Title Page

  • Audit Title

  • Conducted on

  • Document No.

  • Prepared by

  • Location
  • Client

  • Structural Engineer

  • Party Wall Surveyor

  • Architect

  • M&E Engineers

  • Client CDM Advisor & Principal Designer Advisor

  • Principal Designer

  • Project Manager

  • Principal Contractor

  • QS

  • Hospital/ FM Contacts

  • Other Duty Holders

  • CDM Reaponsibilities ( Client, Designer, Principal Designer, Principal Contractor)

  • Building Control ( Local Authority or Approved Inspector)

  • Building Safety Manager/ Company . Applies to all buildings 18 metres tall or higher, or at least 7 floors/storeys tall, with two or more residential units. It also applies to student accommodation, care homes, hospitals, hotels, hostels, boarding houses meeting the same height threshold during design, construction and refurbishment.

  • Conservation Officer/Listed Building

  • Corona virus arrangements

  • Phasing Plans

  • Demolition Plans

  • Description of Works

  • Start and Finish dates

  • Working Hours & Noisy Works

  • Project Directory

Existing Records

  • Existing H&S File

  • Existing Services Drawings

  • Existing As Built Drawings

  • Asbestos R&D Survey (or if built post 2000 written confirmation, from client, building control/exemption certificate/planning notice.

  • Structural Survey

  • Roof Survey & Load Test

  • Lead Survey

  • Ground Survey ( Vehicle Load & CBR Test)

  • Ground Survey/Topo Survey/SI Report

  • Drainage Survey

  • Fire Strategy Survey -Where a building is erected or extended, or has undergone a material change of use ( complex refurb) timber frame and fire statements for building regulations. <br>Applies to all buildings 18 metres tall or higher, or at least 7 floors/storeys tall, with two or more residential units. It also applies to student accommodation, care homes, hospitals, hotels, hostels, boarding houses meeting the same height threshold during design, construction and refurbishment. <br>“Dwellings” includes flats and “educational accommodation” means residential accommodation for the use of students at boarding school or in later stages of education.

  • Bird Dropping Survey

  • Ecological ( Protected species/bat roosts) Survey

  • Arboriculture (Tree) Survey

  • Party Wall Survey

  • Demolition Survey

  • DSEAR/ATEX Survey

  • Ordnance Survey

  • Transport Assessment Survey

  • Conservation/Listed Building Survey

  • Archaeology Survey

  • Nosie/Acoustic Survey

  • Environmental Survey

  • Flood Risk Assessment Survey

  • Unexploded Ordnance (UXO) Survey

  • Johnson Matthey Change of Control Docs

  • Johnson Matthey LOPA & HAZOP Reports

  • Johnson Matthey Hazardous/Process Classification Study/Survey/Drawings

  • Mining Survey

  • Radon Survey

  • Mercury Survey

  • Other

  • Inductions

  • Security

  • Welfare ( existing or cabins) ( male and female toilets, office, canteen, drying room, storage area, drinking water, tables, chairs, lighting, heating, microwave, kettle fridge, hot and cold water, soap, towels, sinks, lockers for storing clothing) showers

  • Hoarding Fire Rated- 30 or 60 minute and/ or Class 0 Euro A1

  • Deliveries

  • Waste

  • Access<br><br>Operatives<br><br>Vehicles Height or Weight or Width Restrictions

  • Pedestrian & Vehicle Segregation

  • Parking

  • Client Site Rules & Hospital/FM Site Rules & Academic Timetables

  • Permits

  • Fire Arrangements ( Smoke detectors in occupied buildings to be replaced with heat detectors or multi sensor detectors to allow for early warning )

  • Emergency Procedures

  • Smoking

  • Existing plant and equipment which may have access restrictions

  • Are there any COSHH substances stored within the working area or are they any Hazardous Materials located nearby

  • Info on existing structures

  • Info about previous structural modifications

  • F10 notification to HSE ( construction duration in weeks, average number of operatives on site and maximum number of operatives on site)

  • Info about conditions which may have adversely affected the structure

  • Structural works

  • Information which may cause adverse effects on the structure

  • Adjacent Land

Existing Services

  • Electric

  • Gas

  • Water

  • Telecoms

  • Powerlines

  • Fire Alarm Panel

  • Intruder Alarm

  • HVAC Panel

  • Sprinkler Panel

  • Other

  • Significant Risks<br>

  • Restricted Areas/ No Go Areas

  • Shared Access/ Existing Tenants

  • Confined spaces

  • Health Risks & Health and Safety Risks Arising from the Client’s Activities

  • Ground Conditions

  • Contaminated Land

  • Lead

  • Client brief

  • Provisions for the health and safety file

  • Notes/ Extra Items

  • CDM Signatory

Untitled Page

Photos

  • Site Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.