Client Name
Project Title
Health and Safety File
Date
Document1
Issue No:
Document Owner:
Page 1 of 56
Date: xx/xx/xxxx
Health and safety file – authorisation record sheet
CDM Co-ordinator
File prepared by
Date
[NAME]
[NAME]
[DATE]
File reviewed by
Signature
[NAME]
Date
[DATE]
Disclaimer
This document and its contents have been prepared and are intended solely for the University of West
England, (Clients Name)’s information and use in relation to the site for which this file has been prepared.
University of West England (UWE) (CDM-C) assumes no responsibility to any other party in respect of or
arising out of or in connection with this document and / or its contents.
Copyright
The copyright of this document is vested in University of West England (UWE). This document may not be reproduced
in whole or in part without their express written permission.
Health and safety file – amendment sheet
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Document1
Issue No:
Amendment (detail)
Amended by
Document Owner:
Date
Page 2 of 56
Date: xx/xx/xxxx
CONTENTS
1.
INTRODUCTION ............................................................................................................................... 4
1.1 Purpose of the health and safety file .......................................................................................................... 4
1.2 Location of the file ...................................................................................................................................... 4
1.3 Site information .......................................................................................................................................... 4
2.
3.
PROJECT DETAILS ............................................................................................................................ 5
EXISTING ENVIRONMENT ................................................................................................................ 7
3.1 Local environment ...................................................................................................................................... 7
3.2 Reports / investigations .............................................................................................................................. 8
4.
SPECIFIC PROJECT PARTICULARS .................................................................................................... 11
4.1 Residual Hazards ....................................................................................................................................... 11
4.2 As built information .................................................................................................................................. 12
4.3 Drawings ................................................................................................................................................... 12
5.
MECHANICAL INSTALLATIONS ....................................................................................................... 14
5.1
5.2
5.3
5.4
5.5
5.6
6.
ELECTRICAL INSTALLATIONS .......................................................................................................... 21
6.1
6.2
6.3
6.4
6.5
6.6
7.
Manufactures Literature ........................................................................................................................... 29
Testing and Commissioning ....................................................................................................................... 30
Operations ................................................................................................................................................ 31
Spares schedule ........................................................................................................................................ 32
Maintenance ............................................................................................................................................. 33
Warranty schedule .................................................................................................................................... 34
STRUCTURAL WORK ...................................................................................................................... 35
8.1
8.2
8.3
8.4
8.5
8.6
9.
Manufactures Literature ........................................................................................................................... 22
Testing and Commissioning ....................................................................................................................... 23
Operations ................................................................................................................................................ 24
Spares schedule ........................................................................................................................................ 25
Maintenance ............................................................................................................................................. 26
Warranty schedule .................................................................................................................................... 27
ARCHITECTURAL / FABRIC WORK ................................................................................................... 28
7.1
7.2
7.3
7.4
7.5
7.6
8.
Manufactures Literature ........................................................................................................................... 15
Testing and Commissioning ....................................................................................................................... 16
Operations ................................................................................................................................................ 17
Spares schedule ........................................................................................................................................ 18
Maintenance ............................................................................................................................................. 19
Warranty schedule .................................................................................................................................... 20
Manufactures Literature ........................................................................................................................... 36
Testing and Commissioning ....................................................................................................................... 37
Operations ................................................................................................................................................ 38
Spares schedule ........................................................................................................................................ 39
Maintenance ............................................................................................................................................. 40
Warranty schedule .................................................................................................................................... 41
CIVIL WORK .................................................................................................................................. 42
9.1
9.2
9.3
9.4
9.5
9.6
Manufactures Literature ........................................................................................................................... 43
Testing and Commissioning ....................................................................................................................... 44
Operations ................................................................................................................................................ 45
Spares schedule ........................................................................................................................................ 46
Maintenance ............................................................................................................................................. 47
Warranty schedule .................................................................................................................................... 48
10. SPECIALIST INSTALLATIONS ........................................................................................................... 49
10.1
10.2
10.3
10.4
10.5
10.6
Manufactures Literature ........................................................................................................................... 50
Testing and Commissioning ....................................................................................................................... 51
Operations ................................................................................................................................................ 52
Spares schedule ........................................................................................................................................ 53
Maintenance ............................................................................................................................................. 54
Warranty schedule .................................................................................................................................... 55
11. ASSET REGISTER ............................................................................................................................ 56
Document1
Issue No:
Document Owner:
Page 3 of 56
Date: xx/xx/xxxx
1.
