Pre-Task Questionnaire

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Basic Details
Start date of project
EXISTING ENVIRONMENT

a) Are there any existing restrictions which might affect Health and Safety?

Environmental noise
Craneage – airspace
Dust
Confined spaces
Nearby airports
Ports or waterways
Railway lines
Protected / dangerous flora & fauna
Endangered animal species
Trees or overhead branches?
Extremes in temperature
Historic archaeological site
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b) Are there any existing services?

Water
Underground cables
Overhead cables and / or power lines
Gas Main
Telecommunications
Fibre Optic
Computer/Cable Vision
Solar panels
Wind turbines

If yes - Are the technical drawings available for existing services?

Electricity
Gas
Telephone
Satellite
Solar
Wind
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c) Are there any restrictions on traffic?

Parking
Delivery times
Access for emergency vehicles
Ground conditions
Narrow choke points
Lack of passing places
One way system in place
Turning circles available
Adequate parking

d) Are there any existing structures on site with specific Health and Safety hazards?

Asbestos
Fragile roofing
Unstable structure
Gas storage
Fuel storage
Abattoir / animal storage
Cemetery
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e) Are there any problems with the ground?

Contamination
Subsidence
Instability
Waterlogged
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f) Are there any factories / schools / shops in the vicinity?

Northern Boundary
Eastern Boundary
Southern Boundary
Western Boundary

g) Is there a railway line closeby?

EXISTING DRAWINGS (IF APPLICABLE)
Have all available drawings of structure(s) to be demolished or incorporated into the proposed structure
THE DESIGN
Have any hazards or work sequences been identified by the designer which may be a risk to worker's safety?
Have any precautions or sequences of erection been stipulated by the designer to improve safety?
Is prefabrication possible?
Are designers risk assessments available?
CONSTRUCTION MATERIALS
Have any hazardous materials been specified which cannot be avoided?
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SITE
Have any stipulations been made or problems highlighted regarding the location of site access, site accommodation, unloading / storage areas and traffic pedestrian routes?
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Have arrangements been made or agreed for the welfare of all workers?
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Is the site secure complete with fencing, signage and security?
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Are there first aiders available during working hours?
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Are there trained fire marshals available during working hours?
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Have any specific site rules been stipulated by the Employer or his representative?
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Likelihood of drugs and/or hypodermics on site?
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CLIENT’S UNDERTAKING (IF APPLICABLE)
Are there any identified Health and Safety issues to take into consideration when working on Client occupied premises?
LIAISON
Have procedures been established for the consideration of Health and Safety implications arising from design elements of contractors Work packages and substantial design changes?
Is liason with the local authorities required to move heavy loads?
Is a Construction Safety, Health and Environmental Plan available?
Are there method statements available for the construction tasks involved?
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Nature Of The Work / Task

Working at height?

Roof work?
Unprotected edges?
Scaffolding?
Tower scaffolding?
Working in ?
Stepladders?
Ladder access?
Cradles?
MEWP's?
Others?
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Excavations?

Depth more than 1.2m?
Buried services present?
Unstable soil?
Manually excavating?
Mechanical excavating?
Public present?
Vehicles within 2m?
Water present?
Near to access routes?
Others?
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Plant & machinery?

360 Excavators?
180 backhoe excavator?
Generators?
Vibrating plates?
Hydraulic breakers?
Road rollers?
Concrete mixer?
Passenger hoists?
Power floats?
Grader?
Placing boom?
Bobcat?
Dumper?
Glass lifter?
Bar bender?
Vibrating pokers?
Welding machine?
Fork lift truck?
Bulldozer?
Others?
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Power Tools?

Drill?
Circular Saw?
Band Saw?
Table Saw?
Wall Saw?
Disc Cutter?
Abrasive Wheels?
Pneumatic Tools?
Cartridge Operated?
Electric Planer?
Jigsaw
Others?
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Cranes?

Tower crane?
Mobile crane <35 T?
Mobile crane >35 T?
Gantry crane?
Floor cranes?
Cantilever cranes?
Truck mounted cranes?
Others?
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Demolitions?

Adjacent structures?
Basements and cellars?
Structural survey available?
Services disconnected?
Hazardous materials present?
Others?
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Materials and Substances (COSHH)

Asbestos present?
Raw sewage?
Lead present?
Cement / rock dust?
Flammables?
Hazardous?
Others?
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Are you using any hazardous substances with the following properties?

Flammable
Flammable
Toxic
Toxic
Corrosive
Corrosive
Gas under pressure
Gas under pressures
Explosive
Explosive
Harmful
Harmful
Dangerous for the Environment
Dangerous for the Environment
Oxidising
Oxidising
Respiratory Sensitisation
Respiratory Sensitisation

Waste Materials - removal

Skips available?
Removed by a registered contractor?
Rubbish chutes available?
Removed daily?
Removed weekly?
Dedicated waste area?
Segregated?
Covered or damped down?
Biological waste?
Animal waste?
Others?
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