Health & Safety File Information Request Form

Please complete this form as fully as possible. This information will be used to prepare or update the Health & Safety File in accordance with the Construction Design and Management Regulations 2015.

The Health & Safety File should contain information needed to safely use, maintain, clean, alter or demolish the structure in the future.

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. Submitter Information

Your Name

Your Email Address

Company / Organisation Name

Your Role on the Project

—Please choose an option—Principal ContractorArchitectStructural EngineerM&E ConsultantSpecialist ContractorDesignerTemporary Works CoordinatorCommissioning EngineerClientOther

If Other, please provide details

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2. Project Information

Project Title

Project Address

Construction Completion Date

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3. Information Being Submitted

Please identify the information being submitted for inclusion within the Health & Safety File.

As-Built DrawingsO&M ManualsCommissioning CertificatesElectrical CertificatesGas CertificatesFire Alarm CertificatesEmergency Lighting CertificatesStructural InformationDrainage InformationUtility InformationAccess Equipment InformationRoof Access InformationFire Strategy InformationResidual Risk InformationMaintenance InformationTesting & Inspection RecordsWarranties / GuaranteesProduct Data SheetsSpecialist System InformationOther

If Other, please provide details

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4. Residual Risks & Important Safety Information

Please identify any significant residual risks or important safety information future users should be aware of.

Fragile Roof AreasConfined SpacesUnderground ServicesOverhead ServicesRestricted Access AreasSpecialist Maintenance RequirementsFire Safety Critical FeaturesTemporary Works Left in PlaceStructural LimitationsLoad RestrictionsHazardous MaterialsHigh Voltage InstallationsAccess RestrictionsNo Significant Residual RisksOther

If Other, please provide details

Residual Risk Details

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5. Maintenance & Access Information

Please provide details of any important maintenance, cleaning or access requirements.

Roof Access RequirementsSpecialist Access EquipmentConfined Access AreasFacade Cleaning RequirementsPlant Maintenance RequirementsPeriodic Testing RequirementsFire System MaintenanceDrainage MaintenanceSpecialist Contractor MaintenanceNo Significant Maintenance RequirementsOther

If Other, please provide details

Maintenance / Access Details

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6. Outstanding Issues

Please identify any outstanding works, incomplete information or unresolved issues relevant to the Health & Safety File.

Outstanding Issues

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7. Supporting Documents Upload

Please upload all relevant Health & Safety File documents, certificates, manuals, drawings and supporting information.

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

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8. Additional Comments

Additional Comments

Enter N/A if you have no further comments.

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9. 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]