Title Page

  • Site conducted

  • Project ID:

  • Location:

  • Project Type:

  • Principal Contractor / Contractor Name:

  • Conducted on:

  • Assessed by:

  • Result of Assessment:

  • Please see "Failed Items" for where further information is required or where sections are Incomplete.

Section 1 - Scope of Works

  • Description of project and full scope of works:

  • Project dates:

  • Project Directory / Key Contact Details:

Section 2 - Residual Risks

  • Residual Risk Register(s) or Design Risk Register(s):

Section 3 - Key Structural Principles

  • (e.g. bracing, sources of substantial stored energy – including pre- or post-tensioned members) and safe working loads for floor and roof.

  • Structural calculations for foundations, superstructure, roof structure and drainage installations.

Section 4 - Hazardous Materials

  • Records of hazardous materials used on site including their location, quantity, data sheets etc.

  • Asbestos and Contamination: any remaining /residual hazards on-site, within the ground or as existing structure/buildings. Designers to confirm hazardous materials adopted (if any) and / or provide a statement.

Section 5 - Removal / Dismantling / Maintenance Access Strategy for M&E equipment

  • Information regarding the removal or dismantling of installed plant and equipment (e.g. any special arrangements for lifting such equipment for future repairs, maintenance or replacement)?

Section 6 - Building and site wide H&S information

  • Equipment and/or Cleaning and Maintenance Access Strategies (where required).

Section 7 - Services: “As installed” Services Layout & Fire-Fighting Services.

  • The nature, location and markings of significant services, including electrical & mechanical installations, underground cables; gas supply equipment; firefighting services etc.

  • Note: If applicable, Client to liaise on any retrospective fire equipment to be installed for inclusion on fire plan.

Section 8 - Final Construction / As Built Drawings

  • As built drawings of the building, its plant and equipment, layout, elevations (e.g. the means of safe access to and from services voids and fire doors)?

  • Architect / Lead Designer: all to be referring to O&M manual, where a more complete sets of drawings are available.

  • - Site Boundary treatment plan

  • - GA Plans: GF and FF (fire) + roof plan

  • - GA Elevations

  • - GA Sections

  • - GA slab duct routes

  • Structural/ Civil Engineers: all to be referring to O&M manual, where a more complete sets of drawings are available

  • - Drainage

  • - Structural GA plans: foundation, GF, FF, etc and roof plan

  • - Summary of Structural calculation/ loadings (this may form part of Item 3 - Key Structural Principles above)

  • - Drainage design and calculations

  • M&E: all to be referring to O&M manual, where a more complete sets of drawings are available

  • - Services layout plans: GA’s of each floor plate - GF, FF, etc and roof plan

Section 9 - Information from Sub-Contractors

  • Auto doors

  • Aluminium shop fronts/ entrance pod

  • Steel/ wooden plastic-coated doors

  • Sectional doors

  • Rapid roll/ flip flap doors

  • Dock plate

  • Attic access hatch and ladder

  • Locks, padlocks, key suiting, code lock

  • Bricks, blocks, concrete panels, fabrication etc.

  • Internal/ external plaster/ render finish

  • Roof coverings, membrane, insulation

  • Fascia, claddings, gables, soffits, rainwater goods

  • Drainage, pipes, chambers, pumps

  • Drainage storm water tanks, petrol/ oil separators

  • Boundary fences, gates and fencing (Acoustics)

  • Floor/ wall tiles

  • Timber roof trusses, steel structure

  • Product/ Location Inspection Report

  • Concrete deliveries, concrete cube test results, datasheets

Section 10 - Electrical

  • Brief description of system (In English)

  • Layout drawings

  • Distribution board/ circuit layout

  • Fruit and Veg/ cosmetic lighting layout

  • Lighting information/ LUX plot

  • Site plan externally

  • NICEIC certificates

  • Emergency lighting certification

Section 11 - Mechanical

  • Brief description of system (In English)

  • Layout drawings

  • Supply and extract ventilation information

  • Pumps, valves, controls info

  • BMS panel manual

  • Test/ commissioning data

  • Gas safe registered certificate for gas installation

  • Kitchen equipment (Fridge, dishwasher)

Section 12 - Certification

  • Air pressure test

  • Building Regulation – Final Certificate

  • EPC

  • External quality control certificates (roof and cladding, tiling, groundworks)

Section 13 - Non-Standard Items

  • Ground source heat pumps

  • Foul water pump, storm water pump

  • Fuel Interceptor

  • Goods lift

  • Passenger Lift

  • Air conditioning, air curtain

  • Bakery

  • Entrance gate

Section 14 - Other

  • Additional Comments following assessment?

  • Additional Comments:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.