QMF 522 Pre-Start Site Survey for High Risk Works

• Site conducted

• Date

  Date

• This survey is to cover higher risk working at height that will be carried out by MD employees. Theses works may need additional documenation, control measures and sign off, i.e. larger scale roofing works, using higher voltage power tools whilst working at hight etc.

• It is your responsibility to ensure any employee(s) that are scheduled to undertake this high risk work have relevant and in date training.

• You must ensure a task specific risks assessment (QMF 483) is completed and avaliable to all relevant persons, if MD generic risk asssessments do not cover this particular task.

• If you have any concerns please raise with relevant Compliance team

• Health and Safety: SHEQ@mdgroup.co.uk

• Gas: Geoffrey.talbot@mdgroup.co.uk

• Electrical: Compliance@mdgroup.co.uk

• Property Type

  Select Bungalow Detached Semi-detached End of Terrace Mid Terrace Maisonette Cottage Block of flats

  • Bungalow
  • Detached
  • Semi-detached
  • End of Terrace
  • Mid Terrace
  • Maisonette
  • Cottage
  • Block of flats

• How many storeys?

• Will planned works be intrusive?

  Yes

  No

• Do you have a copy of the relevant asbestos report(s)?

  Yes

  No

• No intrusive works can take place without having the necessary asbestos information - you MUST obtain a copy of the asbestos report and ensure it is made avaliable to all relevant parties before works commence.

Roofing works

• Roofline?

  N/A

  Gable End

  Hipped End

• Existing Tile Type

  Select Natural Slates Machine Made Slates/Concrete Plain Tiles Interlocking Tiles 3 Layer High Performance Felt Other

  • Natural Slates
  • Machine Made Slates/Concrete
  • Plain Tiles
  • Interlocking Tiles
  • 3 Layer High Performance Felt
  • Other

• Please detail

• Access to Rear Elevation?

  Yes

  No

  N/A

• Please list any restrictions or issues i.e. garage, lean to, flat roof

• Does the chimney needs to be removed as part of works?

  Yes

  No

  N/A

• Have you recieved necessary paperwork / notification from the Client the chimney is no longer in use?

  Yes

  No

  N/A

• Is the chimney made of unusual construction i.e. reinforced prefabricated concrete

  Yes

  No

  N/A

• You must ensure a site specific risk assessment is completed and submitted to your Operations Manager for sign off.

• Are the works taking place close to flues?

  Yes

  No

  N/A

• You must ensure the Operatives working around the flues have sat the Gas Safety TBT within the last 6 months.

• Do the flues need to be capped before works commence?

  Yes

  No

  N/A

• You must use a qualified Gas Safe engineer to carry out relvent Gas works, testing and inspection. Please reference QMF 581 on the SHEQ drive to see a list of approved Gas Contractors.

• List any other concerns around roofing works

• A survey of the loft space should be carried out to photograph existing pipe / flues and check if there are any signs of bats. If you do find any evidence of bats please escalate to your Operations Manager immediately.

• Flues / pipes

  Media

• Add relevant photos & comments

  Media

• Add relevant photos & comments

  Media

• Add relevant photos & comments

  Media

• Completed By:

• Signature

  Sign

• Operations Manager:

• Oprations Manager signaure:

  Sign

• Date:

  Sign