Goody Demolition Ltd.

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Information

• Please enter the project name and number

• Please enter the project address:
  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

  Date

• Please enter expected project completion date

  Date

• Please enter the expected project duration and number of phases if applicable

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is an F10 notification required for this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

• Are there drawings or plans available for this project?

  Yes

  No

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

  Select As Built Drainage Gas Electricity Water Telecoms Data

  • As Built
  • Drainage
  • Gas
  • Electricity
  • Water
  • Telecoms
  • Data

Asbestos Removal

• Is Asbestos removal required on this project?

  Yes

  No

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

  Select Horizon Envionmental Ltd. Principal Contractor Other

  • Horizon Envionmental Ltd.
  • Principal Contractor
  • Other

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

  Yes

  No

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

  Yes

  No

Services

• Are overhead services present?

  Yes

  No

• If yes, please give details:

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

  Yes

  No

  N/A

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

• If yes, are isolation certificates available?

  Yes

  No

• If no, give details of further action required:

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

  Select Water Gas Electricity Telecoms Data Fibre Optics Other

  • Water
  • Gas
  • Electricity
  • Telecoms
  • Data
  • Fibre Optics
  • Other

• Is there a gas meter present?

  Yes

  No

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

• Please give current meter reading:

• Is there an electricity meter present?

  Yes

  No

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

• Please give current meter reading:

• Is there a water meter present?

  Yes

  No

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

• Please give current meter reading:

• Is there a fire hydrant nearby?

  Yes

  No

• 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:

  Insufficient

  Adequate

  Good

• Will a hydrant licence be required?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

Live Services

• Is work in close proximity to live services required?

  Yes

  No

  N/A

• If yes, what type of services are present?

  Select Water Gas Electricity Telecoms Data Fibre Optics Other

  • Water
  • Gas
  • Electricity
  • Telecoms
  • Data
  • Fibre Optics
  • Other

• Who is responsible for providing protection?

  GDL

  Principal Contractor

  Client

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

  Yes

  No

  N/A

• Will extra time on program be required?

  Yes

  No

  N/A

Surveys

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

• Is a drainage survey required on this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

• Is an UXO survey required on this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

• Is there potential for contaminated soil on this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

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

  Yes

  No

• If yes, please give details:

Temporary Works

• Are temporary works required on this project?

  Yes

  No

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

  Select Fixed Scaffold (TG 20:13) Fixed Scaffold (Design Required) Propping Hoarding Heras Fencing (where wind loaded) Excavation Support Systems Crash Decking Falsework Formwork Façade Retention Piling Mat Crane Mat Excavator Ramp and Pad

  • Fixed Scaffold (TG 20:13)
  • Fixed Scaffold (Design Required)
  • Propping
  • Hoarding
  • Heras Fencing (where wind loaded)
  • Excavation Support Systems
  • Crash Decking
  • Falsework
  • Formwork
  • Façade Retention
  • Piling Mat
  • Crane Mat
  • Excavator Ramp and Pad

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

  GDL

  Principal Contractor

  Client

• 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?

  GDL

  Principal Contractor

  Client

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

  Select 24' x 9' Oasis Unit 20' x 8' Oasis Unit 16' Towable Unit 2 + 1 Toilet Block ½ Office x ½ Storage Unit 20' Office 20' Canteen 20' Storage Unit 10' Storage Unit

  • 24' x 9' Oasis Unit
  • 20' x 8' Oasis Unit
  • 16' Towable Unit
  • 2 + 1 Toilet Block
  • ½ Office x ½ Storage Unit
  • 20' Office
  • 20' Canteen
  • 20' Storage Unit
  • 10' Storage Unit

• What type of sewage removal is required?

  Effluent Tank

  Main Sewer Connection

Access

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

  Yes

  No

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

  Yes

  No

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

  Yes

  No

• What type of parking is available on this project?

  On site

  Off site

Highways

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

  Yes

  No

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

  Yes

  No

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

  Yes

  No

Plant

• What plant is required for this project?

  Select Demolition Excavator High Reach Excavator Straight Stick Excavator Forward Tipping Dumper Rear Tipping Dumper (Moxy) Crusher Screener Dust Buster 'Cherry Picker' MEWP 'Scissor Lift' MEWP Mobile Crane Crawler Crane Generator Fuel Bowser Lighting Tower Tractor and Bowser Roller

  • Demolition Excavator
  • High Reach Excavator
  • Straight Stick Excavator
  • Forward Tipping Dumper
  • Rear Tipping Dumper (Moxy)
  • Crusher
  • Screener
  • Dust Buster
  • 'Cherry Picker' MEWP
  • 'Scissor Lift' MEWP
  • Mobile Crane
  • Crawler Crane
  • Generator
  • Fuel Bowser
  • Lighting Tower
  • Tractor and Bowser
  • Roller

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

  Select Mini Excavator 14 Tonne 20 Tonne 25 tonne 30 Tonne 35 tonne

  • Mini Excavator
  • 14 Tonne
  • 20 Tonne
  • 25 tonne
  • 30 Tonne
  • 35 tonne

• Is any specialist plant required for this project?

  Yes

  No

• If yes, please give details:

Material Salvage and Recycling

• Is there potential for material salvage on this project?

