Title Page

  • Conducted on

  • Prepared by

  • Job Number

Project Information

  • Please enter the project name and number

  • Please enter the project address:

  • Who is the Client for this project?

  • Who is the Principal Contractor for this project?

  • Who is the site contact?

  • Please enter the site contact telephone number:

  • Please enter the site contact email address:

  • Please enter project start date

  • Please enter expected project completion date

  • Project duration and number of phases if applicable

  • Is a section 81 demolition notice required for this project?

  • if yes, who is responsible for submitting Section 80 application?

  • Has section 80 application been submitted to the local authority?

  • Has section 81 notice been returned by the local authority?

  • Is an F10 notification required for this project?

  • If yes, who is responsible for submitting the F10 notification?

  • Are there drawings or plans available for this project?

  • If yes, what type of drawings or plans are available?

Demolition Scope

  • Slab Depth

  • Foundation Depth

  • Crush Onsite

  • Drainage cut off and removal

Asbestos Removal

  • Is Asbestos removal required on this project?

  • If yes, who is responsible for undertaking the removal works?

  • If no, has Asbestos removal been undertaken by others prior to GDL works Commencing?

  • If yes, has a stage 4 air clearence certificate been issued ?

Services

  • Are overhead services present?

  • If yes, please give details:

  • Has the client arranged for service disconnections to be undertaken?

  • If no, give details of any further action required:

  • If yes, are isolation certificates available?

  • If no, give details of further action required:

  • If yes, please select which isolation certificates have been provided from the drop down menu

  • Is there a gas meter present?

  • If yes, please give details: (service provider, location, meter number etc.)

  • Please give current meter reading:

  • Is there an electricity meter present?

  • If yes, please give details: (service provider, location, meter number etc.)

  • Please give current meter reading:

  • Is there a water meter present?

  • If yes, please give details: (service provider, location, meter number etc.)

  • Please give current meter reading:

  • Is there a fire hydrant nearby?

  • If yes, please give details: (location, suitability for use as dust suppression supply, etc.)

  • Please select the option form the drop down menu that best describes the water pressure:

  • Will a hydrant licence be required?

  • If yes, who is responsible for obtaining hydrant licence?

Live Services

  • Is work in close proximity to live services required?

  • If yes, what type of services are present?

  • Who is responsible for providing protection?

  • Has the client been provided with and signed the GDL disclaimer document?

  • Will extra time on program be required?

Surveys

  • Is a survey for unknown utility services required on this project?

  • If yes, who is responsible for commissioning unknown utilities survey?

  • Has an R&D Asbestos survey been undertaken on this project?

  • If No, who is responsible for commissioning R&D Asbestos survey?

  • Is a drainage survey required on this project?

  • If yes, who is responsible for commissioning drainage survey?

  • Is an UXO survey required on this project?

  • If yes, who is responsible for commissioning UXO survey?

  • Is there potential for contaminated soil on this project?

  • If yes, who is responsible for commissioning soil sampling?

  • Are any additional surveys not listed above required on this project

  • If yes, please give details:

Temporary Works

  • Are temporary works required on this project?

  • If yes, what temporary works are required? (please select all relevant options from the dropdown menu)

  • Who is responsible for appointing the Temporary Works Coordinator (TWC) for this project?

  • Please enter name of TWC

  • PLease enter contact telephone number for TWC

  • Please enter email address for TWC

Welfare

  • Who is responsible for providing welfare on this project?

  • Where GDL are responsible what type of welfare units are required?

  • What type of sewage removal is required?

Access

  • Are there any width restrictions in relation to access? (f yes please take photographs and give details)

  • Are the any height restrictions in relation to access? (f yes please take photographs and give details)

  • Are there any weight restrictions in relation to access? (f yes please take photographs and give details)

  • What type of parking is available on this project?

Highways

  • Is a Skip Licence required? (7 days notice required prior to start date)

  • Is a scaffold licence required? (7 days notice required prior to start date)

  • Is a hoarding licence required? (7 days notice required prior to start date)

Plant

  • What plant is required for this project?

  • Wher a demolition excavator is required what capacity would be best suited to the works?

  • Is any specialist plant required for this project?

  • If yes, please give details:

Material Salvage and Recycling

  • Is there potential for material salvage on this project?

  • If yes, please select materials to be salvaged form the drop down menu:

  • If yes, has a test for the presence of coal tar been undertaken?

  • If yes, please give details:

  • Who is responsible for organising quality testing on the crushed material?

  • What is to happen with the end crushed material product?

Environmental

  • Is there a requirement for tree works to be undertaken on this project?

  • If yes, please select the type of tree works from the drop down menu

  • Who is responsible for organising the tree works?

  • Are there any Tree Preservation Orders in place?

  • If yes, please give details:

  • Is the set up of a tree protection zone required?

  • If yes, please give details:

  • Is a tree root protection zone required?

  • If yes, please give details:

  • Are drawings available of proposed tree and root protection zones?

  • Do tree roots extend beyond the site boundary?

  • Is there a requirement for green waste to be removed from site?

  • If yes, who is responsible for the removal of green waste?

Environmental Surveys

  • Has an ecological survey been undertaken for this project?

  • If no, who is responsible for commissioning ecological survey?

  • If yes have any invasive plant species been identified?

  • If yes, please select species identified from the drop down menu:

  • Is the site considered to be located within an area of specific environmental concern?

  • If yes, please select the most appropriate option form the drop down menu:

  • Has a habitat survey been undertaken for this project?

  • If no, who is responsible for commissioning habitat survey?

  • If yes, please select endangered species identified in survey from the drop down menu:

  • Are there any watercourses in close proximity to this project?

  • If yes, are protection measures required?

  • If yes, please give details below?

COSHH

  • Are there any inherited COSHH items (chemicals, oils, etc.) which require specialist disposal?

  • If yes, please give details of COSHH items identified for removal:

  • Who is responsible for orgainising the removal of the COSHH items listed above?

  • Are there any fuel tanks which require removal?

  • If yes, have they been previously emptied, degassed and a certificate of cleanliness issued?

  • If no, who is responsible for engaging a specialist subcontractor to undertake these works?

Environmental Monitoring

  • Is there a requirement for environmental monitoring to be undertaken on this project?

  • If yes, who is responsible for undertaking environmental monitoring?

  • Where GDL are responsible, please select monitoring categories from the drop down menu:

Waste Notes

  • Are waste notes compliant? (Please select a minmum of 3 waste notes and check that they have been completed correctly, ensuring that you include photographs)

  • If Non-Compliant please give details of compliance failings

  • Have the waste notes sampled been entered in the onsite waste material checklist?

  • If no please give details

Sign off

  • Once you have completed all mandatory sections the checklist in full, please sign below.

  • Signature

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