INTRODUCTION
1.1
Purpose of the health and safety file
This health and safety file is produced in order to comply with regulations 10 (d), 17 (1-4) and 20 (e)
to (f) of the Construction (Design and Management) Regulations 2007 (CDM2007) and includes
information which seeks to assist persons carrying out construction work in the property at any
time after completion of the current project. It is the collation of information provided by all parties
including the client, designers and contractors.
The health and safety file has been designed to alert those who will be responsible for the property
after handover, to potential risks and hazards that must be managed when the structure and
associated plant is maintained, cleaned, repaired, renovated or demolished. It is a record of
information to influence future decisions on the management of health and safety in connection
with persons at work in or on the property or of any person who may be affected by the work of
such persons.
The health and safety file must be kept available for the benefit of those involved in future
construction projects and maintenance activities. It will form the major part of information to be
made available by the client during the planning stages of future works and should also be made
available to the CDM coordinator on any future major projects.
The health and safety file has been created in relation to the construction work actually carried out
in the current project and subject to CDM2007. However, as further work is carried out, the health
and safety file will be added to and amended, allowing an increasingly detailed health and safety
file to be developed.
The client and / or his appointed CDM coordinator will be responsible for making the necessary
additions and amendments. The format of the health and safety file has been designed with this in
mind; the ‘amendment sheet’ having been provided to ensure recording of the development of the
file concerned.
1.2
Location of the file
The client is responsible for ensuring that the health and safety file is made available to those who
may benefit from it, including maintenance contractors, CDM coordinators and contractors carrying
out future work.
The University of West England (or his CDM coordinator) shall ensure that the health and safety file
remains complete and in a satisfactory condition. Any amendments or additions to the health and
safety file must be made as soon as possible following any changes.
Documents are stored electronically and hard copies are archived.
Site information
Site details
The details of the site to which this file relates are as follows:
[CLIENT NAME]
[ADDRESS]
Tel:
Fax:
Project location
The site is located [DETAILS]
A site location plan can be found in section ‘5.00 Site location plan’ of this file.
General site notes
[NOTES]
Document1
Issue No:
Document Owner:
Page 4 of 56
Date: xx/xx/xxxx
2.
PROJECT DETAILS
Project directory – Key participants
Company Name
Address
Phone Number
Contact
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
Phone Number
Contact
Client
[Company Name]
E-mail address:
Client Project Manager
[Company Name]
E-mail address:
CDM Co-coordinator
[Company Name]
E-mail address:
Designer
[Company Name]
E-mail address:
Principal Contractor
[Company Name]
E-mail address:
Project directory – Sub contractors / suppliers
Company Name
Address
Sub-contractors
[Company Name]
E-mail address:
Trade:
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
Sub-contractors
[Company Name]
E-mail address:
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
Trade:
[Address Line 1]
[Address Line 2]
[Address Line 3]
[Postcode]
[Details]
0000 000 0000
0000 000 0000 Fax
0000 000 0000 Mob
[Contact Name]
Continue on next page as required …
Document1
Issue No:
Document Owner:
Page 5 of 56
Date: xx/xx/xxxx
Project information
Nature of Project
(Describe)
Start Date: xx/xx/xxxx
Document1
Issue No:
Completion Date: xx/xx/xxxx
Document Owner:
Page 6 of 56
Date: xx/xx/xxxx
3.
