our safety standards, fulfilling our legal and moral obligations towards workplace safety.
Site Specific Design Risk Assessment
Working at Height
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A - Is there any Working at Height?
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A1 - Does the design require the use of ladders and / or steps?
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Harm - Serious Injuries or Death
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - All operatives must have a valid working at height certificate. Ladders must be in good condition and set on level ground at the correct angle (1:4). Where this cannot be achieved, additional stabilising devices or equipment must be employed to create a level working surface i.e. working on stairwells. All ladders and steps will be used in accordance with Hyperoptic's Working at Height policy.
Safety boots must be worn for ankle support and protection.
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Residual risk - Low -
There are no works on site that requires working from height using ladders and / or steps.
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A2 - Does the design require the use of scaffolding and / or a MEWP (Mobile Elevating Work Platforms)?
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Harm - Serious Injuries or Death
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - Operatives must under no circumstance access a incomplete scaffold unless it has been inspected by a competent person and tagged I to say it is "safe to use" (This must be done every 7 days). Scaffold must only be altered/erected by a company approved/competent person. IPAF can only be operated by a company approved/competent person. If in any doubt, contact a member of the Health & Safety Department.
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Residual risk - Low -
There are no works on site that requires working from height using scaffolding and / or a MEWP.
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A3 - Are there any unsafe ground conditions to be aware of? (e.g. loose stone, soft ground, uneven paving or polished floors etc.)
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Harm - Serious injuries or Death
Persons at risk - Operatives
Risk rating - High
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Control measures to be implemented - Levelling device to be used on ladder where ground is uneven. Use designated pathways. If unable to do this please contact your Project Manager.
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Residual risk - Low -
There are no works on site that requires working on uneven and / or soft ground.
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A4 - Does the design require work within a loft space?
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Harm - Falls from height, Serious injuries or Death from falling through ceiling
Persons at risk - Operatives / Residents in block
Risk rating - High
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Control measures to be implemented - Lofts should be checked for integrity before entering. Where walkways are available, these must be kept to. If no walkways or boarded areas then crawl boards may be required to undertake activities in the loft. Lighting will be needed to reduce risk of injury. Face masks, hard hats , Hi Viz, gloves , goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.
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Residual risk - Low -
A5 - Is the loft space accessible via a secure, internal loft ladder?
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Harm - Falls from height, Serious injuries or Death
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - If we need to access the loft then at survey stage a request is to be made to the client that he supplies one that is fit for purpose. If this is not possible then a extendable ladder should be used provided it can be secured to the wall via a eyebolt & ratchet strap or held at the base by a second person. Signage, cones and warning tape must be used at the base of the entry point. Ensure that prior to entry that there is adequate lighting and the loft can sustain your weight. If unsure seek advice from the Project Manager responsible.
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Residual risk - Low -
There are no works on site that requires working in a loft.
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A6 - Does the design require any pole climbing or abseiling work?
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Harm - Serious injuries or Death
Persons at risk - Operatives
Risk rating - High
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Control measures to be implemented - Ensure helmets and harness worn properly. Ensure suitable clothing and footwear are worn. Ensure descent controlled by instructor/safety rope. Fence off or mark area to prohibit access by casual observers. Ensure hair / loose clothing secured. All equipment checked before use. Ensure ground equipment arranged tidily. Ensure anchors etc well marked. If possible, secure the area during unsupervised periods
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Residual risk - Medium -
There are no works on site that requires pole climbing and / or abseiling work.
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Any further control measures required, in addition to the statements above?
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There are no works on site that requires working at height.
Environment and Exposure
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B1 - Has an asbestos report been received for this site and the details taken into account for this design?
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Was the building built Pre 2000?
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Asbestos survey must be completed prior to works commencing.
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Building has been confirmed to be built Post 2000 hence no asbestos risk.
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Building age to be confirmed and asbestos survey to be completed prior to works commencing, if required.
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B2 - Any risk of needle injuries identified at the time of survey?
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Harm - Needle injuries, possibility of contracting serious diseases
Persons at risk - Operatives
Risk rating - High
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Control measures to be implemented - Operators to be extra vigilant and cautious when working in properties and buildings. If needles are found, work must stop immediately. You must inform Project Management and leave the area. If injuries are sustained, you must attend the nearest hospital immediately.
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Residual risk - Low -
There was no risk of injuries from needles identified onsite at the time of survey.
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B3 - Any risk of environmental hazards / bees / wasps / vermin or hazardous waste at the time of survey?
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Harm - Potential of contracting various diseases
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - If any environmental hazards such as wasps / bees nests / vermin / hazardous waste etc. are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove hazard.
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Residual risk - Low -
There is no risk of injuries from environmental hazards / bees / wasps / vermin or hazardous waste identified on site at the time of survey.
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B4 - Any risk of un-cooperative residents or members of the public at the time of survey?
