Title Page

  • Conducted on

  • Prepared by

  • Project Number

  • Project Name
  • Are the correct drawings issued?

  • What is the current state of the area of work?

  • What known services are there in the vicinity of the works?

  • Has the area been surveyed with CAT & GENNY?

  • Have all known services been marked up?

  • Is the area traffic sensitive?

  • Is TM required?

  • Is the area of work public or private?

  • Is a section 50 required?

  • Is work required out of hours?

  • Are there any access restrictions?

  • Are there any SED's (Special Engineering Difficulties)?

  • Are there any SSSI's (Site of Special Scientific Interest)?

  • What Hazards are Present?

  • Are there residents to inform of the work?

  • Are the any Specific requirements from the Main Works Contractor?

  • Please specify?

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.