EXISTING ENVIRONMENT
3.1
Local environment
Previous use of the site
The site was previously used [DESCRIBE]
OR,
Previous use of the site is not known but not considered significant to this scheme.
Current use of the site
The site, i.e. building, is [DESCRIBE]
Existing structures and key structural principles
The existing structure is estimated to have been constructed circa [YEAR OF CONSTRUCTION] and
comprises [DESCRIBE]
OR,
The existing structure comprises [DESCRIBE]
Previous use of adjacent sites
Previous use of adjacent sites includes:
[LIST]
OR,
Previous use of adjacent sites is not known but not considered significant to this scheme.
Current or anticipated use of adjacent sites
Adjacent sites comprise the following:
North
South
East
West
-
[DESCRIBE]
[DESCRIBE]
[DESCRIBE]
[DESCRIBE]
Contractors carrying out future maintenance, repair or other building works must indicate specific
arrangements for maintaining services, safety and providing a safe entrance and exit route to all
the aforementioned sites.
OR,
[DESCRIBE i.e.; from the PCI]
Contractors carrying out future maintenance, repair or other building works must indicate specific
arrangements for maintaining services, safety and providing a safe entrance and exit route to all
the aforementioned sites.
Road and traffic systems adjacent to the site
Busy main road, town Centre location. No on street parking available.
Restricted loading / unloading times.
OR,
Document1
Issue No:
Document Owner:
Page 7 of 56
Date: xx/xx/xxxx
[DESCRIBE i.e.; from the PCI]
3.2
Reports / investigations
Existing services (utilities)
The property is served by gas, water, electricity, telecoms and drainage. Statutory utility service
entry points are as follows:
Gas - }
Water - } Refer to any existing Operation and Maintenance (O&M) manuals held on site.
Electricity - }
Prior to the commencement of any future works, contractors should make themselves aware of the
mains location and position of all isolation points, so that in the event of an emergency, power
supplies etc. can be quickly isolated.
OR,
The property is served by gas, water, electricity, telecoms and drainage. Statutory utility service
entry points are as follows:
Gas - [LOCATION]
Water - [LOCATION]
Electricity - [LOCATION]
Prior to the commencement of any future works, contractors should make themselves aware of the
mains location and position of all isolation points, so that in the event of an emergency, power
supplies etc. can be quickly isolated.
OR,
Information relating to existing services was not sought from the statutory undertakers, due to the
nature of the works.
Prior to the commencement of any future works, contractors should make themselves aware of the
mains location and position of all isolation points, so that in the event of an emergency, power
supplies etc. can be quickly isolated.
Emergency and firefighting systems
There was an existing fire alarm, smoke detection and firefighting system prior to these works.
[DESCRIBE]
OR,
There was no existing fire alarm, smoke detection or firefighting system at this site.
[However, a system has now been installed as part of this project. Refer to section ‘2.03 Nature of
the project’. / Installation of a new system was not included within this project and, therefore,
there remains to be no system in place.]
As built drawings and O&M information
The following existing as built drawings and O&M information have been provided in relation to the
works:
By: [COMPANY NAME]
Document1
Issue No:
Document Owner:
Page 8 of 56
Date: xx/xx/xxxx
[LIST]
A copy of the above information can be found [DESCRIBE]
OR,
Refer to any existing O&M manuals and / or any existing health and safety file(s) held on site.
Inspection and test certificates
The following existing inspection and test certificates have been provided in relation to the works:
By: [COMPANY NAME]
[LIST]
A copy of these certificates can be found [DESCRIBE]
OR,
Refer to any existing O&M manuals and / or any existing health and safety file(s) held on site.
Asbestos
Management and Refurbishment / demolition survey asbestos survey have been carried out on the
existing premises. Asbestos and / or Asbestos Containing Materials (ACMs) [were / were not]
detected. A comprehensive asbestos register is available
[IF SO, DESCRIBE]
Refer to the asbestos report issued by [COMPANY NAME], Ref. [REFERENCE NO.], which can be
found [DESCRIBE]
[IF APPLICABLE]
The above noted ACMs [were / were not] removed prior to commencement of the works.
