PD Initial Hazard Identification Checklist

• Client

• Project Name

• Building Number

• Local Authority Details

• When was the Building Constructed?

• Project Number

• Conducted on

  Date

• Survey Conducted by

FACTORY WITHIN A FACTORY

• Is a factory within a factory system to be enforced?

  Yes

  No

• What is the agreed system?

  Yes

  No

SURVEYS

• Are the following surveys available?

  Yes

  No

• Unexploded Ordnance Survey (UXO)?

  Yes

  No

• Archaeological Survey?

  Yes

  No

• Ground Survey (Desktop)

  Yes

  No

• Ground Survey Intrusive?

  Yes

  No

• Ground Water Survey?

  Yes

  No

• Surface Water Survey

  Yes

  No

• Geotechnical Survey (Ground Movement)?

  Yes

  No

• Topographical Survey (Ground Elevation)?

  Yes

  No

• Building/Structural Foundation Survey?

  Yes

  No

• Building/Structural Condition Survey?

  Yes

  No

• Building/Structural Survey (Physical Condition)?

  Yes

  No

• Mechanical & Electrical Services Survey?

  Yes

  No

• Potential Crane Location Surveys (Ground Bearing Tests)?

  Yes

  No

• Existing Services Surveys (Gas/Water/Elec/Data)?

  Yes

  No

• Lead Surveys?

  Yes

  No

• Noise Surveys?

  Yes

  No

• Boundary Survey?

  Yes

  No

• Habitat/Wildlife Survey?

  Yes

  No

• Protected Species Survey?

  Yes

  No

• Invasive Plant Species Survey?

  Yes

  No

ASBESTOS

• Is there a possibility of Asbestos on site?

  Yes

  No

• When was the site built?

• Who is the "duty holder"?

• Where is the potential asbestos?

• Is there an asbestos register?

• Is there an asbestos management plan?

GUANO

• Is "Guano" (Bird Droppings) exposure expected?

  Yes

  No

• Are there any test reports available? Have they been provided by the Client?

  Yes

  No

LEAD PAINT

• Is there any possibility of lead paint exposure?

  Yes

  No

• Are there any test reports available? Have they been provided by the Client?

  Select Yes No

  • Yes
  • No

SILICA DUST

• Will silica dust be generated during the works?

  Yes

  No

• What suppression controls are to be in place?

  Yes

  No

MILD STEEL WELDING/CUTTING FUMES

• Is there any possibility of mild steel fume exposure?

  Yes

  No

• Have all controls been considered?

  Select Yes No

  • Yes
  • No

LEGIONELLA

• Is there any possibility for legionella exposure?

  Yes

  No

• Are legionella reports available? Have these been provided by the Client?

  Select Yes No

  • Yes
  • No

RADIATION

• Is there any possibility or radiation exposure?

  Yes

  No

• Are there any test reports available? Have they been provided by the Client?

CHROMATE

• Is there any possibility of chromate on site?

  Yes

  No

• Are there any test reports available? Have they been provided by the Client?

  Yes

  No

AMMONIA

• Is there any ammonia on site?

  Yes

  No

  N/A

• Are there any test reports available? Have they been provided by the Client?

  Yes

  No

  N/A

OTHER TYPES OF HAZARD KNOW BY THE CLIENT?

• Are there any other hazards that the Client is aware of?

  Yes

  No

• Are there any test reports available? Have they been provided by the Client?

  Yes

  No

ATEX

• Are there any local ATEX concerns?

  Yes

  No

• Local area requirements to be observed?

DANGEROUS SUBSTANCES AND EXPLOSIVE ATMOSPHERE REGULATIONS (DSEAR)

• Are there any local DSEAR concerns?

  Yes

  No

• Local area requirements to be observed?

CONTROL OF MAJOR ACCIDENT HAZARDS (COMAH)

• Are there any local COMAH concerns?

  Yes

  No

• Local area requirements to be observed?

PLANT & EQUIPMENT

• Are de-planting & equipment items being removed during the works?

  Yes

  No

• Are all items decommissioned & isolated?

  Select Yes No

  • Yes
  • No

• Have all vessels been cleared?

  Select Yes No

  • Yes
  • No

• Are all lines purged?

  Select Yes No

  • Yes
  • No

SERVICES

• Are there any services that may effect the works from the list below?

  Yes

  No

• Are there any gas services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any High Voltage electrical services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any 240V electrical services that may effect the works?

  Yes

  No

• Are there any Air services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any oil services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any water services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there water drainage services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there foul drainage services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any CCTV services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any telecommunications services that may effect the works?

  Select Yes No

  • Yes
  • No

• Are there any fire detection services that may effect the works?

  Select Yes No

  • Yes
  • No

• Is there a risk of unknown services?

  Select Yes No

  • Yes
  • No

EXISTING ENVIRONMENT

• Will the works effect the existing environment?

  Yes

  No

• In what way my this be effected?

