Title Page
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Site Name
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Client
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Conducted on
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Project Number
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Prepared by
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Brief scope of works
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Location
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Site Contact (i.e. Centre management contact)
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Email address
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Phone number
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Site opening hours (if on nights or in shopping centre)
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
CDM Checklist
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Is site level access / DDA compliant (incl. narrow doors)
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What is the issue
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Delivery / access restrictions
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What are restrictions
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Proposed muster point location
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Neighbors/tenants to unit
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LHS
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RHS
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Above unit
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Rear of unit
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Is parking available on site
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Where can you park
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Site compound area required
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How many lin. m of Heras fencing
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How many lin. m of chapter 8 barriers
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How many lin m of hoarding required
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Is a external WC setup required?
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Is a external office setup required
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Can a skip be located - if so; where?
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Where can this be positioned
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Any vehicle / weight restrictions for deliveries
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What are the restrictions
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Are inductions required to access site
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Where to attend induction
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Any induction time restrictions
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Can Thompson's SM do induction and induct all other operatives
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Existing perimeter wall construction to property
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Existing shop front specification (i.e. aluminium glazing)
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Does site appear to be a security risk throughout works (i.e. is manned security required)
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Is any existing painted windows being refurbished that may contain lead paint
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Any evidence of pest control issues / cleaning required?
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Evidence of any needles that require cleaning
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Location of needles to be cleaned up
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Roofing specification (i.e. slate, flat roof)
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Are any repairs evident
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If so; quantity to replace m2
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Do gutters need replacing
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Specification of guttering and downpipes
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Lin m of guttering
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Lin m of downpipes
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Is a fixed scaffold required
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Width of scaffold (m)
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Height of scaffold (m)
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Does it require a loading bay for materials?
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Will a scaffold be over (6 stories high) - if so; fan will be required
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Will monoflex be required
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Will yellow foam standards be required or a timber hoarding to scaffold
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Will interim adjustments likely be required to scaffold throughout (i.e for decoration works)
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Does the basement (if any) protrude under the pavement where scaffold is to be positioned
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Height of facade if external decoration,window replacements etc.. required
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Form of high level working required if not fixed scaffold (i.e. access tower, cherry picker)
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Any local authority / landlord noise restrictions in place
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What are the restriction hours
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Is a Type 3 Asbestos survey required on this site (R&D survey) - required is build Pre 2000
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Structural soffit height (mm)
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What is the structural soffit specification (i.e. beam and block, timber etc..)
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Any structural alterations expected that a structural engineer input will be required
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What elements require input
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Are intumescent paint works required on any elements
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Existing floor construction
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Is strip out required
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Structural elements required
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Catering equipment
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Shop front
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Walls
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Floors
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Finishes
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Manufactured items
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Items to be retained
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Is a basement in-situ?
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Are drainage amendments required
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Is a CCTV survey required
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Floor type to be chased out (i.e. reinforced concrete)
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Lin m of floor chases proposed (mm)
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Invert level of nearest manhole (mm)
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Will a new manhole be required
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Are storage facilities on site
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Where are these
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What is the plan (i.e. wait and load)
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Services in place
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Electric - DB board location
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Water - incoming main location
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Water - stop tap location
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Gas - incoming mains location
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Gas - are cook line amendments required
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Sprinkler - panel location
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Sprinkler - are sprinkler alterations required
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HVAC - panel location
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Fire alarm - panel location
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Intruder alarm - panel location
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Data cabinet - current location
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Boiler - current location
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BT - DP location
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Ansul system - in place currently
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Fireman's switch - in situ
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Are actuators and fire dampers in situ that are being retained
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Existing DB board - do they have sufficient capacity for proposed premises
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Current capacity
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Proposed capacity
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Any evident damp issues on premises
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Problem found
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Does a specialist survey need to happen
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Any current works/trading planned on site that may impact proposed works
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Any programming limitations / sequencing that we are required to adhere to
Design / layout
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Is drawing scaled accurate - a couple of site dims required
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How much out is it
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Any proposed assumed long lead time items
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What items
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Is all items proposed achievable
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What isn't achievable?
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Is there any critical dimensions required for manufacturing
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What item
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Dimensions (mm)
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What item
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Dimensions (mm)
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What item
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Dimensions (mm)
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What item
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Dimensions (mm)
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What item
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Dimensions (mm)
