Site Visit / Principal Designer Inspection Record Form

Please complete this form following any site visit, inspection or monitoring activity carried out in support of Principal Designer duties under the Construction Design and Management Regulations 2015.

This form is intended to record observations, coordination matters, emerging risks and any significant health & safety concerns identified during the visit.

If a question does not apply, please enter N/A. If you experience any issues completing this form, please contact pd@evolutionsafetysolutions.co.uk.

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1. Inspector Information

Inspector Name

Inspector Email Address

Company / Organisation

Inspector Role

—Please choose an option—Principal DesignerCDM AdvisorHealth & Safety ConsultantArchitectStructural EngineerClient RepresentativeProject ManagerOther

If Other, please provide details

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2. Project Information

Project Title

Project Address

Date of Site Visit

Time of Site Visit

Weather Conditions

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3. Site Attendance Information

Main Contractor / Principal Contractor Present

Site Manager / Contact Present

Approximate Number of Operatives on Site

Current Stage of Construction

—Please choose an option—Site SetupGroundworksFoundationsSuperstructureStructural FrameRoofingExternal EnvelopeFirst FixSecond FixFit-OutCommissioningFinal CompletionOther

If Other, please provide details

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4. Areas Inspected

Please identify the areas, activities or works inspected during the visit.

Site Access / EgressWelfare FacilitiesWork at HeightScaffoldingExcavationsTemporary WorksStructural WorksDemolition ActivitiesFire PrecautionsTraffic ManagementPublic ProtectionHousekeepingPlant & EquipmentMaterial StorageElectrical SafetyConfined SpacesEnvironmental ControlsOther

If Other, please provide details

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5. Positive Observations

Please record any positive observations or examples of good practice identified during the visit.

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6. Issues / Concerns Identified

Please identify any concerns, coordination issues, unsafe conditions or significant observations identified during the inspection.

Work at Height ConcernsUnsafe AccessTemporary Works ConcernsPoor HousekeepingFire Safety ConcernsTraffic Management ConcernsPublic Protection IssuesWelfare DeficienciesScaffold ConcernsExcavation Safety ConcernsUnsafe Plant OperationsEnvironmental ConcernsRAMS Not FollowedNo Significant Issues IdentifiedOther

If Other, please provide details

Issue / Concern Details

Please include details of locations, activities involved and potential impacts where relevant.

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7. Residual Risks & Design Coordination Matters

Please identify any residual risks, design coordination matters or changes affecting CDM management.

Design Change IdentifiedTemporary Works Coordination RequiredAccess / Maintenance ConcernBuildability ConcernSequencing ConcernAdditional Residual Risks IdentifiedNo Additional Residual RisksOther

If Other, please provide details

Residual Risk / Coordination Notes

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8. Actions Required

Please identify any actions required following the visit.

Actions Required

Please include responsible persons and target dates where applicable.

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9. Follow-Up Requirements

Further Action Required?

—Please choose an option—YesNo

Follow-Up Details

Further Site Visit Required?

—Please choose an option—YesNo

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10. Photographs & Supporting Documents

Please upload any photographs, marked-up drawings, inspection notes or supporting documentation relevant to the visit.

If no documents are available, please upload a simple note stating “No documents available”.

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11. Additional Comments

Additional Comments

Enter N/A if you have no further comments.

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12. Declaration

Please confirm that the information recorded within this form is accurate to the best of your knowledge.

[acceptance* declaration] I confirm that the information provided within this form is accurate and complete to the best of my knowledge. [/acceptance]