F112 Immediate Notification To Stop Works

• Site conducted

  Select
• Site Name & CBRL Number
  Address

• Site Manager

• Date & Time the works were stopped

  Date

• Works Stopped By: (Name & Position)

• Specific location where works were stopped?

Reason for the immediate notification to stop works

• ENVIRONMENTAL - Including any issues noted which pose a hazard of pollution, in particular to existing drainage systems or watercourses

  Yes

  No

• HEALTH & SAFETY - Including any issues noted in relation to unsafe actions, work areas, conditions or any potential hazards to the public

  Yes

  No

• QUALITY - Including any issues noted in relation to workmanship, non-compliant materials or discrepancies with design

  Yes

  No

• OTHER - Please provide additional details.

  Yes

  No

Provide details of the incident which caused the notification to be raised

• Provide details of operatives who were stopped from working: (Name, Occupation and Employer)

• Please advise on what happened, giving a cause if you can and providing photographs as necessary

• Please attach relevant photos as necessary

  Media

• Provide details of local action taken to prevent recurrence, e.g., disciplinary action, review of RA.MS etc.

Distribution

• On completion of this Immediate Notification To Stop Works report, copies shall be distributed via email to the following parties:
  - CBRL Construction Director
  - CBRL Operations Manager
  - CBRL Site Manager
  - CBRL Surveyor
  - CBRL H&S/IMS Department
  - Specialist Sub-Contractor (if applicable)