V-HSF068 Permit to Demolish

• Site Conducted

  Select

• Prepared by

• Location of Demolition
  Address

• Description of Works

Party Approval

• Local Authority

  Yes

  N/A

• Party Wall Approval

  Yes

  N/A

• Gas Supplier

  Yes

  N/A

• UK Power Networks

  Yes

  N/A

• Electricity Supplier

  Yes

  N/A

• Environmental Agency

  Yes

  N/A

• Network Rail

  Yes

  N/A

• London Underground Ltd (LUL)

  Yes

  N/A

Utility Certificates of Isolation or Disconnection

• Water

  Yes

  N/A

• Gas

  Yes

  N/A

• Electrical

  Yes

  N/A

• Telecommunication

  Yes

  N/A

• Cable TV

  Yes

  N/A

Certificates of Isolation/Disconnection/Drain Down/Purge

• Sprinkler systems

  Yes

  N/A

• Compressed gas fire suppression system

  Yes

  N/A

• Fuel storage tanks & systems

  Yes

  N/A

• Sealing of drains & sewers

  Yes

  N/A

• Asbestos clearance certificate

  Yes

  N/A

• PCBs

  Yes

  N/A

Temp Works

• Propping

  Yes

  N/A

• Facade Retention

  Yes

  N/A

Soft Strip

• Edge protection

  Yes

  N/A

• Access equipment

  Yes

  N/A

• Scaffolding

  Yes

  N/A

Exclusion Zones

• Structure footprint

  Yes

  N/A

• Designed drop area

  Yes

  N/A

• Predicted debris area

  Yes

  N/A

• Buffer Zone

  Yes

  N/A

Public

• Controls for public safety

  Yes

  N/A

Additional Permit Requirements

• Hot works

  Yes

  N/A

• Confined spaces

  Yes

  N/A

• Permit to lift

  Yes

  N/A

• Temporary works permit

  Yes

  N/A

Competency Checks

• Red CCDO Card Demolition Apprentice

  Yes

  N/A

• Green CCDO Card Demolition Labourer

  Yes

  N/A

• Blue CCDO Card Demolition and Refurbishment Operative

  Yes

  N/A

• Blue CCDO Demolition Topman

  Yes

  N/A

• Gold CCDO Card Demolition Supervisor

  Yes

  N/A

• Black CCDO Card Demolition Manager

  Yes

  N/A

• Permit Completed by Ventry Construction Ltd

  Sign

• Permit Completed by Contractors Supervisor

  Sign

If the permit requires to be extended for more than 24 hours a Ventry project team member and the Contractors Supervisor, must review the permit daily and communicate any changes to the individuals involved in the work. The permit is not to run beyond 5 working days if extended. This will be achieved by signing in the table daily. By completing Section A, is acknowledgement that the Ventry project team controlling the permit and the contractor's supervisor have reviewed the permit, communicated it to all involved in the works, and have communicated any amendments.

On completion of the works the Contractors Supervisor is responsible for ensuring that the demolition area is left in a safe condition.

• Person Closing Permit from Ventry Construction Limited:

  Sign

• Person Closing Permit from Contractor

  Sign

• Yes

  N/A

• Yes

  N/A

• Yes

  N/A

• Yes

  N/A

• Yes

  N/A

• Additional Comments (if applicable)