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PCI Existing Information Request Form

    PCI / Existing Information Request Form

    Please complete this form as fully as possible. If something does not apply, enter N/A or select None Available / None Known.

    If you have any issues completing this form, please email pd@evolutionsafetysolutions.co.uk.

    1. Your Details

    Your Name

    Your Email Address

    Organisation / Company Name

    Your Role on the Project

    2. Project Details

    Project Title

    Project Address

    Planning Application Reference Number

    Enter N/A if not applicable.

    3. Drawings & Design Information

    Please select any drawings or design information currently available.

    Drawing / Design Information Notes

    Enter N/A if you have no further comments.

    4. Surveys, Reports & Investigations

    Please select any surveys, reports or investigations currently available.

    Survey / Report Notes

    Enter N/A if you have no further comments.

    5. Existing Services & Utilities

    Please select any known services or utilities on or near the site.

    Existing Services / Utilities Notes

    Enter N/A if you have no further comments.

    6. Existing Hazards & Site Constraints

    Please select any known hazards or site constraints.

    Additional Hazard / Constraint Details

    Enter N/A if you have no further comments.

    7. Existing Health & Safety Information

    Please select any existing health and safety information available for the site or building.

    Existing Health & Safety Information Notes

    Enter N/A if you have no further comments.

    8. Statutory / Third Party Information

    Please select any statutory, legal or third-party matters known at this stage.

    Statutory / Third Party Notes

    Enter N/A if you have no further comments.

    9. Document Upload

    Please upload any available drawings, surveys, reports, photographs or supporting information.

    10. Additional Comments & Declaration

    Additional Comments

    Enter N/A if you have no further comments.

    Declaration

    I confirm that the information provided is accurate and complete to the best of my knowledge.