Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Type of Survey
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undefined
- Store Refresh
- Homeshop/ Click & Collect
- Non retail
- Salesfloor works
- BOH Works
- Landscaping/ Asset Works
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Overview of site location and general description of planned works
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Full address of site
Surrounding Environment
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Site overview
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Surrounding roads nearby. Description of type - any anticipated access issues
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Delivery Arrangements (Client)
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Location of Service Yard and arrangements if applicable
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Site boundary - is it secure? Is hoarding required?
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Are there existing properties on site?
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Parking for Contractors available?
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Other buildings in close proximity? Description of type
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Watercourses nearby?
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Railways nearby?
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Public right of way?
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Is the ground & gradient suitable for landing cabins? Consider getting the supplier to survey if in doubt.
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Are there any overhead lines to consider?
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Any schools in proximity to site?
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Flora & Fauna which may be affected e.g. Japanese's Knotweed, TPO's, wildlife surveys required
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Are existing utility services affected? Description below
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Are there suitable ground surveys in place (GPR as a minimum, desktop study only not acceptable)
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Fire Hydrant/Water supply in close proximity?
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What are the ground conditions? Will there be requirement to prepare suitable ground for MEWPS/Cabins/Cranes/scaffolding etc
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Material & plant access routes & available openings
Establishing Site Set Up
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Operating hours
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Current use of Site?
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Existing hazards/risks? (including any services below/above ground)***
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Location of existing Fire Assembly Point
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Location available for compound
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Can we install temporary connections to existing services (water, power, drainage)
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Preparation of area required pre start on site for compound? Is gradient an issue? Consider asking the cabin supplier to survey if in doubt
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Site set up requirements
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Please specify number & size, is a suitable area available? (measurements required)
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Delivery arrangements to compound/site - Identify any hazards or restrictions
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Segregation Requirement
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Material offloading facilities available? (Client FLT availability)
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Material offloading required to be provided by HB, forklift etc?
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Material storage requirements
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Will a 415V power supply be required for any part of the works?
CDMC Considerations
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Has PCIP information been received?
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Existing O&M Manuals available?
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Existing Asbestos Survey available? (R&D survey of relevant areas required for any intrusive works)
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Noise restrictions in place?
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Structural survey available?
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Planning Restrictions/Issues known?
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Dust control measures required
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Are there any other works planned on this site? (by others)
Health & Safety
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Are there any specific or unusual health/safety risks to consider? Please detail
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Hazardous waste to be considered?
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Area available for recycling eg Skips
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Any fragile structures/materials evident?
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Evidence of Asbestos Containing Materials (ACM's)?
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Risks to public during project?
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Evidence of designated footpaths and short cuts
Project Specifics (Works to be considered during project)
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Craneage required?
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Concrete pumping?
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Piling?
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Groundworks?
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Demolition?
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Confined spaces?
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What temporary works will be required on this project?
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Heras
- Yes
- No
- Unknown
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Solid hoarding
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Excavation support (standard solution)
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Excavation support (designed)
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Propping (standard solution)
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Propping (designed)
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Scaffolding (Standard)
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Scaffolding (designed)
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Other - please state
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Roof edge protection
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Refrigeration Works?
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Is roof access required? Detail the access/ roof type/ gradient. Is edge protection required?
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Rooftop plant - type & quantity
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Existing case route into Store?
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Fixtures Works?
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Resurfacing & line marking? (will site compound location be affected?)
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Existing goods/passenger lifts - size & SWL
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High Level clean - Internal and External condition
Work at Height
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Scaffold/Edge protection required?
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Roof works to be carried out?
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MEWP's/Telehandlers required?
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Fall arrest provision currently in place?
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Rescue Equipment/Plan required?
Existing Store specific items
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Condition & type of existing floor surface (internal)
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Sprinkler system?
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Emergency lighting (operational/tested)?
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ATM on site? Liaise with store regarding any access issues
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Action Required/By Who/Date Required
Additional Notes
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Notes: