Title Page

  • Location
  • Conducted by

  • Date

Customer Details

  • Customer Name

  • Contact Number

  • Email

Access & General Conditions

  • Measure

  • Are there any access restrictions to the property?

  • Is parking available and adequate for size of the vehicle?

  • Is parking within close proximity to the property?

  • Do parking restrictions exist?

  • Can material be carried safely to the property?

  • Are there any electrical cables or other fixed services fixed to the external wall?

  • Is the property high risk from discarded hypodermic needles, biological waste or from vermin?

  • Are any children or vulnerable persons present?

  • Is there risk of aggressive behaviour?

  • Are pets or wildlife on site which could pose a risk?

  • Japanese knotweed present?

  • Is there need for safety vents and have they been explained to the customer?

  • Is asbestos present?

  • Is the removal of fences, walls or cutting of shrubbery required?

  • Has the customer been given any specific instructions?

Cavity Insulation

  • Applicable?

  • Overhead Electricity Cables Present?

  • Does the Property have a Garage?

  • Does the Property have a Porch?

  • Does the Property have an Outside Tap?

  • Does the Property have Finlock Gutters?

  • Does the Property suggest that Asbestos could be Present?

  • Confirm you have asked the Client if there was any known Asbestos or Asbestos containing materials within the property

  • Do you or the Client have any Reason to suspect Asbestos is present in the Property?

  • Can you confirm that if you have entered the loft or other confined spaces in appropriate PPE and suit, in order to protect yourself from hazardous materials such as asbestos?

  • Have you ceased assessment due to the discovery of hazardous materials, such as asbestos.

  • Access from Road/ Around Property

  • Is there any Evidence of Vermin?

  • Is there any Evidence of Protected Wildlife? (e.g. Bats)

  • Use of a Mobile Tower Required?

  • Working on Roof Required?

  • Vibration Likely?

  • High Noise Levels Likely?

  • Working with Wet Cement/ Concrete/ Mortar required?

  • Use of Mobile Elevation Working Platform (MEWP) required?

  • If Obstructions present, can an extended Lance be used to Remedy?

  • Reversing of Vehicle Required?

  • Electricity Required?

  • Housekeeping Required

  • Distance from Works vehicle to Property

  • Will Public Walkway be at Risk?

  • Is neighbour access required?

  • Safety Signage required?

Loft Insulation

  • Applicable?

  • Does the Property suggest that Asbestos could be Present?

  • Confirm you have asked the Client if there was any known Asbestos or Asbestos containing materials within the property

  • Do you or the Client have any Reason to suspect Asbestos is present in the Property?

  • Have all checks been Undertaken to determine if Asbestos containing materials are present within the property?

  • Can you confirm that you have enter the loft space in appropriate PPE and suit, in order to protect yourself from hazardous materials such as asbestos?

  • Have you ceased assessment due to the discovery of hazardous materials, such as asbestos.

  • Access from Road/ Around Property

  • Is there any Evidence of Vermin?

  • Is there any Evidence of Protected Wildlife? (e.g. Bats)

  • Vulnerable Person Present?

  • Use of Ladders Required?

  • Manual Handling Required?

  • Reversing of Vehicle Required?

  • Electricity Required?

  • Housekeeping Required

  • Distance from Works vehicle to Property

  • Will Public Walkway be at Risk?

  • Is neighbour access required?

  • Safety Signage required?

  • Electricity Cables present in Loft

  • Working in Confined Spaces required?

  • Lone Working?

  • Use of Scaffold required?

Solar PV

  • Applicable?

  • Is the property listed or in a conservation area:

  • Are there any other planning issues to be considered

  • List detail of issues to be considered:

  • Is the current roof lining under an active warranty?

  • Provide details of warranty:

  • Will any form of protected species be disturbed by the installation process?

  • Provide details

  • New Build or Retro-fit:

  • Is there sufficient roof area (m2) to house 4/6 PV panels:

  • Is there a suitable location for the Inverter:

  • Can electric cables be run from panels to inverter:

  • Is there a suitable location for the generation meter - close to the electrical distribution board:

  • Can electric cables be run from the inverter to the generation meter:

  • Is there a spare breaker breaker in the electrical distribution board:

  • Is there suitable isolation:

  • Can scaffolding be safely erected:

Signature

  • Signature

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.