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Harm - Possibility of being attacked by abusive resident or member of public
Persons at risk - Operatives
Risk rating - High
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Control measures to be implemented - Operative to avoid confrontation with residents/members of the public and walk away from situation. This must be reported to management and the Health & Safety Department Immediately
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Residual risk - Low -
There is no risk from un-cooperative residents or members of the public identified on site during the time of survey.
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B5 - Any risk of chemical hazards (hazardous substances) identified at the time of survey?
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Harm - Risk of burns, inhalation and ingestion
Persons at risk - Operatives & general public onsite
Risk rating - High
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Control measures to be implemented - In order to reduce the risk of exposure to hazardous substances, the following measures will be implemented:
• An inventory of all substances hazardous to health in use by the company will be compiled and maintained together with appropriate hazard information. This can be obtained from the Health & Safety Department.
• All operatives involving, or which may involve, exposure to substances hazardous to health will be medically assessed.
• Appropriate control measures will be implemented if it is not possible to eliminate, or substitute for a hazardous substance (See separate risk assessment).
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Residual risk - Low -
There is no risk of injuries from chemical hazards identified on site at the time of survey.
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B6 - Any risks identified to the fire escape routes within the building?
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Harm - Serious Injuries or Death
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - Before works commence, operatives must ensure they know where the escape routes and assembly points are located. Operatives must be aware of the site Fire action plan which should be on display within the communal entrance area. Operatives will coordinate our work schedule to avoid obstructing escape routes and ensuring that any temporary changes to fire safety measures are approved and communicated effectively. Operatives will pay special attention to maintaining clear access to fire escape routes and ensuring that fire doors are not obstructed or compromised by our activities.
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Residual risk - Medium -
There is no risk of escape routes being obstructed while work is being conducted onsite.
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B7 - Any potential fire risks identified onsite at the time of survey? (e.g. accumulation of combustible materials etc.)
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Harm - Risk of burns, inhalation and ingestion
Persons at risk - Operatives & general public onsite
Risk rating - High
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Control measures to be implemented - Operatives must ensure before works commence that they know where the escape routes and assembly points are located. Operatives must be aware of the site Fire action plan which should be on display within the communal entrance area. Operatives will maintain good housekeeping practices to reduce the accumulation of combustible materials, such as paper, cardboard, or waste, which can fuel fires. Work areas will be kept clean and organized, and dispose of waste promptly in designated containers. Operatives are only allowed to use fire extinguishers if they have had the necessary training. Operatives to follow site emergency procedures at all times.
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Residual risk - Low -
B8 - Any risk of potential non-ionising radiation exposure from transmitters on a roof identified at the time of survey?
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Harm - General sickness, limb weakness. nausea, headaches. flu like symptoms
Persons at risk - Operatives
Risk rating - Medium
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Control measures to be implemented - At survey stage, details shall be taken of contact number and site code to request power down of transmitter. Work shall be avoided directly in front of the mast, with signal strength generally reducing significantly from 2-5 metres. If any sickness is identified, the operative concerned must inform the client, and leave site immediately to seek further medical advice – e.g. go to local hospital.
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Residual risk - Low -
There is no risk of injuries from radiation exposure identified on site at the time of survey.
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B9 - Any risk from moving vehicles onsite, while engineering works are being conducted?
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Harm - Serious Injuries or Death
Persons at risk - Operatives / Members of the public
Risk rating - High
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Control measures to be implemented - Appropriate signage and physical barriers to delineate work areas and safe pedestrian pathways will be deployed. Signage will be visible and understandable to all site users, indicating vehicle routes, speed limits and work areas etc. to ensure they are not at risk of collision with moving traffic or work activity.
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Residual risk - Low -
There are no risk from moving vehicles while working onsite.
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Any further control measures required, in addition to the statements above?
Other Risks
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C1 - Has the survey identified any other risks that need addressing?
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Please provide further details and control measures required:
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No further risks identified on the site during the time of survey.
Health and Safety Location Information
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Availability of welfare facilities:
- Welfare facilities are available on-site and permission has been granted for their use
- Facilities are conveniently accessible to this worksite for short duration work (build time estimated less than 1 week) in accordance with CIS46 & CIS59.
- Suitable welfare facilities to be arranged before deployment local to the site (build time estimated greater than 1 week) i.e. welfare vehicle, agreed arrangements with local businesses
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Suggested welfare facility location details (Permission TBC):
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Please enter welfare facilities location details:
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Material storage requirements:
- Vehicle storage will be sufficient for design.
- Material storage is required and is available onsite. Location details below:
- Material storage is required and will need to be provided when work commences. Suitable location details below:
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Location details:
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Location details:
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Availability of parking locations:
- Unrestricted parking available onsite
- Restricted parking available onsite. Client to agree usage prior to work commencing
- On street parking / car parks available around site location
- No available parking identified during survey. Resource and material drop off, by engineering team, will be required when work commences
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Enter Nearest Hospital Name and Postcode. Find the nearest hospital to the site (with A&E) - http://www.nhs.uk/Service-Search
Sign-Off
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Please sign the document once completed
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Designer signature:
