1 Project reference

Project number *

Job name

Site address *

Site visit date *

PD name

2 Site access and surroundings

Primary access type

Open street frontage Shared access road Restricted access Other

Scaffolding likely required

Yes Possibly No Unknown

Narrow or restricted delivery route

Yes Possibly No

Shared access with neighbours

Yes Possibly No Unknown

Overhead cables or obstructions

Yes Possibly No Unknown

Pedestrian management likely required

Yes Possibly No Unknown

Rights of way affected

Yes Possibly No Unknown

Nearby occupied buildings affected

Yes Possibly No

Public footpaths or roads likely affected

Yes Possibly No

Additional notes — access and surroundings

3 Existing building observations

Number of storeys (PD observed)

Include all floors. Basement counts as a storey.

Listed building

Known Suspected Not apparent Unknown

"Not apparent" = no visible evidence from this visit only.

Conservation area

Known Suspected Not apparent Unknown

Overall condition

Good Fair Poor Unable to assess

Notable structural observations

Additional notes — building observations

4 Hazardous materials indicators

Asbestos indicators observed

Textured coatings (Artex), insulating board, pipe lagging, pre-2000 roof sheets, ceiling tiles

Yes — indicators present Suspected No indicators observed Unable to assess

Lead paint indicators

Pre-1970 building, chalking or peeling paint, paintwork to be disturbed

Yes — indicators present Suspected No indicators observed Unable to assess

Oil tank present or indicated

Yes Suspected No Unknown

Contaminated land indicators

Yes Suspected No Unknown

Other hazardous materials indicators

Yes Suspected No

Asbestos R&D survey status

Already held Required — not yet commissioned Unknown

Existing asbestos information provided to PD

Yes Partial No

Additional notes — hazardous materials

5 Services observations

Electricity meter location

Water stopcock location

Gas supply

Yes No Unknown

Drainage type

Mains sewer Soakaway Combination Unknown

Services concerns

Yes No

Additional notes — services

6 Site constraints

Party walls

Likely involved Likely not involved Uncertain

Underground services concerns

Yes No Unknown

Crane or large plant access likely

Yes No Unknown

Site security or hoarding likely

Yes No Unknown

Existing welfare facilities on site

Yes No N/A

Working hours restrictions

Yes No Unknown

Additional notes — site constraints

7 Surveys and investigations status

"Already held" means you have seen or been sent the document.

Survey / document	Status	Notes
Asbestos R&D survey	Already held Required — not yet commissioned Not applicable Unknown
Structural survey or condition report	Already held Required — not yet commissioned Not applicable Unknown
Ground investigation report	Already held Required — not yet commissioned Not applicable Unknown
Drainage survey or CCTV	Already held Required — not yet commissioned Not applicable Unknown
Party wall survey(s)	Already held Required — not yet commissioned Not applicable Unknown

Other surveys or investigations

Additional notes — surveys

8 PD observations and notes

General site observations

Safety-critical observations

Conflicts with client-provided information

Additional notes — PD observations

9 Photography

Tick each shot taken and select the file where prompted. Photo filenames are recorded in the submission payload. File all photos to 03-Site-Visit/ after the visit. If you have difficulty attaching photos here, you can email them separately to cdm@parallelarchitecture.co.uk with your project reference in the subject line.

Photography notes

10 Confirmation

I confirm that these observations were made on site on the date stated above and represent my professional assessment based on a visual inspection only. This form does not constitute a full structural, hazardous materials, or services survey. Observations are recorded as part of the CDM Principal Designer's information-gathering duties under CDM 2015.

Confirmed by *

Date *

CDM Site Visit Record

1 Project reference

2 Site access and surroundings

3 Existing building observations

4 Hazardous materials indicators

5 Services observations

6 Site constraints

7 Surveys and investigations status

8 PD observations and notes

9 Photography

10 Confirmation