Lindamood Engineering Survey

• Document No.

• Engineering Survey

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• This inspection is to be made by the competent person assigned by Lindamood Demolition Inc. The Superintendent and/or Foreman will be familiar with the information in this survey and share it with the project personnel assigned to this project.

• Date

  Date

• General Contractor

• GC Project Manager

• GC Project Manager's phone number

• Owner

• Address

• Contact

• Job name

• Project location

• Cross streets

• Mapsco locator

• Job start date

• Estimated completion date

• Working days

• Lindamood

• Superintendent

• Project Manager/Estimator

Engineering and Site Conditions

• Type of structure

  Yes

  No

  N/A

• Structure material

  Yes

  No

  N/A

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Building height

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Floors

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Single floor dimension

• Additional calculations advisable for?

  Select Yes No

  • Yes
  • No

• If yes

  Select Wall shoring Bracing Floor loading Other

  • Wall shoring
  • Bracing
  • Floor loading
  • Other

• If "Other" explain.

• Pre-existing structural defects or hazards?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, explain

• Note any other unusual items or significant project considerations

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• What is the apparent condition of nearby structures?

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Do operations pose a risk or problem to adjacent structures?

  Select Yes No

  • Yes
  • No

• Note any obstacles that operators need to be aware of.

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Are there any limitations on the use of equipment and/or procedures?

  Select Yes No

  • Yes
  • No

• Note limitations within structure.

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Note limitations on the site.

• Specific procedures or methods of demolition:

  Select Mechanical Sawcutting Abatement Torch cutting Implosion Other

  • Mechanical
  • Sawcutting
  • Abatement
  • Torch cutting
  • Implosion
  • Other

• If "other" explain

• Shoring required?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, please specify.

• Project specific requirements

  Select Training orientation Background checks Drug testing Training cards OCIP/ROCIP/CCIP/PCIP enrollment Additional insurance Certified payroll Other

  • Training orientation
  • Background checks
  • Drug testing
  • Training cards
  • OCIP/ROCIP/CCIP/PCIP enrollment
  • Additional insurance
  • Certified payroll
  • Other

• If "other" explain.

Utilities

• Are electrical & telephone lines close to the structure?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Type

  Select Overhead Below grade

  • Overhead
  • Below grade

• Protected by:

  Select Owner GC Lindamood Other

  • Owner
  • GC
  • Lindamood
  • Other

• If "other", who?

• Removed by:

  Select Owner GC Lindamood Other

  • Owner
  • GC
  • Lindamood
  • Other

• If "other", who?

• Relocated by:

  Select Owner GC Lindamood Other

  • Owner
  • GC
  • Lindamood
  • Other

• If "other", who?

• Are nearby utilities to remain active during demolition?

  Select Yes No

  • Yes
  • No

• If yes, please explain how they will be protected.

• Are Gas, Utility, Process or other pipelines in the vicinity?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Have the utility owners been contacted?

  Select Yes No

  • Yes
  • No

• If yes, please provide contact information

Contaminants

• Surveys

  Select Yes No

  • Yes
  • No

• Asbestos

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Lead

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Others

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• By whom?

• Site inspected by Lindamood Demolition representative?

  Select Yes No

  • Yes
  • No

• Previous abatement/decontamination work at the site?

  Select Yes No

  • Yes
  • No

• Other remediation or decontamination that needs to be coordinated?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Underground tanks?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, what size and type of tank/s

• Other suspect or flammable items visible?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Any suspect materials or substances that need to be tested?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

Public Safety

• Pedestrian protection?

  Select Yes No

  • Yes
  • No

• Party walls/attached conditions?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Lateral support needed?

  Select Yes No

  • Yes
  • No

• Undermining issues?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Adjoining buildings?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Is protection required? If so what protection is required?

• Permission to enter?

  Select Yes No

  • Yes
  • No

• Adjacent properties?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• Unsafe conditions?

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, please specify.

• Manholes

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, will they be protected by:

  Select GC Lindamood

  • GC
  • Lindamood

• Pits

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, will they be protected by:

  Select GC Lindamood

  • GC
  • Lindamood

• Trenches

  Select Yes No

  • Yes
  • No

• Take pictures of the site and important issues that need to be documented or addressed.

  Media

• If yes, will they be protected by:

  Select GC Lindamood

  • GC
  • Lindamood

• Trench shoring

  Select Yes No

  • Yes
  • No

• If yes, will they be protected by:

  Select GC Lindamood

  • GC
  • Lindamood

• Additional protection:

  Select Scaffolding Chutes Barricades Construction fence SWPPP Sidewalks

  • Scaffolding
  • Chutes
  • Barricades
  • Construction fence
  • SWPPP
  • Sidewalks

• Traffic control:

  Select Yes No

  • Yes
  • No

• Flagger/s

  Select Yes No

  • Yes
  • No

• Photos allowed prior to the start of work?

  Select Yes No

  • Yes
  • No

• Special schedule considerations?

  Select Yes No

  • Yes
  • No

• If yes, explain.

• Has the owner been notified of the condition of the structure?

  Select Yes No

  • Yes
  • No

• Are there salvage items to be saved for the owner?

  Select Yes No

  • Yes
  • No

• If yes, please list.

• Salvage materials:

  Select Non ferrous metal Copper Electrical wiring Brass Aluminum Steel Iron Other

  • Non ferrous metal
  • Copper
  • Electrical wiring
  • Brass
  • Aluminum
  • Steel
  • Iron
  • Other

• LEED project?

  Select Yes No

  • Yes
  • No

• Second tier contractors?

  Select Yes No

  • Yes
  • No

• If yes, list the company name and contact for each subcontractor.

• Documents required from subcontractors

  Select COI Safety program Sub coordinator Contract/Proposal

  • COI
  • Safety program
  • Sub coordinator
  • Contract/Proposal