• What other potential works are in the area?

ENVIRONMENTAL MANAGEMENT

• Are there any environmental restrictions within the works areas?

  Yes

  No

• Confirm if there is any evidence of invasive plants?

  Select Yes No

  • Yes
  • No

• Confirm that the site is free from trees that have any Tree Protection Order's (TPO)?

  Select Yes No

  • Yes
  • No

• Confirm if any local drainage plans are available for site?

  Select Yes No

  • Yes
  • No

• Confirm that uncontrolled discharge to water sources has been considered?

  Select Yes No

  • Yes
  • No

• Confirm there is no evidence of any land contamination from site activities?

  Select Yes No

  • Yes
  • No

OCCUPATIONAL HEALTH, NOISE, DUST & VIBRATION, HAV

• Will the intended works cause any of noise, dust or vibration hazards?

  Yes

  No

• Noise (Anticipated level)

  Select Yes No

  • Yes
  • No

• Dust (Type, Concrete or wood)

  Select Yes No

  • Yes
  • No

• Vibration (will this effected any surrounding individuals or equipment)

  Select Yes No

  • Yes
  • No

• Fumes (from cutting or welding)

  Select Yes No

  • Yes
  • No

• Will HAV from vibration be a consideration??

  Select Yes No

  • Yes
  • No

CHEMICALS & FUELS

• Are there any explosive or corrosive chemicals in the area?

  Yes

  No

• What are the chemicals? (Manufacturers Safety Data Sheets required)

• Are any process grease or oils residues expected?

  Select Yes No

  • Yes
  • No

EXCAVATIONS & EARTHWORKS

• Are there excavations & earth remediation within the scope of works?

  Yes

  No

• Confirm service & utility drawings available from the Client

  Select Yes No

  • Yes
  • No

• Confirm that if required Cable Avoidance Techniques (CAT) scans or Signal Generator (GENNY) investigations are conducted to determine the presence of any buried services before & during all excavation works?

  Select Yes No

  • Yes
  • No

• Is there a water table risk within the works area?

  Select Yes No

  • Yes
  • No

STRUCTURAL REMOVAL

• Are structural removals or modifications included within the scope of works?

  Yes

  No

• Are structural removals expected during the works?

  Select Yes No

  • Yes
  • No

• Are structural modifications expected during the works?

  Select Yes No

  • Yes
  • No

TEMPORARY WORKS

• Are temp works expected?

  Yes

  No

• Temp works qualifications?

GENERAL CONSTRUCTION/DEMOLITION

• Can any items within the works areas be moved to remove or reduce any risk?

  Select Yes No

  • Yes
  • No

• Does the area have any structural concerns?

  Select Yes No

  • Yes
  • No

• Is there any potential for ground uncontrolled collapse?

  Select Yes No

  • Yes
  • No

• Is there potential to fall though any opening?

  Select Yes No

  • Yes
  • No

• Is there potential for falling debris?

  Select Yes No

  • Yes
  • No

• Is there potential for falling tools?

  Select Yes No

  • Yes
  • No

CONFINED SPACES

• Is entry to any confined space expected?

  Yes

  No

• Are there any plant rooms within the area?

  Select Yes No

  • Yes
  • No

• Are there any works within roof voids?

  Select Yes No

  • Yes
  • No

• Are there any man holes within the area?

  Select Yes No

  • Yes
  • No

MANUAL & MECHANICAL HANDLING

• Is manual handling works expected?

  Yes

  No

• Are manual handling works expected?

  Select Yes No

  • Yes
  • No

• Are mechanical handling works expected?

  Select Yes No

  • Yes
  • No

TRAFFIC & PEDESTRIAN MANAGEMENT

• Is site access and egress safe?

  Select Yes No

  • Yes
  • No

• Can the works area be made "sterile". (No one can enter the segregated area?)

  Select Yes No

  • Yes
  • No

• Can traffic & pedestrian segregation be achieved?

  Select Yes No

  • Yes
  • No

• Are any emergency routes obstructed?

  Select Yes No

  • Yes
  • No

• is there a risk of vehicle collision?

  Select Yes No

  • Yes
  • No

• Is there an area for the lay down of stores?

  Select Yes No

  • Yes
  • No

WORKING AT HEIGHT

• Are working at height operations expected within the scope of works?

  Yes

  No

• Is there the potential for falls from height?

  Select Yes No

  • Yes
  • No

• Is there potential for falling equipment?

  Select Yes No

  • Yes
  • No

• Is there potential for falling tools?

  Select Yes No

  • Yes
  • No

• Are there potential works near the edge of open trenches or excavations?

  Select Yes No

  • Yes
  • No

• Are there overhead cables in the works area?

  Select Yes No

  • Yes
  • No

• Are there overhead cranes in the works area?

  Select Yes No

  • Yes
  • No

• Yes

  No

SCAFFOLD & ACCESS PLATFORMS

• Are scaffolds or access platform systems expected to be used within the scope of works?

