Title Page

  • Site Name

  • Client

  • Conducted on

  • Project Number

  • Prepared by

  • Brief scope of works

  • Location
  • Site Contact (i.e. Centre management contact)

  • Email address

  • Phone number

  • Site opening hours (if on nights or in shopping centre)

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

CDM Checklist

  • Is site level access / DDA compliant (incl. narrow doors)

  • What is the issue

  • Delivery / access restrictions

  • What are restrictions

  • Proposed muster point location

  • Neighbors/tenants to unit

  • LHS

  • RHS

  • Above unit

  • Rear of unit

  • Is parking available on site

  • Where can you park

  • Site compound area required

  • How many lin. m of Heras fencing

  • How many lin. m of chapter 8 barriers

  • How many lin m of hoarding required

  • Is a external WC setup required?

  • Is a external office setup required

  • Can a skip be located - if so; where?

  • Where can this be positioned

  • Any vehicle / weight restrictions for deliveries

  • What are the restrictions

  • Are inductions required to access site

  • Where to attend induction

  • Any induction time restrictions

  • Can Thompson's SM do induction and induct all other operatives

  • Existing perimeter wall construction to property

  • Existing shop front specification (i.e. aluminium glazing)

  • Does site appear to be a security risk throughout works (i.e. is manned security required)

  • Is any existing painted windows being refurbished that may contain lead paint

  • Any evidence of pest control issues / cleaning required?

  • Evidence of any needles that require cleaning

  • Location of needles to be cleaned up

  • Roofing specification (i.e. slate, flat roof)

  • Are any repairs evident

  • If so; quantity to replace m2

  • Do gutters need replacing

  • Specification of guttering and downpipes

  • Lin m of guttering

  • Lin m of downpipes

  • Is a fixed scaffold required

  • Width of scaffold (m)

  • Height of scaffold (m)

  • Does it require a loading bay for materials?

  • Will a scaffold be over (6 stories high) - if so; fan will be required

  • Will monoflex be required

  • Will yellow foam standards be required or a timber hoarding to scaffold

  • Will interim adjustments likely be required to scaffold throughout (i.e for decoration works)

  • Does the basement (if any) protrude under the pavement where scaffold is to be positioned

  • Height of facade if external decoration,window replacements etc.. required

  • Form of high level working required if not fixed scaffold (i.e. access tower, cherry picker)

  • Any local authority / landlord noise restrictions in place

  • What are the restriction hours

  • Is a Type 3 Asbestos survey required on this site (R&D survey) - required is build Pre 2000

  • Structural soffit height (mm)

  • What is the structural soffit specification (i.e. beam and block, timber etc..)

  • Any structural alterations expected that a structural engineer input will be required

  • What elements require input

  • Are intumescent paint works required on any elements

  • Existing floor construction

  • Is a basement in-situ?

  • Are drainage amendments required

  • Is a CCTV survey required

  • Floor type to be chased out (i.e. reinforced concrete)

  • Lin m of floor chases proposed (mm)

  • Invert level of nearest manhole (mm)

  • Will a new manhole be required

  • Are storage facilities on site

  • Where are these

  • What is the plan (i.e. wait and load)

  • Services in place

  • Electric - DB board location

  • Water - incoming main location

  • Water - stop tap location

  • Gas - incoming mains location

  • Sprinkler - panel location

  • HVAC - panel location

  • Fire alarm - panel location

  • Intruder alarm - panel location

  • Data cabinet - current location

  • Boiler - current location

  • BT - DP location

  • Ansul system - in place currently

  • Fireman's switch - in situ

  • Are actuators and fire dampers in situ that are being retained

  • Existing DB board - do they have sufficient capacity for proposed premises

  • Current capacity

  • Proposed capacity

  • Any evident damp issues on premises

  • Problem found

  • Does a specialist survey need to happen

  • Any current works/trading planned on site that may impact proposed works

  • Any programming limitations / sequencing that we are required to adhere to

Design / layout

  • Is drawing scaled accurate - a couple of site dims required

  • How much out is it

  • Any proposed assumed long lead time items

  • What items

  • Is all items proposed achievable

  • What isn't achievable?

  • Is there any critical dimensions required for manufacturing

  • What item

  • Dimensions (mm)

  • What item

  • Dimensions (mm)

  • What item

  • Dimensions (mm)

  • What item

  • Dimensions (mm)

  • What item

  • Dimensions (mm)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.