Principal Contractor Construction Phase Plan Assessment

• Site conducted

  Select

• Document Number:

• Project Name:

• Principal Contractor:

• Site Commencement Date:

  Date

1. Principal Contractor’s site standards for health and safety.

• Enclosed?

• Comments

2. Personnel in charge of the works and relevant health and safety management experience.

• Enclosed?

• Comments

3. Procedures for liaison with the Client

• Enclosed?

• Comments

4. Welfare Facilities/Site set-up to satisfy the requirements of CDM Regulation 15 (4), (c) & Schedule 2

• Enclosed?

• Comments

5. Method statements/safety system of work for:

• (i) Protecting/segregation for staff/students from the works;

• Comments

• (ii) strip out work including decommissioning of services;

• Comments

• (iii) control of noise/dust

• Comments

6. Site Logistics/Traffic Management Plan.

• Enclosed?

• Comments

7. Fire Prevention and Emergency Arrangements Plan.

• Enclosed?

• Comments

Construction Phase Plan compliant with CDM Regulation 15

• Further Information required?

  Yes

  No

  N/A

• Comments

Issue Date:

• Date:

  Date

• Additional Comments

CDM Regulation 4

• Regulation 4 Letter drafted?

  Yes

  No

  N/A

• Regulation 4 Letter Issue date:

  Date

CDM Regulation 6 ∙ Notification

• Issued to the HSE?

  Yes

  No

  N/A

• Date of issue?

  Date