Title Page

  • Conducted on

  • Project Name

  • Prepared by

  • Accompanied by

Project Description

  • Brief Description of the project

  • Scheme type

Significant risks for consideration on site

  • Traffic management, deliveries, parking, waste etc.

  • Please detail risk involved (consider likelihood and severity)

  • Access & Egress

  • Please detail risk involved (consider likelihood and severity)

  • Environment - Ground conditions, gradients, watercourses,

  • Please detail risk involved (consider likelihood and severity)

  • Adjacent land uses

  • Please detail risk involved (consider likelihood and severity)

  • Existing Services - Gas, Electrics, Water etc.

  • Please detail risk involved (consider likelihood and severity)

  • Existing Structures

  • Please detail risk involved (consider likelihood and severity)

  • Fire - means of escape etc.

  • Please detail risk involved (consider likelihood and severity)

  • Logistics - Plant and Equipment on site

  • Please detail risk involved (consider likelihood and severity)

  • Asbestos

  • Please detail risk involved (consider likelihood and severity)

  • Other hazardous materials

  • Please detail risk involved (consider likelihood and severity)

  • Design related issues

  • Please detail risk involved (consider likelihood and severity)

  • Security

  • Please detail risk involved (consider likelihood and severity)

Design Considerations - work methods and control measures

  • Significant design assumptions, suggested work methods, sequences and control measures

Welfare Considerations

  • Detail welfare arrangements - location, level of provision etc.

Supporting Info

  • Photos

  • Any additional information

  • Type name before signing

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