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Demolition Permit

Demolition works permit to proceed with pre-demolition checks

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PAGE 1 OF 2

Permit Details

Permit Checks

Mark the applicable column for each item: OK = Satisfactory  |  Fail = Not met  |  N/A = Not applicable. Record notes for any Fail.

# Check Item OK Fail N/A Notes / Action
Pre-Demolition Survey
1Structural engineering survey completed and reviewed
2Building plans and construction details obtained
3Demolition method statement prepared and approved
Asbestos Assessment
4Asbestos survey completed by licensed assessor
5Asbestos removal completed prior to demolition (if present)
6Clearance certificate issued (where asbestos was removed)
Services Isolation
7Electricity supply disconnected and confirmed dead
8Gas supply isolated and capped
9Water supply isolated
10Telecommunications and data services disconnected
Structural Review
11Sequence of demolition determined by engineer
12Temporary propping and bracing installed where required
13Adjacent structures assessed and protected
14Shared walls and party wall agreements addressed
Demolition Permit - Page 2 of 2
Permit #
Date
Issued by
# Check Item OK Fail N/A Notes / Action
Exclusion Zones
15Exclusion zone established and barricaded
16Signage erected at all entry points
17Overhead protection installed for public areas
Environmental / Waste
18Waste management plan in place (segregation, recycling)
19Dust and debris control measures established
20Stormwater and sediment controls installed
21Hazardous materials disposal arrangements confirmed
Traffic Management
22Traffic management plan approved and implemented
23Pedestrian detours established and signed
24Heavy vehicle access routes confirmed and load-rated

Declaration

I confirm that all pre-demolition checks have been completed as indicated above. The demolition may proceed subject to the conditions of this permit. Any variation to scope, method, or site conditions requires reassessment and reissue of this permit. All workers must be briefed on hazards and the demolition sequence before work commences.

Permit Issuer
Signature
Print name
Date & time
Site Supervisor Acknowledgement
Signature
Print name
Date