Title Page

  • Site conducted

  • Conducted on

  • Conducted by

  • Customer company name

Site details

  • Site address including postcode

  • Will the postcode take you to the correct part of site?

  • Please specify directions/location

  • Are there any site map/logistics plans

  • Add map/logistic plan

  • Add site location
  • Add site location

Specific timings

  • Can collection be made at any time between Monday to Friday 8am-5pm?

  • Please state requirements for timed deliveries/collections. For example, pre 7am collections or between school times 9:30am-2:30pm, Weekend works only?

Site requirements.

  • Who is the principal contractor on site?

  • Do they have specific documentation requirements? For example, permits, site specific RAMS, maximum ground bearing pressures, FORS certificates or temporary work requirements etc.

  • Please specify all requierments

Site rules

  • 21.jpg
  • Are they any site PPE or rules notice boards

  • Add photo of site PPE or rules

Requirements continued

  • Are there any specific client/contractor requirements regarding safety controls? For example, site specific working at height rules, site induction or instruction requirements.

  • Please specify all requierments

Height and width requirements

  • Height and width requirements

    Screenshot (18).png
  • Is access and egress to and from site restricted for a loaded lorry, Height and width?

  • Please specify restrictions

  • Add photo

Length requirements

  • Length requirements

    Screenshot (17).png
  • Is access and egress to and from site restricted with or without a trailer or artics?

  • Please specify restrictions

  • Add photo

Weight restrictions

  • Is access and egress to and from site restricted by any weight restrictions?

  • Please specify restrictions

  • Add photo

Changes to site

  • Will access and egress to and from site change for the eventual collection?

  • Will this impose any restrictions?

  • Please specify all restrictions

External restrictions

  • Are there any external restrictions on the approach to site which may obstruct the collection? For example, parked cars, narrow roads, dips in the road and raised humps, low bridges, sharp turns, overhanging branches, schools, roadworks etc.

  • Please state, and how will this be managed? for example, customer to arrange parking suspensions or customer to arrange traffic managements.

  • Is the customer aware of this?

  • The customer needs to be made aware of their responsibilities.

  • Add photos of the restrictions

  • Add photos of the restrictions

Interface

  • Is the site open to the general public? For example, a hospital, shopping centre, school, leisure centre, public highway, public car park etc.

  • How will segregation of the public be managed? For example, segregation barriers, traffic management, pedestrian management.

  • If a banks man is required it is the customers responsibility to supply this

On site personnel

  • Will there be a Client representative on site whilst the operation is in progress?

  • State the name and contact information of the customer on site representative

  • Please provide details of customer emergency contact

Set up requirements

  • Set up requirements

    Screenshot (16).png
  • Is there sufficient space available for the lorry loader vehicles to maneuver and set up for lifting, including vehicle stabilizers?

  • Please specify the restrictions

  • Add photo

Loading/offloading restrictions

  • Are there any restrictions on site preventing us from collecting the units immediately to the side of the delivery lorry?

  • Please specify the restrictions

  • Add photo

  • Will the site require our specialist lorry mounted loader crane for lifting over the front of the vehicle cab?

  • Please give as much detail as posible

  • Add photos

Work area

  • Is the work area clear with adequate hard standing (including site access)? Note: vehicles will not drive over or set up on grass or muddy areas.

  • Please specify

  • Add photo

Excavations

  • Ground conditions

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  • Are there any excavations close to the working area? Please note lorry mounted loader crane stabilisers need to be set up away from excavations.

  • Please specify, including distances

  • Add Photo

Voids, manholes and services

  • Is the ground around the working area free from underground voids and services, manhole covers, and backfilled areas?

  • Please specify

  • Add photo

Ground conditions

  • Are the ground conditions where the units are positioned of suitable strength to accommodate the lorry loader crane stabilisers, and the weight of the unit(s)?

  • Please specify

  • Add photo

Ground type

  • Please state ground type for the crane and units. For example, tarmac, concrete, hardstanding

  • Add photo

Ground bearing pressures

  • Are the Ground Bearing Pressure known (GBP) in kN/m2 or T/m2

  • Please specify

  • If any, please attach temporary works drawings/documents

Overhead hazards - Power lines

  • Are there any nearby overhead electricity cables within 40 meters of site?

