Pre-Construction Information Summary
Project Details
Description of Works
Location
Authorised Person(AP) / Contact No.
Start Date dd/mm/yyyy / Duration / Notifiable? / Yes / No
Appointments– If there is more than one contractor involved then a principal designer and principal contractor MUST be appointed (Dutyholders)
Principal Designer (PD)
PD Contact Name / Contact No.
Principal Contractor (PC) List all contractors involved on back of form if UoL is PC
PC Contact Name / Contact No.
Contractor (when only one contractor involved) / Contact No.
Health Hazards / Yes / No / Control Measures
Potential for disturbance of Asbestos-Containing Materials– If yes then an asbestos survey MUST be undertaken / Asbestos awareness trained operatives, asbestos register obtained, checked and copy provided to contractor. Work planned to avoid any contact with/disturbance of asbestos.
Works within a vacated laboratory or handling potentially contaminated equipment / Decontamination & Handover Certificate will be required.
Works within an operational laboratory / Specialist areas still in use / Access Authorisation required from College/Person in control of laboratory.
Any potential of encountering biological hazards – Contact with sewage, untreated water, animal waste, etc. / Consider welfare facilities, need for vaccinations, symptom cards, good hygiene and PPE etc. Handover / decontamination Certificate to be completed and handed over.
Works in vicinity of a radiation source (ionising/non-ionising) / Access Authorisation required from College.
Works within a Nuclear Magnetic Resonance (NMR) Room / Access Authorisation required from College.
Location will involve exposure to high levels of Vibration/Noise / Consider reducing exposure, isolate from source, training, PPE etc.
Workplace temperature likely to cause discomfort or health risks (hot or cold) / Consider reducing / Isolating heat source, regular breaks, provide fluids, forced ventilation, warm weather clothing etc.
Workplace Hazards / Yes / No / Control Measures
Is there a risk from Falling from height / Consider fixed edge protection, man-safe systems, safety netting, adequate access equipment etc.
Overhead obstructions potential to cause head injury, e.g. low cable trays, pipe-work etc. / Consider increasing lighting levels and providing head protection etc.
Electrical hazards within immediate locality / Refer to relevant technical officer for specialist advice, review drawings and consider isolations.
Other live services e.g. gas, steam, data, redundant services should be anticipated / Refer to relevant technical officer for specialist advice, review drawings and consider isolations.
Works include the need to enter a Confined Space / Confined Space Trained Operatives Required / Permit Required.
Equipment in vicinity presents a risk of injury from hot/cold surfaces / Consider isolations, providing physical protection, provision of information, PPE etc.
Poor lighting levels should be anticipated within planned work area / Consider provision of task lighting etc.
Work envisaged requiring specialist access equipment / Evidence of Operator Competence will be required. E.g. PASMA, IPAF, etc.
Significant manual handling risk may be present (in terms of building e.g. lift unavailable) / Consider mechanical aids, split loads, tasks lifting etc.
Fragile materials / surfaces within vicinity of works / Physical barriers required and supervision.
August 2015
Third Party Hazard / Yes / No / Control Measures
Area liable to be Occupied by Students / Staff / Members of the Public (Please state) / Consider physical segregation, out of hours work, point of contact information etc.
Other contractors known to be working in immediate vicinity / Consider liaison meetings and potential impact resulting from each other’s work etc.
Vehicles Operating within the vicinity / Hi visibility clothing, physical segregation, traffic management plan, provision of information etc.
Machinery operating within the vicinity / Access Authorisation, safe isolations, physical separation, provision of information etc.
Fire & Emergency Hazards / Yes / No / Control Measures
Work may / will impede on fire escape routes,(liaise with building Fire Marshall / Fire Safety Manager) / Liaise with building Fire Marshall / University Fire Safety Officer, consider out of hours working.
Works involve Hot Works (state who is to issue Hot Works Permit) / Trained Operatives, Hot Work Permit to be issued by University Contact.
Fire Detection Devices are located within the area / Consider need for temporary isolations. Liaise with University Fire Officer
Any Other Hazards / Yes / No / Control Measures
Lone Working permitted? / Low Risk Activities only in Low Risk Areas, consider man down radios, routine phoning in etc.
Subcontracting Permitted? / Contractor is responsible for his appointees and should be able to evidence competence must ensure subcontractors are inducted and monitor their activities.
Work will Require a University Issued Permit / Issued by <INSERT NAME>
Work will require a University Issued Access Authorisation / Issued by <INSERT NAME>
Parking Provision (please state)
Material Storage Provision (please state)
Others hazards not covered / Identify below.
Other Hazards / Control Measure Required
This summary should be provided to the Contractor at TENDER stage (where feasible). It aims is to highlight “significant” risks originating from University premises or processes that the contractor may encounter during the work. It provides outline controls to mitigate these risks and directs them to more specific guidance covered in the Contractors Site Rules where applicable. If there is a risk present then the relevant control measure MUST be followed.
Issued / Contact Name / Date / Signature AP
Principal Designer
Principal Contractor
Contractor (If only one contractor involved)
Estates and Facilities Management Division Health, Safety and Compliance Officer
Please place a copy of this form in the Health and Safety File once complete.