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Adjacent Structures & Underpinning Safety Checklist

Free Safety Checklist template · Category: ConstructionView all Safety Checklist templates
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Checklist Questions

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The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

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Risk Assessment Description:

This adjacent structures and underpinning safety checklist template from Health & Safety Zone helps site managers, engineers and operatives confirm that underpinning works near existing structures are carried out safely and in line with Construction (Design and Management) Regulations 2015 and HSE temporary works guidance.

It covers all key safety dimensions including risk assessments, method statements, engineer sign‑off, exclusion zones, structural monitoring, temporary works design, PPE, emergency arrangements and make‑safe procedures. The checklist ensures compliance with CDM 2015, HSE Temporary Works guidance and the HSE Excavations safety topic.

Use this checklist for:

  • Pre‑start verification of design approvals, permits and engineer sign‑off.
  • Daily monitoring of exclusion zones, structural movement and temporary support condition.
  • Final sign‑off and make‑safe of temporary works after underpinning completion.

Each item is answered Yes, No or N/A – any No answer must be addressed before work proceeds or continues.

To use the checklist, the responsible supervisor ticks the appropriate response for each question, records any observations, and ensures corrective actions are taken for any negative responses before the next stage of work. Completed checklists should be retained as part of the project documentation.

Fully editable and shareable — customise the questions to your project, download as a PDF and share with your team.

Compliant with: Construction (Design and Management) Regulations 2015; HSE Temporary Works guidance; HSE Excavations safety topic.

Sample PDF Document Image:

Checks covered in this Adjacent Structures and Underpinning Groundworks Inspection checklist

This Adjacent Structures and Underpinning Groundworks Inspection safety checklist template covers 33 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#Checklist item
1Has a risk assessment for adjacent structures and underpinning been completed and briefed to all operatives?
2Is a method statement for the underpinning works approved and available on site?
3Have the temporary works designs, including shoring and needling, been reviewed and signed by a qualified structural engineer?
4Are all necessary permits for excavation and ground disturbance obtained before work starts?
5Has a structural survey of adjacent buildings been carried out and documented?
6Are operatives trained and competent in underpinning and temporary works procedures?
7Is a qualified structural engineer present on site to supervise the works?
8Have all operatives been briefed on exclusion zones and monitoring requirements?
9Is the exclusion zone around adjacent structures clearly marked and secured?
10Is the ground condition suitable for underpinning with no unexpected voids or water ingress?
11Is the weather forecast suitable (no heavy rain or high winds) for underpinning activities?
12Are vibration and noise control measures in place for the underpinning works?
13Are all underground services identified, isolated or protected before excavation?
14Is a monitoring plan for movement of adjacent structures, including settlement markers, established?
15Is excavation equipment inspected and suitable for confined‑space work?
16Are shoring and needling equipment inspected for damage and correct load capacity?
17Is any lifting equipment used certified, inspected and within its test date?
18Are cementitious grouts stored and handled in accordance with COSHH requirements?
19Are hazardous chemicals such as waterproofing agents correctly labelled and used with appropriate PPE?
20Is appropriate personal protective equipment including helmet, safety boots, high‑visibility clothing and gloves worn by all operatives?
21Is respiratory protection provided where dust generation is expected?
22Are barriers, signage and toe‑boards installed around the work area to protect other site users?
23Are load monitoring devices installed on shoring to alert to overload conditions?
24Are emergency stop devices on powered equipment functional and accessible?
25Are first‑aid kits and trained first‑aiders readily available on site?
26Is an emergency evacuation route clear from the underpinning zone?
27Is a rescue plan in place for possible collapse of temporary works?
28Has the temporary works been removed or made safe after underpinning completion?
29Are settlement monitoring records completed and signed by the supervising engineer?
30Has the site been cleared of debris, excess materials and tools after work finishes?
31Has the structural engineer signed off the completed underpinning works?
32Is the underpinning design verified against the ground investigation results?
33Is groundwater level monitored and controlled during excavation?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.

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