Contractors should ask to view the current asbestos register prior to works commencing.
All investigations will have been conducted in such a manner as to minimise any damage to the
fabric and decoration of the premises. It is therefore possible that Asbestos Containing Materials
(ACMs) not detected during this work, may still be present in concealed areas and voids. During
future works to the property suspect material may therefore be uncovered. Should this occur then
work should stop immediately in this area and advice sought from the client and / or his
representative or CDM coordinator.
All employers have a legal duty to prevent the exposure of their employees to asbestos, or if this is
not possible to reduce it to the lowest possible level. The Control of Asbestos Regulations requires
them to manage the risk from asbestos by:







Document1
Issue No:
finding out if there is asbestos in the premises, its amount and what condition it is in
presuming materials contain asbestos, unless there is strong evidence that they do not
making and keeping up to date a record of the location and condition of the ACMs or presumed
ACMs in the premises
assessing the risk from the material
preparing a plan that sets out in detail how the risk from this material is to be managed
taking steps needed to put the plan into action
reviewing and monitoring the plan and the arrangements made to put it in place
Document Owner:
Page 9 of 56
Date: xx/xx/xxxx

providing information on the location and condition of the material to anyone who is liable to
work within close proximity to ACMs or disturb them
Anyone with any interest in the property will have a duty to co-operate with employers to enable
them to manage the risk.
Ground conditions
The following information has been provided in relation to the works:
By: [COMPANY NAME]
[LIST]
A copy of the above information can be found [DESCRIBE]
OR,
Due to the internal nature of the works undertaken, this information was not required.
Local authority restrictions
Planning consent [was / was not] required for this project.
Building regulations approval [was / was not] required for this project.
[IF SO]
The above document(s) is / are held by [PARTY HOLDING DOCUMENTS]
Site restrictions
[DESCRIBE]
Concurrent construction activities by others
Where two or more employers share a work place; contractors carrying out future maintenance,
repair or other building works must indicate specific arrangements of how they propose to:



Co-operate with the other employers concerned so far as is necessary to enable them to
comply with the requirements and prohibitions imposed upon them by or under the relevant
statutory provisions
(Taking into account the nature of the activities) Take all reasonable steps to co-ordinate the
measures taken to comply with the requirements and prohibitions imposed upon them by or
under the relevant statutory provisions
Take reasonable steps to inform the other employers concerned of the risks to their
employees’ health and safety arising out of, or in connection with, his activities
Existing drawings
The following existing drawings have been provided in relation to the works:
By: [COMPANY NAME]
[LIST]
A copy of these drawings can be found [DESCRIBE]
OR,
Refer to any existing O&M manuals and / or any existing health and safety file(s) held on site.
Document1
Issue No:
Document Owner:
Page 10 of 56
Date: xx/xx/xxxx
4.
SPECIFIC PROJECT PARTICULARS
4.1
Residual Hazards
General
Information relating to significant cleaning and maintenance hazards is detailed below.
This covers:
[LIST THE SITE SPECIFIC HAZARDS FOR WHICH INFORMATION HAS BEEN PROVIDED]
Maintenance must be undertaken by competent and adequately resourced personnel. All work
must be performed in compliance with relevant acts and regulations, client rules and procedures
and where appropriate under the jurisdiction of an appropriate permit-to-work.
The following points should be observed:
Personnel should be inducted and familiar with site safety procedures
Refer to asbestos register
Assess work area for potential hazards prior to commencing work
Refer to relevant O&M manuals
Isolate and make safe as required
Ensure all appropriate tools, plant; safety equipment including PPE is available
Always replace guards removed for maintenance purposes
Do not proceed if a hazard is perceived. Report the hazard immediately
Any work which is to be undertaken and will involve the exposure of persons to hazardous
substances should have a COSHH assessment carried out for that activity. This assessment as
required under the Control of Substances Hazardous to Health Regulations (COSHH) must be
undertaken by the employer and issued to those actually performing the work.
