Commercial Concessions - Site Set Up Sign Off Form Rev 1.1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• Concessionaire

• Terminal

• Project Details

• RU No / Location

• Contractor

• Sub Contractor

Part 1 - Site Set-Up

Hoarding

• Brick boxes and cleats installed on all panels

  Yes

  No

  N/A

• Vision panel installed

  Yes

  No

  N/A

• Digi lock fitted & code changed once shop staff have de-merchandised

  Yes

  No

  N/A

• Door rebate fitted

  Yes

  No

  N/A

• Door closers fitted

  Yes

  No

  N/A

• Doors open inwards

  Yes

  No

  N/A

• Double door set fitted

  Yes

  No

  N/A

• Safe mobile phone area displayed internally on the hoarding with hatched area

  Yes

  No

  N/A

• Site contact list installed

  Yes

  No

  N/A

• Terminal facing hoardings to have graphic's installed (Require Heathrow approval)

  Yes

  No

  N/A

• Mat to be provided at hoarding doors to prevent dust engress into terminal concourse

  Yes

  No

  N/A

• Hoardings without graphics to have cover strips, skirting and painted.

  Yes

  No

  N/A

• If hoarding has been installed by Thomas Interiors Limited has Principle Contractor accepted its condition and have a signed acceptance letter.

  Yes

  No

  N/A

Internal H&S Board to Display (As a Minimum)

• F10

  Yes

  No

  N/A

• Heathrow Permit to Work

  Yes

  No

  N/A

• Sprinkler Isolation Permit

  Yes

  No

  N/A

• Fire Alarm Isolation Permit

  Yes

  No

  N/A

• Hot Works Permit

  Yes

  No

  N/A

• PPE Requirements/Site Rules

  Yes

  No

  N/A

• Fire Evacuation Plan

  Yes

  No

  N/A

• First Aid Contacts & Procedures

  Yes

  No

  N/A

• Emergency Numbers to be displayed inc Heathrow Emergency No: 222 or 02087591212

  Yes

  No

  N/A

• Heathrow Detailed Design Approval Letter

  Yes

  No

  N/A

• Health & Safety Law

  Yes

  No

  N/A

Site Rig and Temporary Lighting

• Electrical Services Isolated

  Yes

  No

  N/A

• Site Rig Installed

  Yes

  No

  N/A

• Site Rig condition acceptable (No loose wiring, glands in place etc.)

  Yes

  No

  N/A

• 110V Florescent type lighting installed

  Yes

  No

  N/A

• 110V Emergency light installed

  Yes

  No

  N/A

Fire Point

• Fire Extinguishers installed

  Yes

  No

  N/A

• Fire Extinguishers in date and not used

  Yes

  No

  N/A

Health and Safety File (As a Minimum)

• Signing In Book

  Yes

  No

  N/A

• Accident Book

  Yes

  No

  N/A

• Site Rig Installation Certificate

  Yes

  No

  N/A

• F10

  Yes

  No

  N/A

• Heathrow Permit to Work

  Yes

  No

  N/A

• Sprinkler Isolation Permit

  Yes

  No

  N/A

• Fire Alarm Isolation Permit

  Yes

  No

  N/A

• Hot Works Permit

  Yes

  No

  N/A

• Fire Evacuation Plan

  Yes

  No

  N/A

• First Aid Contacts & Procedures

  Yes

  No

  N/A

• Waste Away Procedures

  Yes

  No

  N/A

• Logistics

  Yes

  No

  N/A

• Risk Assessments (Principle Contractor & Sub Contractor)

  Yes

  No

  N/A

• Method Statements (Principle Contractor & Sub Contractor)

  Yes

  No

  N/A

• Tool Box Training

  Yes

  No

  N/A

• Heathrow Detailed Design Approval Letter

  Yes

  No

  N/A

Safety Arrangements

• Is there safe access/egress on and around site?

  Yes

  No

  N/A

• Is there suitable signage around the workplace?<br>

  Yes

  No

  N/A

• Are suitable exclusion zones set up?

  Yes

  No

  N/A

• Is work at height properly managed?

  Yes

  No

  N/A

• Is scaffolding suitable and inspected in accordance with statutory requirements?

  Yes

  No

  N/A

• Are adequte electrical safety arrangements in place (PAT testing, cable management etc)

  Yes

  No

  N/A

• Are there adequate arrangements for the management of noise and vibration risk?

  Yes

  No

  N/A

• Is housekeeping suitable in welfare and office areas?

  Yes

  No

  N/A

• Is housekeeping suitable in equipment and material storage areas?

  Yes

  No

  N/A

• Is housekeeping suitable on site?

  Yes

  No

  N/A

Part 2

Outstanding Issues

• Principal Contractor must agree to resolve all items listed below within the timescales detailed. Failure to comply will lead to all work on site to cease.

• Priority A - Urgent. Action Immediately
  Priority B - Action within 24 hours
  Priority C - Action within 48 hours
  Priority D - Action within 10 days
  
  

Part 3

Sign Off

• Appointed Contractor

  Sign

• Commercial Delivery Manager

  Sign

• Guidance:
  
  This document should be completed for all Heathrow Retail Concessions Projects as evidence that the site set up is complete before any site commences.
  
  If the principle contractors fail to all outstanding items within the agreed timescales the site will be closed until all items are completed.
  
  The hard copy form is intended to be a live document that should be available for inspection at any time