Designer Residual Risk & Design Hazard Form

Please complete this form as fully as possible. This information helps identify, record and communicate residual design risks under the Construction Design and Management Regulations 2015.

If a question does not apply, please enter N/A or select None Known. If you experience any issues completing this form, please contact pd@evolutionsafetysolutions.co.uk.

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1. Designer Information

Your Name

Your Email Address

Company / Organisation Name

Your Role on the Project

—Please choose an option—ArchitectArchitectural TechnologistStructural EngineerCivil EngineerM&E ConsultantFire EngineerPrincipal DesignerTemporary Works DesignerLandscape ArchitectSpecialist DesignerOther

If Other, please provide details

Project Title

Project Address

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2. Design Package Information

Please provide details of the design package, discipline or scope of works you are responsible for.

Design Package / Scope of Works

Relevant Drawing / Document References

Please include drawing numbers, revisions, specifications, calculations or reports where applicable.

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3. Residual Design Risks

Please identify any significant residual risks that could not reasonably be eliminated through design.

Work at HeightFragile Roof AreasTemporary Stability RequirementsDeep ExcavationsConfined SpacesHeavy Lifting OperationsStructural Steel ErectionDemolition WorksTemporary Works RequirementsUnderground ServicesOverhead Power LinesAsbestosContaminated GroundRestricted Site AccessInterface with PublicHot WorksFire RisksHigh Voltage InstallationsComplex SequencingMaintenance Access RisksOtherNone Known

If Other, please provide details

Residual Risk Details

Please describe the residual risks, why they remain, and what contractors or future users need to know.

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4. Temporary Works & Construction Considerations

Please identify any temporary works, sequencing requirements or construction assumptions relevant to your design.

Temporary Propping RequiredSequenced Demolition RequiredCranage / Lifting Strategy RequiredTemporary Stability BracingSpecialist Installation SequenceExcavation Support RequiredScaffold Design RequiredTraffic Management ConstraintsPartial Occupation During WorksOtherNo Significant Temporary Works

If Other, please provide details

Temporary Works / Construction Notes

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5. Maintenance & Future Use Risks

Please identify any future maintenance, cleaning, access or replacement risks associated with the completed design.

Roof Access RequiredSpecialist Access Equipment RequiredHigh-Level MaintenanceConfined Maintenance AreasFacade Cleaning AccessPlant Maintenance RisksReplacement Access ConstraintsSpecialist Systems Requiring MaintenanceOtherNo Significant Maintenance Risks

If Other, please provide details

Maintenance / Access Risk Details

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6. Design Assumptions & Limitations

Please identify any important assumptions, limitations or exclusions that others need to understand when relying on your design.

Design Assumptions / Limitations

For example: assumed loadings, ground conditions, existing structure assumptions, access limitations, sequencing assumptions, specialist contractor requirements or survey limitations.

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7. Coordination & Communication

Please confirm who these risks, assumptions or limitations have been communicated to.

Principal DesignerArchitectStructural EngineerM&E ConsultantPrincipal ContractorClientTemporary Works DesignerOther ConsultantsOtherNot Yet Communicated

If Other, please provide details

Additional Coordination Notes

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8. Document Uploads

Please upload any relevant drawings, mark-ups, calculations, specifications, reports or supporting documents.

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

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9. Additional Comments

Additional Comments

Enter N/A if you have no further comments.

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10. Declaration

Please confirm that the information provided 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]