Highbury Low Risk/Non Complex CPP v2

• Job Number

• Client Reference

• Policy Holder Surname

• Location
  Address

• Start Date

  Date

• Construction Period

• Maximum No. of persons on site

• F10 required? Does this job need to be notified to the HSE?

Appointments

• Client (Insurer)

• Principal Contractor

  Highbury Homes Ltd, Oak Hill, Brighouse, HD6 1SN

• Principal Designer

• Contractors (Sub)

Initial Information

• Property Type

  Select Flat Detached Semi-Detached Terraced End Terrace Cottage Bungalow

  • Flat
  • Detached
  • Semi-Detached
  • Terraced
  • End Terrace
  • Cottage
  • Bungalow

• Use of structure

  Domestic

  Commercial

• Repair (Damage) Type

  Select Reinstatement repairs following Escape of water damage Reinstatement repairs following Fire damage Reinstatement repairs following Impact damage Reinstatement repairs following Subsidence damage Reinstatement repairs following damage by Other means Reinstatement repairs following storm damage Reinstatement repairs following Flood Damage Reinstatement repairs following Accidental damage

  • Reinstatement repairs following Escape of water damage
  • Reinstatement repairs following Fire damage
  • Reinstatement repairs following Impact damage
  • Reinstatement repairs following Subsidence damage
  • Reinstatement repairs following damage by Other means
  • Reinstatement repairs following storm damage
  • Reinstatement repairs following Flood Damage
  • Reinstatement repairs following Accidental damage

• Nature of peril

• Likely required repairs

  Select Joinery Plastering Electrical Redecoration Plumbing/Tiling Gas Roof work Masonry Other

  • Joinery
  • Plastering
  • Electrical
  • Redecoration
  • Plumbing/Tiling
  • Gas
  • Roof work
  • Masonry
  • Other

• Has the Risk Assessments been read and understood for the above repairs?

  Yes

  No

  N/A

• Are site staff trained and competent to safely carry out the above repairs?

  Yes

  No

  N/A

• Have site safety rules been read and understood by all on site?

  Yes

  No

  N/A

• Written instructions received as per the scope of works?

  Yes

  No

  N/A

Site Information

• Scaffolding required?

  Select Fixed scaffolding Tower scaffolding No scaffolding required

  • Fixed scaffolding
  • Tower scaffolding
  • No scaffolding required

• If fixed scaffolding is required as above, the completion of a high risk construction phase plan may need considering.

• Restricted access / Traffic routes

• Specialist Surveys Available?

  Select Structural Ground N/A

  • Structural
  • Ground
  • N/A

• Asbestos present? If so, where, what condition, what is the level of risk?

• Asbestos sample taken

  Yes

  No

  N/A

• Parking Restrictions?

  Limited on street parking

  Limited parking on property

  Available on street parking

  Available parking on the property

  Restricted parking

• Any Storage Restrictions?

  Limited space for waste and other materials

  Space available for storage of waste and other materials

  Restricted space for material storage and waste

• Skip location, Highways Permit required?

  On public highway, permit to be obtained

  On private land, permit not required

  No skip required

• Property occupied?

  Yes

  No

  N/A

• Others present?

  Select Children Animals Pets Elderly Disabled None

  • Children
  • Animals
  • Pets
  • Elderly
  • Disabled
  • None

• Other info

Significant risks involved

• Lone working

• Work at Height / Scaffolding

• Noise / Vibration

• Dust

• Manual Handling

• PPE

• Electrical works

• Ladders

• Power Tools

• Young workers / Apprentices on site

• Abrasive wheels

• Slips, Trips and Falls

• Work in occupied premises

• Waste disposal

• Confined spaces

• Excavation work

• Other risks

Other Information

• Welfare Arrangements?

  Select Use of toilet Use of wash basin Rest area available PH refuses use of welfare, unit to be sourced Use of kettle Use of Microwave

  • Use of toilet
  • Use of wash basin
  • Rest area available
  • PH refuses use of welfare, unit to be sourced
  • Use of kettle
  • Use of Microwave

• Consent form signed?

  Yes

  No

  N/A

• First Aid Location

  Select In works van At the site office

  • In works van
  • At the site office

• Nearest A&E

• Fire Plan - Attached in CDM pack

• Site Security
  
  The site will be left safe and secure at the end of each shift and at any time when the site is left unattended by the PC.
  
  The works area will have suitable signage and an emergency number present. Warnings and barriers will be placed around any vulnerable areas to prevent unauthorised access

• Incident reporting procedure
  
  All accidents, near misses and hazards will be reported to the company Health and Safety Manager via the Highbury Incident Reporting Form. All incidents will be considered and reviewed for further investigation as and when required.

Hazardous substances to be used (COSHH Assessments attached)

• Non-epoxy adhesives (various)

• Paints (various)

• Silicone sealants (various)

• Insulation

• Solvents for paints and timber treatment

• Drain cleaners

• Mixing cement/plaster/mortar

• Completed by (Full name)

  Sign