Client rules and procedures
The contractor should appoint a representative of his company to be responsible for ensuring that
the principles within this file and the health and safety regulations are complied with.
The contractor should employ proven methods and safe working practices when carrying out
construction works.
If during the course of the works unforeseen hazards are encountered, the following procedures
shall apply:
As soon as a hazard is encountered, the project manager and CDM coordinator (if one has been
appointed) shall be notified
The contractor shall prepare an appropriate method statement to address risks associated with the
encountered hazard on the basis of risk assessments
The contractor shall be required to update, amend and modify as necessary the construction phase
plan to address any risks associated with the encountered hazard
Other rules and procedures
Contractors should consider the following site rules:
Security
Adequately safeguard the site, the works, products, materials and plant affected by the works from
damage or theft.
Noise
Comply generally with BS 5228. Noise shall at all times be kept to a minimum and no noise shall be
created at unsociable hours.
Nuisance
Take all necessary precautions to prevent nuisance from smoke, dust, rubbish and other causes.
Document1
Issue No:
Document Owner:
Page 11 of 56
Date: xx/xx/xxxx
Parking
Contractors’ vehicles shall be restricted to the area of the site.
Fire
Burning on site of materials arising from the works will not be permitted.
Pollution
Take all necessary precautions to prevent pollution of the site, the works and the general
environment including streams and waterways. If pollution occurs inform the appropriate
authorities.
Smoking
[DELETE AS APPLICABLE]
The Health Act 2006 (amended 1st July 2007) requires that all enclosed premises in England be
smoke free. The principal contractor must ensure that all requirements of the aforementioned Act
are adhered to at all times.
OR,
The Health Act 2006 (26th March 2006) requires that all enclosed premises in Scotland be smoke
free. The principal contractor must ensure that all requirements of the aforementioned Act are
adhered to at all times.
Other
Other contractors must provide for as appropriate and ensure that all visitors are wearing adequate
and proper protective equipment before allowing their entry onto the site.
Maintenance, alteration and demolition
Work must only be undertaken having taken due regard to the contents of this file and in all cases
with the knowledge and written agreement of the appropriate manager / supervisor / engineer. As
appropriate, risk assessments as defined by The Management of Health and Safety at Work
Regulations, or other associated health and safety regulations, may be required.
Planned cleaning and maintenance
The following information, which relates to equipment provided for cleaning and maintaining the
structure, has been provided:
[DESCRIBE]
The above information can be found [DESCRIBE]. All operations must be performed as
recommended in manufacturers’ literature.
OR,
No information has been provided for this section of the file. No specialist operations were carried
out that required special cleaning or maintenance. All operations must be performed as
recommended in manufacturers’ literature.
4.2
As built information
Drawing number
4.3
Revision
Title
Drawings
Insert behind here
Document1
Issue No:
Document Owner:
Page 12 of 56
Date: xx/xx/xxxx
Document1
Issue No:
Document Owner:
Page 13 of 56
Date: xx/xx/xxxx
5.
MECHANICAL INSTALLATIONS
Document1
Issue No:
Document Owner:
Page 14 of 56
Date: xx/xx/xxxx
5.1
Manufactures Literature
(Insert Behind)
Sec No.
Manufacturer / Supplier
Equipment Supplied
Literature
Provided
Complete details here in
alphabetical order
Document1
Issue No:
Document Owner:
Page 15 of 56
Date: xx/xx/xxxx
5.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 16 of 56
Date: xx/xx/xxxx
5.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
1. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
2. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
3. Fire and other interfaces
Provide details of interfaces to other systems and equipment
4. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
5.
6.
Document1
Issue No:
Document Owner:
Page 17 of 56
Date: xx/xx/xxxx
5.4
Spares schedule
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 18 of 56
Date: xx/xx/xxxx
5.5
Maintenance
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 19 of 56
Date: xx/xx/xxxx
5.6
Warranty schedule
(Insert Behind) list alphabetically
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 20 of 56
Date: xx/xx/xxxx
6.
