F191D Dynamic Risk Assessment V2.2 Alliance Homes 2021-

• Location & Report Name

• Client

  Select Alliance Homes Cornwall Housing Dartford BC Exeter City Council Yarlington Housing Group Radian Other

  • Alliance Homes
  • Cornwall Housing
  • Dartford BC
  • Exeter City Council
  • Yarlington Housing Group
  • Radian
  • Other

General Details

• Risk Assesment Completed By

  Select Billy Wright Chris Balsom Jeremy Illy Sean Glossop Steve Britton Vinnie Stokes Jason Cole Lee Glenister

  • Billy Wright
  • Chris Balsom
  • Jeremy Illy
  • Sean Glossop
  • Steve Britton
  • Vinnie Stokes
  • Jason Cole
  • Lee Glenister
• Location
  Address

• Date of Inspection

  Date

• Residents Name

• Residents contact details

• Residents email address

GHG LAD Privacy Consent Information

• To enable the administration of the Energy Efficiency Project, Alliance Homes are required to process personal information relating to you and your home. Your information will be shared with Alliance Homes, your installer, and the Department for Business, Energy and Industrial Strategy (BEIS) who are funding the installations as part of the Green Homes Grant Local Authority Delivery Scheme. Data processing will only be carried out for the purpose of delivery, administration and evaluation of this scheme as well as statistical, research and fraud prevention purposes. The eligibility for funding may rely on persons within household being in receipt of one or more benefits, It is expected that processing will include linking of your personal data to other datasets and, may involve contacting you to ask if you would like to participate in further research and evaluation activities

• Do you consent to being contacted by Alliance Homes, BEIS, or their appointed contractors, for the purpose of research and evaluation related to the installation received under Energy Efficiency Project.

  Yes

  No

• I confirm I have read and understand the privacy notice that has been left with me

  Yes

  No

• Can you confirm that the household is in receipt of one or more benefits? For example state pension or child support?

  Yes

  No

• Can you confirm that the households total income does not exceed £30,000 per year?

  Yes

  No

COVID 19 Assessment

• Have you or anyone that lives at the property been diagnosed with Coronavirus ?

  No

  Yes

• Is anyone at the property currently self-isolating ? or shielding ? (in the vulnerable category)

  No

  Yes

• Have you or anyone who lives at the property had any flu like symptoms at all in the last 7 days ?

  No

  Yes

• Can you think of any reason why we shouldn't visit your home ?

  No

  Yes

• Comments

• Do you give consent for us to carry out works within your property ?

  Yes

  No

• State reason works cannot be carried out with the property

Occupant Assessment

• Is the property in a suitable condition for the proposed works to be carried out ?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Is the property highlighted as flagged or at risk ?

  No

  Yes

• Comments

• Do the occupants have any physical disabilities that pose any significant risks ?

  No

  Yes

• Comments

• Do any of the occupants have any learning difficulties where our activities may pose any significant risks ?

  No

  Yes

• Comments

• Are there any potential risks regarding minors in the property ?

  No

  Yes

• Comments

• Are there any potential risks regarding pets in the property ?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property at high risk of hypodermic needles ?

  No

  Yes

• Comments

Access Assessment

• Does the property have suitable access for the proposed works to be carried out safely ?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Does the property have suitable access for the transportation of materials and equipment ?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Are there any restrictions to the property i.e. Low bridge, neighbours access required ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property location a main pedestrian route and/or a public walkway ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is parking available, adequate for the size of vehicle and close to the property ?

  Yes

  No

• Comments,

• Photographic evidence

  Media

• Do parking restrictions exist i.e. Residents parking ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Will the proposed works affect neighbouring properties ?

  No

  Yes

• Comments

• Has the neighbouring property been notified of the immanent works?

  Select Verbal Notification Information letter posted Business card given Business card posted

  • Verbal Notification
  • Information letter posted
  • Business card given
  • Business card posted

• Date of notification given?

  Date

• Photographic evidence of adjoining property

  Media

Services Assessment

• Are there any overhead power lines that could pose a potential risk ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Are there any telephone lines or brackets fixed to the external walls that could pose a potential risk ?

  Select BT lines Wall Brackets Sky Brackets

  • BT lines
  • Wall Brackets
  • Sky Brackets

• Comments

• Photographic evidence

  Media

• Are there any electrical cables fixed to the external walls that could pose a potential risk ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Are there any gas supply pipes fixed to the external walls that could pose a potential risk ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Are there any electric or gas meter cupboards fixed to external walls that could pose a potential risk ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Does the property have a gas flue that could pose a potential risk ?

  No

  Yes

• Comments

• Photographic evidence

  Media

Asbestos Assessment

• Are we in receipt of or have access to the asbestos survey or register for this property ?

  Yes

  No

• Comments

• Has asbestos been identified ?

  No

  Yes

• Comments

• Photographic evidence

  Media

Assessment Sign off

• Surveyors Name

  Sign

• Residents Signature

  Sign