Project Management Pre-construction Information

• Conducted on

  Date

• Prepared by

• Location Number

• Work Area Address

• Work Area Grid References

• Mobile Phone Signal Rating

  Good

  Fair

  Poor

  N/A
• Nearest Hospital
  Address

• What3Words Site Identifier

• Brief Description of Works required

• Work at height Req'd?

  Yes

  No

  N/A

• Work Below ground?

  Yes

  No

  N/A

• Work over bridge/railway crossing?

  Yes

  No

  N/A

• Work near water?

  Yes

  No

  N/A

• River Bank Remedials necessary?

  Yes

  No

  N/A

• Anti-Vandal Guards Required?

  Yes

  No

  N/A

• Potential Confined space/asphyxiating atmosphere?

  Yes

  No

  N/A

• Hot works/Structural Repair works?

  Yes

  No

  N/A

• Street works required?

  Yes

  No

  N/A

• Lighting required?

  Yes

  No

  N/A

• Fencing necessary?

  Yes

  No

  N/A

• Access Controls required?

  Yes

  No

  N/A

• Rights of Way to be managed?

  Yes

  No

  N/A

• Extent of temporary works (ground support, frames, structures, scaffold, Designs etc? )

• Frequency, Duration and load of manual lifts?

• Types of Permit Required?

  PTW (Via Risk)

  Hot Works

  Deep Excavation

  Form of Authority

  NRO

• Dynamic Risk assessment required?

  Yes

  No

  N/A

• Method Statement required?

  Yes

  No

  N/A

• Standby plant/equipment required?

  Yes

  No

  N/A

• Working on live Gas?

  Yes

  No

  N/A

• F10 HSE Notifiable works?

  Yes

  No

  N/A

Man Power, Supervision and Equipment Requirements

• Number of Site personnel

  1

  2

  3

  4

• Estimated Size of working area? (not including Welfare area)

  <2m Sqd

  >2m but <5m Sqd

  >5m but <10m Sqd

  >10m Sqd

• Site Supervision Required?

  CP

  CP/Supervisor

• Potential Plant Vehicles/Equipment required

• Substances required eg Epoxy/Coating/Grit/Grease

• Large Item Deliveries required?

  Yes

  No

  N/A

• Lifting Operations and Lifting equipment required?

  Yes

  No

  N/A

Waste

• Skips/Bunds/Segregated areas required?

  Yes

  No

  N/A

• Potential Waste Volumes? (in Tonnes cbd)

  1

  2

  3

  4

• Types of waste stored (Temporarily)

• Waste Management Plan required?

  Yes

  No

  N/A

Welfare

• Minimum Welfare/Hygeine Provisions?

• Office/Desk - Meetings/cabin space required?

  Yes

  No

  N/A

Emergencies

• Worst Injury/Emergency possible on site?

• Most likely Injury possible on site?

• Potential for Fire?

  Yes

  No

  N/A

• Fire Extinguishers required?

  Yes

  No

  N/A

Time

• Date commencement of work

  Date

• Duration of works (expected days)

• Time Restrictions?

Cost

• Site Works Value

• Potential additional costs? (eg Land agents, licence fees, access fees)

Local Authorities

• Local Council/Authority

• HSE Office for the area

• Environmental Agency Office for the area

Services (Appendix E)

• Linesearch summary for the area

• Other Services information (Oil Pipelines, Aviation Fuel etc)

• Drawings Gas Maps etc...

• Mining/Quarrying Data

• As-laid Information

Greenfield Sites

• Landowner Name and Address

• Landowner Guidance/Suggested Route?

  Yes

  No

  N/A

• Landowner Restrictions?

• Site Possession issues?

• Current Use of the work area?

• Previous known use of the work area

• Known Asbestos site?

  Yes

  No

  N/A

Ground Conditions

• Borehole Information (BGS)

• Groundwater Concerns?

  Yes

  No

  N/A

• Known Contaminated Land?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Access/Egress Locations

• Location of Entry to Site
  Address

• Public Rights of Way

  Yes

  No

  N/A

• If Yes for any of the above please provide details

  Yes

  No

  N/A

Amenities

• Local/Public amenities/Schools?

  Yes

  No

  N/A

• Local Known Events?

