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F 04 Sitehandover

This document is a site handover form used to transfer responsibility for a construction site from the client to the contractor. It contains sections to confirm isolation of utilities, handover of relevant documentation like isolation schedules and asbestos clearance certificates, and sign off from both parties accepting responsibility. Upon completion of the form, the site is officially handed over from the client's maintenance manager to the contractor's site representative.

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Zeshan Haydar
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135 views

F 04 Sitehandover

This document is a site handover form used to transfer responsibility for a construction site from the client to the contractor. It contains sections to confirm isolation of utilities, handover of relevant documentation like isolation schedules and asbestos clearance certificates, and sign off from both parties accepting responsibility. Upon completion of the form, the site is officially handed over from the client's maintenance manager to the contractor's site representative.

Uploaded by

Zeshan Haydar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Estates Development & Projects Division

Imperial College London


South Kensington Campus
London, SW7 2AZ

SITE HANDOVER FORM


Project Number: Project Title:
Project Manager Location

1. SITE HANDOVER WALKROUND – to be completed by Maintenance Manager/Site Manager


Site Manager/Maintenance
Manager
Date and Time of walk round:
2. CONFIRMATION OF SERVICES ISOLATIONS AND DETAILS – To be completed by
Maintenance Manager and Contractor’s Site Manager
The following services have been isolated in accordance with the isolation schedule as marked on
Part 3:
Tick box as Services have been isolated Additional Comments:
appropriate: according to details listed in Part 3
Electrical Y N  N/A
Steam/Hot Water Y N  N/A
Cold Water Y N  N/A
Gas (Town; Natural;
Y N  N/A
Lab piped)
Vacuum Y N  N/A
Piped Gas(Specify) Y N  N/A
Steam Y N  N/A
Condensate Y N  N/A
Liquid Nitrogen Y N  N/A
Compressed Air Y N  N/A
Medium Process Hot
Y N  N/A
Water
Mechanical Y N  N/A
Fire Alarm Equipment Y N  N/A
IT Cables Y N  N/A
Telecomms Cables Y N  N/A
TV Aerial Y N  N/A
Other Y N  N/A

3. HANDOVER OF COMPLETED SERIVCE ISOLATIONS SCHEDULE


Confirmed: Comments:
3.1 Copy of completed service isolations schedule and
Y N
associated drawings has been handed to contractor?
4. HANDOVER SIGN OFF CHECK LIST
Confirmed: Comments:
4.1. All reasonable steps have been taken to ensure
that the isolation work detailed in the Isolations
Y N
Schedule and the Asbestos enabling works have been
completed.
4.2 All personnel, materials and equipment have been
Y N
withdrawn from site.
Confirmed: Comments:
4.3. Copy of Area Decontamination Certificate
Y N  N/A
has been handed to contractor?
4.4 Copy of Equipment Decontamination
Y N  N/A
Certificate has been handed to contractor?
Reference: Date – 02/06/2016
F.04 – SITE HANDOVER FORM
Estates Development & Projects Division
Imperial College London
South Kensington Campus
London, SW7 2AZ
4.5 Copy of Asbestos Clearance Certificate
Y N  N/A
has been handed to contractor?
4.6 Any residual Asbestos on site has been
identified and marked up with warning Y N  N/A
signage?
4.7 Live and Dead services are clearly
Y N  N/A
identified and marked (as far as possible)?
4.8 Access to any remaining pieces of Live
equipment or live fuse boards is restricted by
Y N  N/A
the use of barriers, signage, or lockout
systems.
Confirmed: Comments:
4.9 Site Agent is now responsible for ensuring that
isolated services are proven to be dead prior to any Y N
activities commencing.
4.10 Site Agent to assume that any unidentified
services are live, and to take appropriate safety Y N
precautions accordingly.
4.11 Site Agent to communicate details of isolations,
live services and (where applicable) asbestos to Y N
demolition and other trade contractors

4.12 All isolations permits have been signed off Y N

5. HANDOVER SIGN OFF / COMPLETION CERTIFICATE


5.1 Formal walkround has now been completed:
Maintenance Manager: Signature
Date Time
Site Representative: Signature
Company Name:
Date Time

Original copy of form should be retained in Construction H&S Site File.


Copy of Form to be forwarded by Maintenance Manager to Project Manager.

Reference: Date – 02/06/2016


F.04 – SITE HANDOVER FORM

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