ELECTRICAL INSTALLATIONS
Document1
Issue No:
Document Owner:
Page 21 of 56
Date: xx/xx/xxxx
6.1
Manufactures Literature
(Insert Behind)
Sec No. Manufacturer / Supplier
Document1
Issue No:
Equipment Supplied
Document Owner:
Literature
Provided
Page 22 of 56
Date: xx/xx/xxxx
6.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 23 of 56
Date: xx/xx/xxxx
6.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
1. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
2. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
3. Fire and other interfaces
Provide details of interfaces to other systems and equipment
4. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
5.
6.
Document1
Issue No:
Document Owner:
Page 24 of 56
Date: xx/xx/xxxx
6.4
Spares schedule
(Insert Behind)
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 25 of 56
Date: xx/xx/xxxx
6.5
Maintenance
Notes:
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 26 of 56
Date: xx/xx/xxxx
6.6
Warranty schedule
(Insert Behind)
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 27 of 56
Date: xx/xx/xxxx
7.
ARCHITECTURAL / FABRIC WORK
Document1
Issue No:
Document Owner:
Page 28 of 56
Date: xx/xx/xxxx
7.1
Manufactures Literature
(Insert Behind)
Sec No. Manufacturer / Supplier
Document1
Issue No:
Equipment Supplied
Document Owner:
Literature
Provided
Page 29 of 56
Date: xx/xx/xxxx
7.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 30 of 56
Date: xx/xx/xxxx
7.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
7. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
8. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
9. Fire and other interfaces
Provide details of interfaces to other systems and equipment
10. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
11.
12.
Document1
Issue No:
Document Owner:
Page 31 of 56
Date: xx/xx/xxxx
7.4
Spares schedule
(Insert Behind)
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 32 of 56
Date: xx/xx/xxxx
7.5
Maintenance
Notes:
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 33 of 56
Date: xx/xx/xxxx
7.6
Warranty schedule
(Insert Behind)
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 34 of 56
Date: xx/xx/xxxx
8.
STRUCTURAL WORK
Document1
Issue No:
Document Owner:
Page 35 of 56
Date: xx/xx/xxxx
8.1
Manufactures Literature
(Insert Behind)
Sec No. Manufacturer / Supplier
Document1
Issue No:
Equipment Supplied
Document Owner:
Literature
Provided
Page 36 of 56
Date: xx/xx/xxxx
8.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 37 of 56
Date: xx/xx/xxxx
8.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
13. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
14. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
15. Fire and other interfaces
Provide details of interfaces to other systems and equipment
16. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
17.
18.
Document1
Issue No:
Document Owner:
Page 38 of 56
Date: xx/xx/xxxx
8.4
Spares schedule
(Insert Behind)
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 39 of 56
Date: xx/xx/xxxx
8.5
Maintenance
Notes:
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 40 of 56
Date: xx/xx/xxxx
8.6
Warranty schedule
(Insert Behind)
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 41 of 56
Date: xx/xx/xxxx
9.
CIVIL WORK
Document1
Issue No:
Document Owner:
Page 42 of 56
Date: xx/xx/xxxx
9.1
Manufactures Literature
(Insert Behind)
Sec No. Manufacturer / Supplier
Document1
Issue No:
Equipment Supplied
Document Owner:
Literature
Provided
Page 43 of 56
Date: xx/xx/xxxx
9.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 44 of 56
Date: xx/xx/xxxx
9.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
19. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
20. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
21. Fire and other interfaces
Provide details of interfaces to other systems and equipment
22. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
23.
24.
Document1
Issue No:
Document Owner:
Page 45 of 56
Date: xx/xx/xxxx
9.4
Spares schedule
(Insert Behind)
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 46 of 56
Date: xx/xx/xxxx
9.5
Maintenance
Notes:
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 47 of 56
Date: xx/xx/xxxx
9.6
Warranty schedule
(Insert Behind)
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 48 of 56
Date: xx/xx/xxxx
10.