  Yes

  No

  N/A

• Local Projects/Developments

  Yes

  No

  N/A

• If Yes for any of the above please provide details (Dates/Locations/Organiser if known?)

Emergency Planning

• Nearest A&E Hospital

• Potential Emergency Response Times

• Fire Service Attendance (Distance/Time)

• Fire Hydrant availability

  Yes

  No

  N/A

Site Security

• Known Local Issues?

  Yes

  No

  N/A

• Site Security deemed required Out of Hours?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Other Site Information

• Online E-Aerial Maps

  Yes

  No

  N/A

• Weather Records

  Yes

  No

  N/A

Services

• Overhead Services Visible?

  Yes

  No

  N/A

• Evidence of below ground plant/services?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Greenfield Sites

• Livestock at Location?

  Yes

  No

  N/A

• Temporary Protection of Plant/Equipment required?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Ground Conditions

• Current Ground Conditions

• Slope or Ground Features present?

  Yes

  No

  N/A

• Watercourses/Drainage Entry points?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Access/Egress

• Proposed route accessible/Alternatives?

  Yes

  No

  N/A

• Road Type/Speed at access Point

• Traffic Management required?

  Yes

  No

  N/A

• Access track type/width/condition

• Culverts/Route Features/Restrictions (Height/Width/Weight)

• Measured access width

• Pedestrian/Vehicle segregation required?

  Yes

  No

  N/A

• Emergency Vehicle access capability?

  Yes

  No

  N/A

• Location and ability of parking

• Distance from Welfare to Work Face

• Turning Circles or turning points required/available?

  Yes

  No

  N/A
• Welfare Location
  Address

• Space required for materials or off-loading Vehicles/waste/Spoil?

  Yes

  No

  N/A

• Other site Users interface/impact assessment required?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Amenities

• Adjacent Developments/Projects on-going?

  Yes

  No

  N/A

• Adjacent Risks/Issues or restrictions?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Security

• Remoteness/Visible Facilities?

  Yes

  No

  N/A

• Evidence of Fly Tipping?

  Yes

  No

  N/A

• Boundary Fences Visible/Secure Stable?

  Yes

  No

  N/A

• Overnight Security necessary?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Communications

• Mobile Signal on site?

  Yes

  No

  N/A

• GPRS Available (3G/4G/5G)?

  Yes

  No

  N/A
• Nearest Telecom Landline?
  Address

• Confirm ability to contact DNCC/Supervisor

  Yes

  No

  N/A

Temporary Works

• Means to place Concrete incl. access/washdown etc..

  Yes

  No

  N/A

• Electrical Supply Required (incl. Welfare)?

  Yes

  No

  N/A

• Space for temporary works?

  Yes

  No

  N/A

• Excavations require Shoring?

  Yes

  No

  N/A

• Dewatering Points and Discharge Points?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Manual handling

• Assessment required of potential manual handling loads?

  Yes

  No

  N/A

• Obstacles that require lifting?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Health Hazards/Bio Security

• Crop Spraying?

  Yes

  No

  N/A

• Livestock Control/Disease?

  Yes

  No

  N/A

• Farm Waste ?

  Yes

  No

  N/A

• Carcass Pits?

  Yes

  No

  N/A

• Vermin - Disease/Health hazards

  Yes

  No

  N/A

• Known Lyme Disease area?

  Yes

  No

  N/A

• Hazardous Flora - Phytophotodermatitis?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

Other

• Plan Layout required? (Materials/Substances/Waste/Spoil/Access/Egress etc)

  Yes

  No

  N/A

• Hazards/Risks to lifting equipment/Cranes etc (inc. Ground Conditions)

  Yes

  No

  N/A

• Would Operational site alarms be audible at location?

  Yes

  No

  N/A

• Dark Areas?

  Yes

  No

  N/A

• If Yes for any of the above please provide details

• Site Aerial Images

  Media

• Hospital with A&E
  Address
• Fire Station
  Address
• Police Station (manned)
  Address

• Important Site Features to take in to consideration

  Media

• Photos of the area and item to be remediated

  Media

• Gas/Water/Electric/BT Openreach Maps Attached?

  Yes

  No

  N/A

• Any information on intrusive surveys eg Trial Holes/ Asbestos Surveys/ ILI /OLI Faults