Title Page
-
Project Name/Number
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel on site during site survey
Health and Safety - Foreseeable Hazards
-
If noise >80 dB is likely to be produced by Engineering techniques is a Noise Assessment available - If No assessment is available contact the SHEQ Dept
-
Electricity Sub Station
-
Pedestrian Subway
-
School/Nursing home
-
Ambulance Station
-
Lifting Operations/Hoists
-
Interference with Temporary Works
-
Traffic sensitive road/speed restrictions
-
Will a road closure be required
-
Deep water/Sewer Channel/River etc.
-
Is Lane Rental Required
-
Close proximity of walls and fences
-
Do the works require changes to permanent signs
-
Restricted access for LGV movement
-
Above Ground Hazards-If overhead power supplies are present - will the works encroach on safety distance (consider large plant/LGV tippers/cranes etc.
-
Will existing street furniture need to be moved
-
Underground hazards: Are high risk services present?<br>Oil filled, fibre optic,HV/LV cables, third party pipelines, underground structures, foundations.
-
Network Rail/Metro/Tramway/Underground rail
-
Proximity if Rail/Tramway crossing.
-
Engineering/Structural difficulties
-
Are there busses/Red Routes, bus stops or one way traffic schemes in operation
-
Hot works, welding, brazing & soldering, Cathodic Protection
-
Presence of Landfill site
-
Areas of known vandalism, possible security risks
-
Will the works affect a pedestrian crossing or other crossing point
-
Is the site located where catastrophic damage could occur (e.g. Over a tunnel/tube tunnel/major sewer/major water pipe)
-
Will parked cars affect the works
-
Is there an Asbestos register, Are asbestos containing materials visible
-
Will the scheme require "Out of Hours" site checks
Environmental - Notified by Local Authority
-
Wildlife & Woodland habitat
-
Tree Preservation Order Applicable
-
Area of Outstanding Natural Beauty
-
Noise Restrictions
-
Site of Special Scientific Interest
-
Conservation Area
-
Work impact on Hedgerows or trees
-
Listed Buildings
-
Management of Excavation Water
-
Noise Restrictions Does NG Environmental Impact Assessment apply
-
Is temporary land acquisition required, for lay down area, storage and welfare facility
Environmental - Consideration of specific measures
-
Housekeeping issues
-
Trees/Hedgerows - Maintain 0.5m with Plant
-
Planning Authority Consents
-
Footways, Bridleways, Rights of Ways Affected
-
Good Access / Egress
-
Additional guarding (Heras/Crowd Control)
-
Waste Disposal (Licences/Segregation)
-
Risk to Watercourse - EA Consent
-
Risk to Wildlife Habitat - EA Consent
-
Specific RA - SSSI
-
Adjacent Land Use
Technical requirements - Consideration
-
Permits to work Required
-
Method Statements
-
Specific Risk Assessments
-
Information/Instruction
-
Emergency Arrangements
-
Gas RO/NRO
-
Cat & Genny Survey
-
Trial Holes Required
-
Location of Specific Area for Unloading
-
Materials Storage/Security/Access Arraingments
-
Welfare placement agreed/proposed
-
Work carried out on 3rd Party Premises
-
Are any Specific Site Rules Required
-
Is site access and egress satisfactory
-
Extraction/Ventilation to G5 required
-
Shoring Design
-
Mechanical Lifting Devices
-
Handrail/Edge Protection
-
Signs/Barriers
-
Traffic Lights
-
Containment & Removal of Spoil
-
Temporary electric hookup points required