  Yes

  No

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

  Select Bricks Slates Kent Peg Tiles Floor Boards Joists Roof Boarding Chimneys Radiators Fireplaces Sash Windows Architectural Ironmongery Architectural Lighting Architectural Plaster Features Doors

  • Bricks
  • Slates
  • Kent Peg Tiles
  • Floor Boards
  • Joists
  • Roof Boarding
  • Chimneys
  • Radiators
  • Fireplaces
  • Sash Windows
  • Architectural Ironmongery
  • Architectural Lighting
  • Architectural Plaster Features
  • Doors

• Is there potential for the recycling of glass on this project?

  Yes

  No

• If yes, please give details:

• Is there potential for the recycling of UPVC on this project?

  Yes

  No

• If yes, please give details:

• Is there potential for the recycling of plasterboard on this project?

  Yes

  No

• If yes, please give details:

• Is there potential for the recycling of lighting tubes on this project?

  Yes

  No

• If yes, please give details:

• Is there potential for the recycling of tyres on this project?

  Yes

  No

• If yes, please give details:

• is there potential for the recycling of tarmac on this project?

  Yes

  No

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

  Yes

  No

  N/A

• If yes, please give details:

• Is there potential for the recycling of timber on this project?

  Yes

  No

• If yes, please give details:

• Is there the potential for the recycling of metal on this project?

  Yes

  No

• If yes, please select metal categories from the drop down menu:

  Select Ferrous Non-Ferrous

  • Ferrous
  • Non-Ferrous

• Is is crushing due to be undertaken on this project?

  Yes

  No

• If yes, what grade of material is required?

  Select 6F2 6F1 Type 1 Type 2

  • 6F2
  • 6F1
  • Type 1
  • Type 2

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

  GDL

  Principal Contractor

  Client

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

  Leave on site for use by client

  Export from site

• Is there potential for the recycling or reuse of furniture on this project? (consideration should be given to donating to charity)

  Yes

  No

• If Yes, please give details:

• Is there to potential for fire extinguisher salvage and reuse on this project?

  Yes

  No

• If yes, please give details:

Environmental

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

  Yes

  No

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

  Select Felling Pollarding Pruning Topping Crown Reduction Crown Tninning

  • Felling
  • Pollarding
  • Pruning
  • Topping
  • Crown Reduction
  • Crown Tninning

• Who is responsible for organising the tree works?

  GDL

  Principal Contractor

  Client

• Are there any Tree Preservation Orders in place?

  Yes

  No

• If yes, please give details:

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

  Yes

  No

• If yes, please give details:

• Is a tree root protection zone required?

  Yes

  No

• If yes, please give details:

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

  Yes

  No

• Do tree roots extend beyond the site boundary?

  Yes

  No

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

Environmental Surveys

• Has an ecological survey been undertaken for this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

• If yes have any invasive plant species been identified?

  Yes

  No

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

  Select Giant Hogweed Japanese Knotweed Rhododendron Ponticum Himalayan Balsam New Zealand Pigmyweed Duck Weed Tree Groundsel Carolina Fanwort Water Hyacinth Water Primrose American Skunk Cabbage Parthenium Weed Kudzu Milkweed Nuttall's Waterweed Chilean Rhubarb Crimson Fountain Grass Horse Tail Weed

  • Giant Hogweed
  • Japanese Knotweed
  • Rhododendron Ponticum
  • Himalayan Balsam
  • New Zealand Pigmyweed
  • Duck Weed
  • Tree Groundsel
  • Carolina Fanwort
  • Water Hyacinth
  • Water Primrose
  • American Skunk Cabbage
  • Parthenium Weed
  • Kudzu
  • Milkweed
  • Nuttall's Waterweed
  • Chilean Rhubarb
  • Crimson Fountain Grass
  • Horse Tail Weed

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

  Yes

  No

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

  Select Area of Special Scientific Interest Area of Outstanding Natural Beauty Preservation Area

  • Area of Special Scientific Interest
  • Area of Outstanding Natural Beauty
  • Preservation Area

• Has a habitat survey been undertaken for this project?

  Yes

  No

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

  GDL

  Principal Contractor

  Client

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

  Select Bats Newts Frogs Natterjack Toads Slow Worms Badgers Nesting Birds Birds of Prey Small Mammals of Note

  • Bats
  • Newts
  • Frogs
  • Natterjack Toads
  • Slow Worms
  • Badgers
  • Nesting Birds
  • Birds of Prey
  • Small Mammals of Note

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

  Yes

  No

• If yes, are protection measures required?

  Yes

  No

• If yes, please give details below?

COSHH

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

  Yes

  No

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

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

  GDL

  Principal Contractor

  Client

• Are there any fuel tanks which require removal?

  Yes

  No

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

Environmental Monitoring

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

  Yes

  No

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

  GDL

  Principal Contractor

  Client

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

  Select Noise Dust Vibration

  • Noise
  • Dust
  • Vibration

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)

  Compliant

  Non-Compliant

  N/A

• If Non-Compliant please give details of compliance failings

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

  Yes

  No

  N/A

• If no please give details

Sign off

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

• Add signature

  Sign