SPECIALIST INSTALLATIONS
Document1
Issue No:
Document Owner:
Page 49 of 56
Date: xx/xx/xxxx
10.1
Manufactures Literature
(Insert Behind)
Sec No. Manufacturer / Supplier
Document1
Issue No:
Equipment Supplied
Document Owner:
Literature
Provided
Page 50 of 56
Date: xx/xx/xxxx
10.2
Testing and Commissioning
(Insert Behind)
Document1
Issue No:
Document Owner:
Page 51 of 56
Date: xx/xx/xxxx
10.3
Operations
TYPE OF SYSTEM
Provide a brief summary of system / equipment type.
e.g. centralized chilled water generation via air cooled chiller with pumped 2 pipe distribution.
TYPE OF SYSTEM
Item
List the main plant and equipment in system and its
location. This should include Manufacturer,
Description, Assets Code of all Assets on the Asset
Schedule for a particular system
e.g. “Carrier” Air Cooled Chiller
Insert rows as required
Location
Plant Roof Area
SERVING
Provide Description of the system or items
DEPENDENT ON
Show dependents of the system on other services
e.g. Mains water to pressurisation unit
ASSOCIATED DRAWINGS
List all applicable drawings and titles
NOTE
DETAILS
NO.
25. Normal Operations
Provide details of Normal Operations of the equipment including switch selections etc.
26. Manual Operation
Provide details of Normal Operations of the equipment including switch selections etc.
27. Fire and other interfaces
Provide details of interfaces to other systems and equipment
28. Specific notes
Use this for other notes, change the tittle and add additional numbered notes as required
29.
30.
Document1
Issue No:
Document Owner:
Page 52 of 56
Date: xx/xx/xxxx
10.4
Spares schedule
(Insert Behind)
Equipment
Document1
Issue No:
Description
Part reference
Document Owner:
Quantity
Page 53 of 56
Date: xx/xx/xxxx
10.5
Maintenance
Notes:
Risk Assessment
–
Warning
–
Manufacturers Literature
–
Health, Safety and Environment –
Daily, Weekly Tasks
–
Specialist Equipment
–
ITEM
A risk assessment must be carried out, by the maintenance contractor, the form completed and signed
prior to commencing work. Control measures must be taken if dictated by the risk assessment. Due regard
must also be given to the Residual Hazards detailed in the appropriate section off the Health and Safety
File.
Before commencing maintenance work on any items of plant, ensure that the associated supplies have
been isolated and locked off and that all control and ancillary circuits have been made dead.
The general maintenance guidance notes are supplemented by particular manufacturers’
recommendations: - Refer to companion manufacturers’ literature documents.
All work must be carried out in accordance with relevant Health, Safety and Environmental Legislation and
associated Standards and Industry Guidance
Routine Daily / Weekly inspections and tasks must form part of the maintenance routine and Actions
arising must be dealt with
It is recommended that a Maintenance Contract is placed for any specialist equipment
FREQUENCY
MAINTENANCE TASKS
Provide Maintenance Instructions for all items within the system. Each
task should have a reference to item and frequency and the task
NOTE: Specific details of any residual hazards specialist tools or
equipment should also be detailed here
Document1
Issue No:
Document Owner:
Page 54 of 56
Date: xx/xx/xxxx
10.6
Warranty schedule
(Insert Behind)
Description
Document1
Issue No:
Issue Date
Document Owner:
Expiry Date
Page 55 of 56
Date: xx/xx/xxxx
11.
ASSET REGISTER
Project
Document1
Issue No:
Package
number
Equip
ID
Description
System
ID
Manufacturer
Document Owner:
Model
No
Serial
No
Life Safety
Critical
Business
Critical
Page 56 of 56
Date: xx/xx/xxxx
Building
Floor
Room
Location
Handover
Date
Warranty
Expiry
Date
Expect
ed Life
Span