Pre-Start CDM Inspection

• Site conducted

  Select

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client Contact:

• Date of Survey:

  Date

• Client Office:

• Principal Designer:

• Site Address:
  Address

• Telephone Number of Site:

• Contact Name:

• Name of Occupier:

• Is the building to remain occupied during the works?:

Nature of Project

• Nature of Works to be carried out:

• Commencement Date

  Date

• Completion Date:

  Date

• Project Duration:

Existing Environment

• Previous Use of the site

• Current Use of the Site

• Existing Structures

• Previous Use of Adjacent Sites

• Current or Anticipated Use of Adjacent Sites

• Road and Traffic Systems Adjacent to the Site

Construction Phase Considerations (highlight any hazards associated with the following headings:)

• Site Security

  Yes

  No

  N/A

• Existing structures - Instability / Pre-stressed structures

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Deleterious Materials

  Yes

  No

  N/A

• Occupied Premises

  Yes

  No

  N/A

• Existing processes (by occupants)

  Yes

  No

  N/A

• Existing Machinery / Plant

  Yes

  No

  N/A

• Health Hazards Vermin / Moulds Dusts / Fibres / Legionella / Anthrax

  Yes

  No

  N/A

• Confined Spaces

  Yes

  No

  N/A

• Adjacent properties / Party wall

  Yes

  No

  N/A

• Water courses

  Yes

  No

  N/A

• Road / Traffic / Access / Delivery Hazards

  Yes

  No

  N/A

• Demolition

  Yes

  No

  N/A

• Contaminated Ground

  Yes

  No

  N/A

• Excavation

  Yes

  No

  N/A

• Excavation Collapse - Ground Water / Poor / Soft Ground

  Yes

  No

  N/A

• Existing live services (Underground / Overhead)

  Yes

  No

  N/A

• Moving Plant / Vehicles on site

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Erection Sequence

  Yes

  No

  N/A

• Mechanical Handling - Large items

  Yes

  No

  N/A

• Manual Handling

  Yes

  No

  N/A

• Work at Height - Falls, dropping of units

  Yes

  No

  N/A

• Use / Storage of Hazardous / Flammable Substances

  Yes

  No

  N/A

• Construction Pollution (Noise / Dust / Fumes / Vibration)

  Yes

  No

  N/A

• Tunnelling

  Yes

  No

  N/A

• Unexploded ordnance

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Reports / Investigations

• Existing Services: Survyey reports and onsite investigations

• Gas:

  Yes

  No

  N/A

• Electricity:

  Yes

  No

  N/A

• Water:

  Yes

  No

  N/A

• Telecom:

  Yes

  No

  N/A

• Cable:

  Yes

  No

  N/A

• Drainage/Sewers:

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Asbestos: Has a survey been commisioned?

  Yes

  No

  N/A

• Site Contamination / Ground Conditions: Has a site investigation been undertaken:

  Yes

  No

  N/A

Local Authority Restrictions

• Planning

  Yes

  No

  N/A

• Building Regulations

  Yes

  No

  N/A

• Further Site Restrictions

  Yes

  No

  N/A

• (Rights of way, etc.)

  Yes

  No

  N/A

Site Wide Elements

• Site Access / Egress Points

  Yes

  No

  N/A

• Location of Temporary Site Accommodation. Unloading Areas etc

  Yes

  No

  N/A

• Car Parking

  Yes

  No

  N/A

• Mess Room

  Yes

  No

  N/A

• Toilet Facilities

  Yes

  No

  N/A

• Drying Room

  Yes

  No

  N/A

• Site Office

  Yes

  No

  N/A

On site traffic / pedestrian routes:

• Occupier’s activities (3rd party considerations)

  Yes

  No

  N/A

• Site Security

  Yes

  No

  N/A

• Phasing Arrangements

  Yes

  No

  N/A

• Other Notes:

  Yes

  No

  N/A

Inspection Completed by:

• Name:

• Signature:

  Sign

• {{NAME OF PROJECT / SITE}}

• {{DATE OF INSPECTION}}

  Date

• CONSTRUCTION SITE HEALTH AND SAFETY RISK MANEGEMENT INSPECTION RECORD

  Yes

  No

  N/A

• Aspect or Issue

  Yes

  No

  N/A

• Aspect or Issue

  Yes

  No

  N/A