HSE Site Survey

• Site

  Select

• Date

  Date

• Prepared by

• Location
  Address

• Attendees

Health & Safety

• Above ground hazards: Overhead Power Lines present - will the work encroach on safety distance (consider plant movements), BT cables

  Acceptable

  Non Acceptable

  N/A

• Underground hazards: Utilities present (LV/HV cables, gas pipes, oil filled, 3rd party pipelines, fibre optic)

  Acceptable

  Non Acceptable

  N/A

• Network rail infrastructure in the vicinity

  Acceptable

  Non Acceptable

  N/A

• Presence of landfill site

  Acceptable

  Non Acceptable

  N/A

• Previous use of land

• Site located where catastrophic damage could occur (Over tunnels, major sewers, water pipes)

  Acceptable

  Non Acceptable

  N/A

• Risk of flooding, topo layout

  Acceptable

  Non Acceptable

  N/A

• Structural stability of existing structures

  Acceptable

  Non Acceptable

  N/A

• Utility surveys available

  Acceptable

  Non Acceptable

  N/A

• Any site-specific site rules required

  Acceptable

  Non Acceptable

  N/A

• Works carried out on 3rd party premises

  Acceptable

  Non Acceptable

  N/A

• Game Fowl Hunting observed

  Acceptable

  Non Acceptable

  N/A

Environment

• Rivers in the vicinity

  Acceptable

  Non Acceptable

  N/A

• Watercourses in the vicinity

  Acceptable

  Non Acceptable

  N/A

• Wildlife & Woodland habitat

  Acceptable

  Non Acceptable

  N/A

• Tree preservation order applicable

  Acceptable

  Non Acceptable

  N/A

• Area of outstanding natural beauty

  Acceptable

  Non Acceptable

  N/A

• Noise restrictions in place

  Acceptable

  Non Acceptable

  N/A

• Site of specific scientific interest

  Acceptable

  Non Acceptable

  N/A

• Work impact on hedgerows, trees

  Acceptable

  Non Acceptable

  N/A

• Adjacent land use

  Acceptable

  Non Acceptable

  N/A

• Grass cutting required

  Acceptable

  Non Acceptable

  N/A

• Laydown/Storage/Welfare area agreed/proposed

  Acceptable

  Non Acceptable

  N/A

• Additional lease required for laydown area

  Acceptable

  Non Acceptable

  N/A

Traffic Management

• Good access/egress to local road network

  Acceptable

  Non Acceptable

  N/A

• Condition of local road network/access road

  Acceptable

  Non Acceptable

  N/A

• Speed restrictions on access road

  Acceptable

  Non Acceptable

  N/A

• Road closures required

  Acceptable

  Non Acceptable

  N/A

• Restricted access to HGV movements

  Acceptable

  Non Acceptable

  N/A

• Bus routes/stops or one way traffic schemes in operation

  Acceptable

  Non Acceptable

  N/A

• Pedestrian crossings affected

  Acceptable

  Non Acceptable

  N/A

• Schools affected

  Acceptable

  Non Acceptable

  N/A

• Footways/Bridleways/Public Rights of Way affected

  Acceptable

  Non Acceptable

  N/A

Security

• Signs of vandalism

  Acceptable

  Non Acceptable

  N/A

• Historical data on security threats

  Acceptable

  Non Acceptable

  N/A

• Site close to roads, residential properties

  Acceptable

  Non Acceptable

  N/A