  Yes

  No

• Are Mobile Elevated Works Platforms (MEWP's) expected to be used?

  Select Yes No

  • Yes
  • No

• Are pre made platform access system expected to be used?

  Select Yes No

  • Yes
  • No

• Are bespoke scaffold systems expected to be erected during the works?

  Select Yes No

  • Yes
  • No

• Are scissor lifts expected to be used?

  Select Yes No

  • Yes
  • No

• Are hoists expected to be used?

  Select Yes No

  • Yes
  • No

COMPRESSED AIR/HYDRAULIC & ROTARY TOOLS

• Are these types of tools anticipated during the works?

  Yes

  No

• What types of tools are anticipated?

LIFTING OPERATIONS

• Are lifting operations of any kind expected within the scope of works?

  Yes

  No

• Are crane lifts expected during the works?

  Select Yes No

  • Yes
  • No

• Are telehandler lifts expected during the works?

  Select Yes No

  • Yes
  • No

• Are fork lift lifts expected during the works?

  Select Yes No

  • Yes
  • No

• Are works with mechanical lift aids expected?

  Select Yes No

  • Yes
  • No

• Have weights & loads of any items been assessed?

  Select Yes No

  • Yes
  • No

• Is there a specific procedure for dropped loads?

  Select Yes No

  • Yes
  • No

MOVEMENT OF VEHICLES

• Are vehicle movements expected in the works areas?

  Yes

  No

• What type of vehicles are expected?

ROOF WORKS

• Are any type of roof works expected within the scope of works?

  Yes

  No

• Are roof space works expected within the scope of works?

  Select Yes No

  • Yes
  • No

• Are external roof works expected within the scope of works?

  Select Yes No

  • Yes
  • No

TRIP HAZARDS (MATERIAL, EQUIPMENT, CABLES, DEBRIS)

• Are potential trip hazards expected during the scope of works?

  Select Yes No

  • Yes
  • No

WELFARE FACILITIES

• Are welfare facilities being provided by the client?

  Yes

  No

• Confirm adequate facilities are accessible for the number of individuals on site, to include changing, drying and store clothing areas?

  Select Yes No

  • Yes
  • No

• Confirm mess facilities are sufficient for the number of individuals on site & should be heated & include a place where workers can sit, make hot drinks & prepare food?

  Select Yes No

  • Yes
  • No

• Confirm a supply of wholesome drinking water & cups are provided & appropriately sign posted?

  Select Yes No

  • Yes
  • No

• Confirm sufficient toilets are readily available, maintained, kept clean & are properly lit?

  Select Yes No

  • Yes
  • No

• Confirm there are washbasins, hot & cold running water, soap & a means of drying hands?

  Select Yes No

  • Yes
  • No

• Confirm, where the nature of the work demands it, showers are provided?

  Select Yes No

  • Yes
  • No

• Are hired in welfare facilities being utilised?

  Yes

  No

• Confirm what facilities will be required to be hired in?

• Confirm, where the nature of the work demands it, showers are provided?

  Select Yes No

  • Yes
  • No

PERMITS TO WORK (PTW)

• Has the Permit to Work system been agreed with the Client?

  Yes

  No

• What are the agreements?

• What PTW have been delegated to the PC?

HOT WORKS

• Are hot works being conducted within the scope of works?

  Yes

  No

• What specific Client fire precautions are in place or required?

• Has the Fore Officer been involved with the planning of the works?

PERSONAL PROTECTIVE EQUIPMENT

• Are there any specific PPE requirements in the area?

  Yes

  No

• What are the requirements?

FOOD ON SITE RESTRICTIONS

• Are any foods redistricted on site (i.e Nuts, dairy)?

  Yes

  No

• What are the restrictions?

ELECTRICAL EQUIPMENT

• Are there any restrictions within the area for electrical tool usage?

  Yes

  No

• Confirm that 110 voltage equipment is acceptable?

  Select Yes No

  • Yes
  • No

• Confirm that battery use equipment is acceptable?

  Select Yes No

  • Yes
  • No

• Confirm if 240 volt equipment (I.E. battery chargers/printers/phone chargers) are acceptable. Would they require an inline Residual Current Detector (RCD) device in place?

  Select Yes No

  • Yes
  • No

• Confirm Portable Appliance Tested (PAT) frequency?

CARTRIDGE OPERATED TOOLS

• Are cartridge operated tools being used on site?

  Yes

  No

• Confirm they are permitted within the works area?

  Select Yes No

  • Yes
  • No

HIGH PRESSURE WASHING

• Are high pressure washing works expected?

  Yes

  No

COVID

• Are there any additional Client COVID requirements?

  Yes

  No

• What are the additional equirements?

SUMMARY

• undefined

SIGN OFF

• I confirm I as far as reasonably practicable I have highlight potential hazards.

• Auditor.

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