  • Front elevation requierments

    Screenshot (9).png
  • Are the power lines further away than the requirement drawings?

  • Please specify in as much detail as possible

  • Add photo

  • Screenshot (13).png
  • Are the power lines further away than the requirement drawings?

  • Please specify in as much detail as possible

  • Add photo

  • Screenshot (13).png
  • Are the power lines further away than the requirement drawing?

  • Please specify in as much detail as possible

  • Add photos

  • Screenshot (10).png
  • Are the power lines further away than the requirement drawing?

  • Please specify in as much detail as possible

  • Add photos

Other overhead hazards

  • Are there any other overhead restrictions in the working area? For example, telephone cables, pipework, canopies, trees, bridges etc.

  • Please specify

  • Add photos

Other Hazards

  • Are there any obstructions such as hedges, walls, or fences we need to lift the unit over?

  • Please specify

  • If this is a blind lift where the operator cannot see the vehicle, crane, load and the loads intended path at all times this will require a second man on site

  • Add photos of the obstructions

Network rail

  • Is the site on network rail property?

  • Please give as much detail for the site regarding requirements, distances from lines, AOL etc. and add photo(s)

  • Add photo

Network rail continued

  • Is the site within 30m of a network rail boundary fence or network rail line?

  • Please state including distances

  • Add photo

Additional hazards

  • Are there any other hazards we need to be made aware of that is not specified so far?

  • Please give as much information as possible

  • Add photo and/or supporting documentation

Site

  • Have you walked/drove the vehicle transit route?

  • Why?

Foundations

  • Are Jack pads on site?

  • Jack pad will need to be involved in the off hire process

Off hire details

  • What are the proposed collection off hire dates? Note; there will be a minimum of 12 weeks notice for this.

Damage assessment (External)

  • Are the external wall panels free from damage?

  • please state damage and the applicable unit number(s)

  • Are the external doors free from damage?

  • please state damage and the applicable unit number(s)

  • Are the external staircases free from damage?

  • please state damage

  • Are the external window shutters operational and free from damage?

  • please state damage and the applicable unit number(s)

  • Are the lifting points free from damage?

  • please state damage and the applicable unit number(s)

  • Are the external free from graffiti and paint damage?

  • please state damage and the applicable unit number(s)

  • Are the external doors free from damage and not missing (including handles and locks)?

  • please state damage and the applicable unit number(s)

Damage Assessment (Internal)

  • Are the floor vinyl’s free from damage?

  • please state damage and the applicable unit number(s)

  • Are the interior wall panels free from damage and graffiti?

  • please state damage and the applicable unit number(s)

  • Are the ceiling panels free from damage?

  • please state damage and the applicable unit number(s)

  • Are the windows free from damage?

  • please state damage and the applicable unit number(s)

  • Are the window shutters operational and free from damage?

  • please state damage and the applicable unit number(s)

  • Are all doors free from damage and not missing (including handles and locks)?

  • please state damage and the applicable unit number(s)

  • Are all electrical points including light switches and sockets from damage?

  • please state damage and the applicable unit number(s)

  • Are all lights free from damage?

  • please state damage and the applicable unit number(s)

  • Are the Internal staircases free from damage?

  • please state damage and the applicable unit number(s)

  • Are the toilet units free from damage? Including damage to the cubicles, cisterns, pans and basins.

  • please state damage and the applicable unit number(s)

  • Are all plumbing works free from damage?

  • please state damage and the applicable unit number(s)

  • Are the heaters operational and free from damage?

  • please state damage and the applicable unit number(s)

  • Are our units cleaned to an acceptable standard?

  • please state damage and the applicable unit number(s)

  • Are our units free from any modifications or adaptions?

  • please state damage and the applicable unit number(s)

  • If there is any other damage, please list below

  • Any additional comments

Furniture Assessment

  • Is all furniture hired present and undamaged?

Sign off

  • Mobile Mini representatives name

  • Mobile Mini representatives position

  • Mobile Mini representatives signature

  • Date and time

  • Customer representatives name

  • Customer representatives position

  • Customer representatives signature

  • Date and time

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.